| Objective: To observe the clinical effect of blade needle combined with wheat grain moxibustion on cervical headache based on "song jing tiao qi" method.Methods: 70 patients with cervicogenic headache who met the inclusion criteria were randomly divided into observation group and control group,35 cases in each group according to SPSS17.0 statistical software.The observation group was treated with blade needle combined with wheat grain moxibustion,while the control group was treated with ordinary acupuncture.Observation group: blade needle acupoint selection: acupoint selection neck tenderness tendon node.Operating method: The doctor holds the blade needle,and the vertical focus points penetrate the blade needle.After entering,the knife needle should be stabbed to the bone surface slowly.Then the blade needle is lifted to strip the knotted focus points lengthwise and sparsely for 2 to 3 needles.After the operation of the blade needle,wheat Granule Moxibustion was performed.Acupoints were selected: the place where the blade needle was applied,Baihui,Dazhui and Fengchi(both sides).Each acupoint is 5 grains.The control group selected acupoints: Fengchi,Tianzhu,Houxi,Neck Jiaji,Baihui,Sun and Touwei,with the increase or decrease of symptoms.Course of treatment: The two groups were treated every three days,four times as a course of treatment,a total of two courses of treatment.Evaluation methods: Follow-up was conducted before treatment,after 1 course of treatment,after treatment and 3 months after treatment.The clinical effect of the two groups of patients was compared and evaluated,and the curative effect was evaluated by McGill pain Scale,ROM cervical activity score and SF-36 quality of life scale.Statistical software SPSS17.0 was used to analyze the collected data.Result:1.Before treatment,there was no significant difference between the two groups in terms of gender,age,course of disease,McGill pain scale score,ROM score and SF-36 quality of life scale score(P>0.05),which was balanced and comparable.2.Compared with the clinical efficacy of the two groups,the total effective rate of the observation group was 90.90%,the control group was 68.75%,and the difference was statistically significant(P<0.05),the clinical efficacy of the observation group was better than that of the control group.3.Comparison of McGill between the two groups: A comprehensive comparison of repeated measurements of variance analysis showed that there were significant differences in McGill pain scale scores between the two groups in terms of group,time and interaction effect(P<0.05).There were significant differences in McGill pain scale scores between the two groups before treatment,after one course of treatment and three months after treatment(P<0.01)and in the control group(P<0.05).The results showed that both groups had curative effect in improving pain,and the observation group had more significant effect.4.Comparison of ROM between the two groups: A comprehensive comparison of repeated measurements of variance analysis showed that there were significant differences in ROM in group and time between the two groups(P<0.01),but no significant differences in time and group interaction effect(P>0.05).Intra-group comparison.The ROM scale scores of the two groups before treatment and after one course of treatment and after treatment had statistical significance,the observation group(P<0.01)and the control group(P<0.05).There was no significant difference in ROM score between the two groups after treatment and 3 months after treatment(P>0.05).It shows that both groups can improve the cervical spine mobility of patients,but the difference is not significant,and the long-term effect is not good.5.Comparison of SF-36 Quality of Life Scale between the two groups: A comprehensive comparison of repeated measurement variance analysis showed that there were significant differences in group,time and interaction between the two groups in eight dimensions(P<0.01).There were significant differences in eight dimensions between the two groups before treatment,after a course of treatment and after treatment(P<0.05).The quality of life of the two groups was improved after treatment.After 3 months follow-up and 3 months follow-up after treatment,there was no significant difference between the control group and 3 months follow-up after treatment(P>0.05).There was significant difference in other dimensions(P<0.05).It shows that both groups have curative effect in improving life treatment,but the observation group has better curative effect,especially in improving body pain.Conclusion: "Song jing tiao qi method" using blade needle combined with wheat grain moxibustion can alleviate the pain of cervical headache,improve the activity of cervical spine,and improve the quality of life of patients.The effect of the observation group on improving pain and improving the quality of life of patients was better than that in the control group.The observation group had better curative effect on improving cervical spine activity than the control group in recent times. |
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