简介：目的：观察推拿手法治疗颈源性头痛的临床疗效。方法：54例患者随机分为推拿组和药物组，推拿组27例，接受中医推拿治疗，药物组27例，口服布洛芬治疗。比较治疗前2星期和治疗后2星期病患的头痛程度（VAS）、头痛发作频率和颈椎功能障碍（NDI）的改善。结果：治疗前推拿组和药物组的VAS，发作频率和NDI评分差异无统计学意义；治疗后两组VAS，发作频率，NDI均有下降，推拿组与药组比较差异有统计学意义（P〈0．01）。结论：推拿治疗颈源性头痛疗效优于常规剂量布洛芬。

简介：关键词针灸治疗-头疼-症候群区别处理-医药记录鍏抽敭璇？?堝埡鐤楁硶-澶寸棝-杈ㄨ瘉璁烘不-鐥呮CLC数字R246.1作者：黄蔷(1979鈥?，女性，居民，药的主人

简介：Angioneuroticheadacheisaparoxysmalviolentdistendingheadacheduetodisturbanceofvasculardiastolicandsystolicfunctions.Itbelongstothecategoryof'headache'intraditionalChinesemedicine(TCM)andoftenresultsfromstagnationoftheliver-qianddeficiencyofthe

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简介：Background:Becausethecauseandetiologyofchronicheadacheisnotyetfullyexplained,thetreatmentofthissymptomisnotsimple.Thisstudycomparestheeffectsofaromaacupunctureandnormalacupunctureappliedonchronicheadachepatients,inordertoestablishaprimarydataforfurtherstudiesofnewtreatmentsanddevelopmentsofnewpracticalacupuncture.Methods:38clinicalexperimentparticipantsweregatheredandthroughaquestionnairepatientswhoexperiencedheadacheformorethan4hoursadayandmorethan15dayspermonthwerequalifiedaschronicheadachepatients.Thequalifiedpatientswereclassifiedintotwogroups,aromaacupuncturegroup(AromaATgroup,n=23)andnormalacupuncturegroup(ATgroup,n=15).

简介：为回顾1949-2004年针灸治疗血管性头痛的状况，以推动针灸临床的发展，根据《中国现代针灸信息数据库》数据，计量分析针灸治疗血管性头痛的临床文献。从1956年起针灸治疗血管性头痛的文献报道逐年增加，呈平稳增长趋势，临床治疗以针刺为主，临床选穴以邻近取穴与辨证取穴相结合。

简介：关键词针灸药联合了-头疼-医药记录鍏抽敭璇吗？?堣嵂缁撳悎-澶寸棝-鐥呮CLC数字R246.1作者：孙继山(1936鈥?，男、主要医生

简介：In40casesofheadachetreatedbyhydroacupunctureplusTuina,incomparisonwith35casestreatedwithmedicationsplusTuina,theresultsshowedthatthetherapeuticeffectwasbetterinthetreatmentgroupthaninthecontrolgroup.

简介：AbstractBackground:No convincing modalities have been shown to completely prevent postdural puncture headache (PDPH) after accidental dural puncture (ADP) during obstetric epidural procedures. We aimed to evaluate the role of epidural administration of hydroxyethyl starch (HES) in preventing PDPH following ADP, regarding the prophylactic efficacy and side effects.Methods:Between January 2019 and February 2021, patients with a recognized ADP during epidural procedures for labor or cesarean delivery were retrospectively reviewed to evaluate the prophylactic strategies for the development of PDPH at a single tertiary hospital. The development of PDPH, severity and duration of headache, adverse events associated with prophylactic strategies, and hospital length of stay postpartum were reported.Results:A total of 105 patients experiencing ADP received a re-sited epidural catheter. For PDPH prophylaxis, 46 patients solely received epidural analgesia, 25 patients were administered epidural HES on epidural analgesia, and 34 patients received two doses of epidural HES on and after epidural analgesia, respectively. A significant difference was observed in the incidence of PDPH across the groups (epidural analgesia alone, 31 [67.4%]; HES-Epidural analgesia, ten [40.0%]; HES-Epidural analgesia-HES, five [14.7%]; P <0.001). No neurologic deficits, including paresthesias and motor deficits related to prophylactic strategies, were reported from at least 2 months to up to more than 2 years after delivery. An overall backache rate related to HES administration was 10%. The multivariable regression analysis revealed that the HES-Epidural analgesia-HES strategy was significantly associated with reduced risk of PDPH following ADP (OR = 0.030, 95% confidence interval: 0.006-0.143; P < 0.001).Conclusions:The incorporated prophylactic strategy was associated with a great decrease in the risk of PDPH following obstetric ADP. This strategy consisted of re-siting an epidural catheter with continuous epidural analgesia and two doses of epidural HES, respectively, on and after epidural analgesia. The efficacy and safety profiles of this strategy have to be investigated further.

简介：针刺百会和双侧太冲穴，治疗巅顶痛患者35例，痊愈14例，显效13例，好转6例，无效2例，总有效率94．3％。