| Purpose:to explore 1.the clinical feature of cervicogenic headache;2. the effectiveness of the release of soft tissue by needle-scapel treatment at occipital; 3. the clinical significance of relieving pain for the diagnosis and treatment of cervicogenic headache.Method:1.analyze clinical data of 330 cases of CEH; 2.observe the treatment in 6 months after needle-scapel treatment with 164 cases of cervicogenic headache.Result:1.the 1990 edition of the diagnostic criteria of cervicogenic headache was needed to add; 2.single/two/three follow-up period after treatment, patients before and after the change in PPI significant statistical difference; 3. the total effective rates were statistically significant differences after a single treatment between 1 month and 3 months, between 3 months and 6 months there was no significant difference in efficiency; 4. the total effective rates between two treatment and three treatment in any observation time has no significant difference; 5. patients with positive relieving pain and negative who accepted a single needle-scapel treatment at all stages have significant statistical difference in the total effective rate.Conclusion:1. Occipital nerve block improved the nerve block method, emphasizing the significance of relieving pain and complement the diagnostic criteria of cervicogenic headache; 2. Sum up clinical characteristics of cervicogenic headache; 4.nerve entrapment of high cervical dorsal rami is one of the main causes of cervicogenic headache; 5. needle-scapel therapy is a effective treatment for cervicogenic headache; 6. course of treatment effects efficacy; 7. Relieving pain is instructive for the diagnosis and treatment of cervicogenic headache; 8. causes of cervicogenic headache are complex, needle-scapel therapy has some limitations. |