| Objective:In this study,the sensory nerve quantitative detector was used to measure the cervical 2 and cervical 3 current sensory threshold(CPT),and the score grade was used to further quantify the clinical efficacy of the needle intervention in cervical headache under the guidance of the thejingjin theory In order to provide more objective clinical data support for the treatment of cervical headache with the guidance of the theory of sinews and tendons,and to further improve its clinical efficacy evaluation system.Methods:60 patients diagnosed with cervical source sex have a headache,and the research into the standard degree of headache patients(VAS)score,cervical vertebra of motion(ROM)score,and USES the quantitative sensory nerve detector feeling about the current neck 2,3 after measure threshold(CPT)were randomly divided into treatment group and control group,30 cases in each group.In the treatment group,the needle was used under the guidance of the tendon theory,and the treatment was performed once every other day for a total of 7 times.The control group took flunarizine hydrochloride capsules orally(xi 'an yangsen pharmaceutical co.,LTD.,national drug approval:H10930003),10mg daily,and took them after dinner for a total of 2 weeks.Two groups of patients after the treatment,treatment after 1 month of headache(VAS)score,cervical vertebra of motion(ROM)score,as well as by the neck,neck 2-3 current sensory thresholds(CPT)measure the income of the lateral(pain than what side)rating for clinical effect assessment,finally USES the SPSS25.0 statistical software will be treated as the obtained data were statistically analyzedResults:Among the 60 patients with cervicogenic headache,1 case fell off in the treatment group and 2 cases fell off in the control group,and 57 cases were actually collected(1)Before treatment,there was no statistically significant difference in the age,gender and course of disease in the general data of the two groups(P>0.05).The general data of the two groups were clinically(2)before treatment,the headache intensity(VAS)score,cervical range of motion(ROM)score,and the score grade obtained by quantitative measurement of CPT were compared between the two groups.The difference was not statistically significant(P>0.05),and clinical comparison could be conducted.(3)VAS score and efficacy evaluation after treatment:compared with before treatment,VAS score of both the treatment group and the control group decreased(P<0.05),with statistically significant difference.Comparison of VAS scores between the two groups after treatment and 1 months after treatment showed that the scores in the treatment group decreased significantly compared with the control group(P<0.05),and the difference was statistically significant(4)ROM score of cervical range of motion after treatment:compared with that before treatment,ROM scores of both the treatment group and the control group were reduced(P<0.05),with statistically significant differences After the end of treatment and 1 months after the end of treatment,the score of the treatment group decreased significantly compared with the control group(P<0.05),and the difference was statistically significant(5)At the end of treatment and follow-up 1 month after the end of treatment,the scores obtained by quantitative measurement of cervical 2 and cervical 3 current sensory threshold(CPT)in the two groups were significantly lower than those before treatment,and the difference was statistically significant(P<0.05).In addition,compared with the control group,the scores obtained by quantitative measurement of CPT in the treatment group and CPT in the treatment group decreased significantly,and the difference was statistically significant(P<0.05)(6)after the end of treatment,the overall efficacy of the two groups was compared,and the efficacy of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05)Conclusion:1.Under the guidance of the jingjin theory,needle acupuncture at the point of tendon fixation has achieved good clinical efficacy in the treatment of cervical headache.The score grade obtained by quantitative detection of CPT in neck 2 and neck 3 decreased significantly after the use of milli fire needle intervention,and the symptoms of head and neck pain were relieved.It was preliminarily proved that cervical headache was related to the nerve dysfunction of neck,and milli fire needle could effectively improve the symptoms of nerve dysfunction.2.The quantitative detection of sensory nerves is of quantitative,objective and accurate significance for the diagnosis of the degree and location of cervical nerve injury and the evaluation of clinical efficacy in patients with cervical headache.It can be used as a new method for the diagnosis and efficacy evaluation of cervical nerve injury in patients with cervical headache and is expected to be further studied. |
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