Clinical Observation Of Qinggong Zhenggu Manipulation In The Treatment Of Occipital Neuralgia

Research background:The greater occipital neuralgia Department of occipital nerve distribution area of nerve,muscle,blood vessels and other nonspecific inflammation of soft tissue injury caused by pressure,card or paroxysmal or persistent is cutting,convulsive shock like,dull pain,pain,radiation to the head,ear and mastoid and occipital nerve to export a skin segment of tenderness or corresponding feeling allergies or hypoesthesia as a non genetic neurological disease.The main clinical manifestations of disease w:ith high incidence,characteristics of patient group wide,more common in the elderly,is a common disease,clinical disease.Especially with the change now.The way of life,people tend to sit too much work A bow and posture,directly lead to increased neck flexion activities,reduce cervical local activities,leads to greater occipital neuralgia incidence increased.Epidemiological investigation in various regions of greater occipital nerve pain results,different gender,different age,different occupation and the incidence of different regions,the prevalence rate was increasing and younger trend,seriously affect the patient's quality of life and work efficiency.At present,the treatment of the disease mainly in the combination of traditional Chinese and Western medicine conservative treatment,surgical treatment is relatively rare.Chinese medicine treatment mainly including Chinese medicine,acupuncture,acupoint injection and massage manipulation,small needle knife loosening therapy.Acupuncture treatment is relatively more use,which is divided into acupuncture,moxibustion,acupuncture and moxibustion,acupuncture,bloodletting.Electro acupuncture therapy and other treatment methods.Western medicine treatment mainly include physical methods of non steroidal anti-inflammatory drugs,pain,nerve block,surgical therapy,and psychotherapy is novel,can be divided into physical therapy laser therapy and radiofrequency treatment.The treatment was achieved in the Clinical Research Report A better treatment effect,as to what kind of treatment,and each treatment method of the selection of indications,inconclusive.Sometimes even lead to the patient's delay,cause disease of lingering and repeated.The manipulation treatment of the disease,in the treatment process by key operation in"tendons knot" site.In order to relax the manipulation of regulating qi and blood,promoting blood circulation,relieve spasm,muscle tension,eliminate the neck local abnormal stress.At the same time on the basis of TCM traumatology "bones" theory,the neck is fixed rotation correct way,"tendons out of the slot" and "bone fractures,relieve neck pillow of occipital nerve around the small joint and soft tissue entrapment,normal cervical joint recovery sequence,to restore the cervical function,to the purpose of treatment and rehabilitation techniques.Finally,to ease the tension,release psychological pressure,to achieve Shujinhuoluo,through veins Qi and blood,increase the blood supply of local soft tissue,so as to achieve the purpose of treatmentObjective:To explore the mechanism of the spinal manipulation in the treatment of occipital neuralgia,observe the clinical effect of the manipulation for the treatment of the disease.Method:According to the inclusion and exclusion criteria of the research are collected for 60 cases was from October 2014 to January 2017.In the Third Affiliated Hospital of Beijing University of Chinese Medicine,Department of orthopedics clinic and ward patients were randomly divided into the treatment group and the massage block in the treatment of 30 cases in the control group.According to the analysis of the treatment and the follow-up program has been developed in two groups before treatment,after treatment and 3 months after treatment,the reduction rate of VAS,VAS and NDI score,curative effect analysis.Result:?2 weeks after treatment VAS score reduction rate:treatment group cure rate was 13.33%,the effective rate was 50%,efficiency was 30%,the ineffective rate was 6.67%,the total efficiency of 93.33%;the closed group was 3.33%,the effective rate was 53.33%,efficiency was 36.67%,the ineffective rate was 6.67%,the total efficiency of 93.33%.? 3 months after treatment VAS score reduction rate:treatment group cure rate was 6.67%,the effective rate was 53.33%,efficiency was 33.33%,the ineffective rate was 6.67%,the total efficiency of 93.33%;the closed group was 0,the efficiency was 10%,efficiency was 73.33%,no efficiency 16.67%,the total efficiency of 83.33%.? The nonparametric test analysis of VAS score before and after treatment,the manipulation group before treatment mean:6.10 ± 0.92,2.10 ± 1.15.Z=-4.802,P=0.000<0.05;closed before treatment mean,5.96 ±0.76,2.33 ± 1.03,Z=-4.809,P=0.000<0.05.?Through the non parametric test analysis of NDI score before and after treatment,the manipulation group before treatment mean:33.20 +2.77,10.23 ±2.28,Z=-4.794,P=0.000<0.05;closed before treatment,mean:34.83 ± 1.89,11.37±3.26,Z=-4.789,P=0.000<0.05.?After the non parametric test,analysis of the two groups after treatment VAS,NDI score,VAS score of Z=-0.672,P=0.502>0.05;NDI score of Z=-1.1185 P=0.263>0.05.? After the non parametric test,two groups of patients were followed up for VAS 3 months.VAS score of Z=-4.411,P=0.000<0.05;NDI score of Z=-3.334,P=0.001<0.05.Conclusion:The manipulation and closed treatment have a significant effect on the greater occipital nerve pain and improve function in patients with cervical pain.Efficacy of the two treatments had no significant difference.The long-term curative effect,treatment effect of Qing manipulation in the treatment of this disease is better than closed.