PCIA联合细银质针疗法对重度颈源性头痛镇痛效果

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［关键词] 创伤性头痛；镇痛，病人控制；氢吗啡酮；针刺镇痛；治疗结果[中图分类号] R741.041；R459.9 [文献标志码］A [文章编号] 2096-5532（2025）06-0901-05doi：10.11712/jms.2096-5532.2025.61.186 [开放科学（资源服务）标识码（OSID）][网络出版] https：//link.cnki.net/urlid/37.1517.r.20251231.1348.003； 2026-01-0410：05：42

Analgesicfectofpatient-controledintravenous analgesiacombinedwithfinesilvernedletherapyonseverecervicogenicheadache FAN Zhifang，KANG Zhun，JI Dingkui（Department of Pain，Sanmenxia Central Hospital，Sanmenxia 472oo，China）

[Abstract]ObjectiveToobserve the analgesic efect of hydromorphone patient-controled intravenousanalgesia （PCIA） combined withfinesilverneedletherapyinpatients withseverecervicogenicheadache.MethodsAtotalof82 patients withsevereervicogenicheadachewererandomlydividedintoanobservationgroupandacontrol group，with4lparticipantsineach group. Thecontrolgroupreceivedfinesilvernedletherapy，whiletheobservationgroupreceivedPCIAinaddition tofinesilvernedle therapy.ThePain Visual AnalogScalescore，NumericPainRating Scale score，Short-Form Health Surveyscore，cervicalrangeof motion，and serological indicators such as 5-hydroxytryptamine，substance ΔP ，and β -endorphin were compared between the two groupsbeforeandaftertreatment.ResultsAftertreatment，allobservedindicators inbothgroupsshowed significantimprovement compared to before treatment，with significant differences （ ：t=6.333-26.159 ，all P<0.05 ）.Compared with the control group，theobservationgroup showed significantincreasesinthescoresof theShort-Form Health Surveyandcervicalrangeof motioninalldirectionsaftertreatment，andsigificantdecreasesinthescoresofthePainVisualAnalogScaleandNumericPainRating Scale as well as in the levels of serum 5-hydroxytryptamine，substance P ，and β -endorphin.Moreover，the improvementsinall indicators after treatment were significantly greater in the observation group than in the control group （t=3.388-12.285，P< 0.05）.ConclusionPCIAcombinedwithfinesilverneedletherapyhasasignificantanalgesicefect inpatients with severecervicogenicheadache，canalleviatepain，ncreasecervicalrangeofmotion，reducethelevelsofrelatedserologicalindicators，andimprove the quality of life of patients.

[Key words] post-traumatic headache;analgesia，patient-controlled; hydromorphone;acupuncture analgesia;treatment outcome

颈源性头痛是由于原发性颈椎肌肉骨骼病变引起的继发性头痛[1]，通常在颈部运动后出现症状[2]，且易与偏头痛、紧张性头痛等原发性头痛相混淆，导致误诊误治，严重影响了病人的身心健康和生活质量[3]。（剩余9431字）