Zhang Xiao-Zhe, Wang Li-Li, Liu Yan-qing
Pain Department of Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100050, China.
Zhongguo Zhen Jiu. 2013 Nov;33(11):989-92.
To observe the efficacy in cervical headache of acupuncture combined with fire needling and the simple acupuncture therapy.
One hundred and eighty cases were randomized into an acupuncture plus fire needling group (group A) and an acupuncture group (group B), 90 cases in each one. Baihui (GV 20), Wangu (GB 12), Fengchi (GB 20), Tianzhu (BL 10) and Neck-Jiaji (EX-B 2) were selected in the two groups. In group A, the fire needling technique was applied to all the above points before acupuncture with filiform needles. In group B, the acupuncture therapy was used only. The treatment was given once a day, the efficacy was compared between the two groups after 20 treatments.
The total effective rate was 95.6% (86/90) in group A and was 84. 4% (76/90) in group B, indicating the significant difference in comparison (P<0.05). VAS were 7.44+/-1.26 and 0.73+/-l. 44 before and after treatment in group A separately, those were 7.56+/-1.07 and 2. 56+/-2. 99 in group B, indicating the significant difference in comparison (P<0.01). The difference in VAS after treatment was significant between the two groups. In group A, the follow-up visit was conducted at 3 months and 6 months after treatment for the cured cases. The total recurrence rate in the patients without bony pathological changes was 14.8% (4/27) and that in the patients with bony pathological changes was 43. 5% (10/23), there was significant difference between them (P<0. 05).
The combined therapy of fire needling technique and filiform needle acupuncture improves the efficacy and sustains the efficacy especially on cervical headache without bony pathological changing.
观察针刺结合火针与单纯针刺疗法治疗颈源性头痛的疗效。
将180例患者随机分为针刺加火针组（A组）和针刺组（B组），每组90例。两组均选取百会（GV 20）、完骨（GB 12）、风池（GB 20）、天柱（BL 10）和颈夹脊（EX - B 2）。A组在毫针针刺上述穴位前，先对所有穴位施以火针技术。B组仅采用针刺疗法。每天治疗1次，20次治疗后比较两组疗效。
A组总有效率为95.6%（86/90），B组为84.4%（76/90），差异有统计学意义（P<0.05）。A组治疗前后VAS分别为7.44±1.26和0.73±1.44，B组分别为7.56±1.07和2.56±2.99，差异有统计学意义（P<0.01）。两组治疗后VAS差异有统计学意义。A组对治愈病例在治疗后3个月和6个月进行随访。无骨质病理改变患者的总复发率为14.8%（4/27），有骨质病理改变患者的总复发率为43.5%（10/23），两者差异有统计学意义（P<0.05）。
火针技术与毫针针刺联合疗法提高了疗效，尤其对无骨质病理改变的颈源性头痛疗效持久。
