Clinical Study On Treating Cervicogenic Headache By Penetration Needling Method Combined With Ashi Points On The Head

Objective:Further study of cervicogenic headache,to explore the clinical efficacy of Penetration Needling Method treatment of cervical headache,to provide a reference for acupuncture treatment of this disease.Methods:In this study 90 cases with cervical headache were randomly divided into treatment group(penetration point group),conventional acupuncture group and western medicine group 30 cases in each group.The penetration point group was treated with penetration acupuncture combined with Ashi acupuncture,the routine acupuncture group was treated with simple acupuncture,the course of treatment in the two groups was the same.After 5 days of continuous treatment,rest for 2 days is a course of treatment,a total of 4 courses of treatment.The western medicine group was treated with diclofenac sodium capsule.50 mg each time,once a day,1 week as a course of treatment,a total of 4 courses of treatment.All the ceses in the three groups were evaluate the efficacy of headache vas score,weekly headache index and cervical spine activity score before treatment,2 courses of treatment,4 courses of treatment and 1 month follow-up after treatment.Results: 1.In the point-through-point therapy group,13 cases were cured,9 cases were markedly effective,3 cases were effective,3 cases were ineffective,the total effective rate was 89.2%.In the routine acupuncture group,6 cases were cured,5 cases were markedly effective,12 cases were effective and 5 cases were ineffective,the total effective rate was 82.1%.In the western medicine group,3 cases were cured,3 cases were markedly effective,12 cases were effective and 8 cases were in effective,the total effective rate was 69.2%.It was obvious different in three groups(P<0.05).Comparison between groups,the difference was statistically significant between penetration point group and routine acupuncture group(P<0.05).2.There was no significant difference in vas score,weekly headache index and cervical spine activity between the three groups before treatment(p>0.05).The curative effects of the three groups were compared after 2 courses of treatment,4 courses of treatment and 1 month follow-up,the difference was statistically significant(P<0.05).After 4 courses of treatment and 1 month of follow-up,the vas scores of headache and cervical spine activity in the three groups were statistically different(P<0.05).From high to low,the scores were as follows: western medicine group>routine acupuncture group>penetration point group,It was suggested that the best effect was observed in acupoint penetration group.The headache index scores of the three groups were compared after 4 courses of treatment,except for the specific statistical significance between the penetration point group and the western medicine group(P<0.05),and there was no statistical significance between the other two groups(p>0.05).But headache index was significantly lower than before treatment.After one month follow-up treatment,There are differences in statistics between the two groups(P<0.05),the score from high to low in turn is: the western medicine group>routine acupuncture group>penetration group.The results showed that the follow-up effect of penetration group was better than the other groups.Conclusions:1.Both Penetration Needling Method and conventional acupuncture can be used to treat cervicogenic headache compared with the two methods,Penetration Needling Method superior curative effect and significant long-term curative effect.2.The vas score,the weekly headache index and the cervical spine activity score of the three methods were decreased in different degrees.compared with the three methods,The Penetration Needling Method had the best curative effect.