[1]匡永兵,董金鑫,冯银豪,等.罗氏推拿联合颈康舒胶囊治疗颈源性头痛疗效研究[J].陕西中医,2025,46(11):1562-1567,1572.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.023]
　KUANG Yongbing,DONG Jinxin,FENG Yinhao,et al.Study on therapeutic effect of LUO’s massage combined with Jingkangshu capsules in treatment of cervicogenic headache[J].,2025,46(11):1562-1567,1572.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.023]
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罗氏推拿联合颈康舒胶囊治疗颈源性头痛疗效研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年11期
页码:
1562-1567,1572
栏目:
针灸经络
出版日期:
2025-11-05

文章信息/Info

Title:
Study on therapeutic effect of LUO’s massage combined with Jingkangshu capsules in treatment of cervicogenic headache
作者:
匡永兵; 董金鑫; 冯银豪; 袁强; 罗建
（成都中医药大学附属医院推拿科，四川 成都 610036）
Author(s):
KUANG Yongbing; DONG Jinxin; FENG Yinhao; YUAN Qiang; LUO Jian
（Department of Massage,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610036，China）
关键词:
颈源性头痛; 罗氏推拿; 经筋理论; 颈康舒胶囊; 睡眠质量; 炎症因子; 血管内皮功能
Keywords:
Cervicogenic headache; LUO’s massage; Meridian tendon theory; Jingkangshu capsules; Sleep quality; Inflammatory factors; Vascular endotheliocyte function
分类号:
R 244.1
DOI:
DOI:10.3969/j.issn.1000-7369.2025.11.023
文献标志码:
A
摘要:
目的：基于经筋理论的罗氏推拿联合颈康舒胶囊治疗颈源性头痛（CEH）患者疼痛及睡眠的临床疗效。方法：回顾性选取80例CEH患者为研究对象，根据治疗方式分为对照组、观察组，各40例。对照组采用倍他司汀注射液治疗，观察组在对照组基础上实施罗氏推拿联合颈康舒胶囊治疗，均连续治疗2周。比较两组临床疗效及血清炎症因子[肿瘤坏死因子-α（TNF-α）、白细胞介素-1β（IL-1β）、白细胞介素-6（IL-6）]、血清血管内皮相关因子（内皮素-1、一氧化氮）水平，采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，采用视觉模拟评分法（VAS）评估疼痛情况，以及颈椎活动度量表（ROM）、现时疼痛强度进行评估。记录不良反应及并发症。结果：观察组临床总有效率为92.50%，高于对照组72.50%（P＜0.01）。治疗后，两组ET-1、TNF-α、IL-1β、IL-6水平及PSQI、VAS、ROM评分均较治疗前降低，且观察组低于对照组（均P＜0.05）。两组NO水平较治疗前升高，且观察组高于对照组（均P＜0.05）。两组均未发生并发症，少数患者出现软组织疼痛、皮肤潮红等不良反应。结论：经筋理论指导下罗氏推拿联合颈康舒胶囊治疗CEH，通过调节血管内皮功能、抑制炎症反应，能有效缓解疼痛、改善颈椎功能及睡眠质量，安全性较好。
Abstract:
Objective:To explore clinical efficacy of LUO’s massage based on the theory of meridian sinews combined with Jingkangshu capsules in treating pain and sleep problems in patients with cervicogenic headache (CEH).Methods:A retrospective study was conducted on 80 patients with CEH，divided into control group and observation group according to the treatment methods,with 40 patients in each group.The control group were treated with betahistine injection,while the observation group received LUO’s massage combined with Jingkangshu capsules on the basis of the treatment of the control group.Both groups were treated continuously for 2 weeks.The clinical efficacy,levels of serum inflammatory factors,and serum vascular endothelial-related factors were compared between the two groups.PSQI was used to evaluate sleep quality,visual analogue scale (VAS) was used to assess pain,and ROM scale and current pain intensity were also evaluated.Adverse reactions and complications were recorded.Results:The total clinical effective rate of the observation group was 92.50%,which was significantly higher than 72.50% of the control group (P＜0.01).After treatment,the levels of ET-1,TNF-α,IL-1β,IL-6,and the scores of PSQI,VAS,and ROM in both groups were decreased compared with those before treatment,and values in the observation group were lower than those in the control group (all P＜0.05).The level of NO in both groups were increased compared with that before treatment,and the level in the observation group were higher than that in the control group (all P＜0.05).No complications occurred in either group.A small number of patients had adverse reactions such as soft tissue pain and skin flushing.Conclusion:LUO’s massage guided by the theory of meridian sinews combined with Jingkangshu capsules in the treatment of CEH can effectively relieve pain,improve cervical function and sleep quality by regulating vascular endothelial function and inhibiting inflammatory reactions,and it has better safety.

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[1]田利军,郭宇松,刘 星,等.葛根汤联合针刺治疗青少年颈椎生理曲度异常所致颈源性头痛疗效及对患者脑血管功能状况的影响*[J].陕西中医,2020,(7):875.[doi:DOI:10.3969/j.issn.10007369.2020.07.010]

备注/Memo

备注/Memo:
四川省中医药管理局科学技术研究专项课题（2021MS561）；成都中医药大学附属医院科技发展基金资助课题（20ZX11）
更新日期/Last Update: 2025-11-04