Clinical Study On The Treatment Of Cervicogenic Headache By Acupuncture Of Cao Xizhen's "Surgical Basic Acupoints"

Objective:The aim is to explore the effectiveness and safety of acupuncture Cao Xizhen's "Surgical Basic Acupoints" in the treatment of cervicogenic headache,to explore the application of classic Tuina prescriptions in clinical practice of acupuncture and moxibustion,thus providing a new way of thinking and method for treatment of cervicogenic headache in clinic.Methods: 65 patients with Cervicogenic headaches that met the inclusion criteria were randomly divided into a experimental group(acupuncture at Cao Xizhen's "Surgical Basic Acupoints")and a control group(acupuncture at routine acupoints).There were 33 cases in the test group and 32 cases in the control group.1 case dropped out in the experimental group during the test,and 6 cases dropped out in the control group.A total of58 patients completed the whole course of treatment.Treatment was performed 3 times a week,and 6 times as a course,with a total of 2 courses of treatment.By observing and comparing the SF-MPQ scale(including PRI(S),PRI(A),PRI(T),VAS,PPI,total score of SF-MPQ),cervical range of motion(ROM)and The short-form 36 item health survey(SF-36)between patients of two groups before and after treatment,we evaluated the difference between the two treatment methods;comparing the SF-MPQ scale(including PRI(T),PRI(S),PRI(A),VAS,PPI),we evaluated the long-term treatment effect of the two treatment methods.Results:1.Baseline comparison before treatment: The differences between the two groups in age,gender,course,cause,and location were not statistically significant(P>0.05),and were comparable;The two groups were tested with SF-MPQ scale,ROM scale and SF-36 before treatment.There were no significant differences in SF-MPQ scale,ROM scale and quality of life scale(SF-36)points(P>0.05),which were comparable;2.Comparison of SF-MPQ scale: As for intergroup comparison,the differences in PRI(A)and PPI between the two groups after treatment were statistically significant(P<0.05);for within group comparison,the two groups showed statistically significant differences in pre and post PRI(S),PRI(A),PRI(T),VAS,PPI and all scores of SF-MPQ were all lower than before,and the differences were statistically significant(P<0.05).Comparison between groups during the follow-up period: After 4 weeks of follow-up,between the two groups,the differences were statistically significant(P<0.05)in PRI(S),PRI(A),PRI(T),VAS and PPI.Comparison within the follow-up period: comparison of the experimental group before,after and during the follow-up period: 1)the differences between the experimental group before treatment and the follow-up period in all SF-MPQ items were statistically significant(P<0.05);2)The difference in PRI(S)between after treatment and the follow-up period was statistically significant(P<0.05),and the rest were not significantly different(P>0.05).Comparison of the control group before,after,and follow-up period: 1)The differences between the experimental group before treatment and the follow-up period in all items of SF-MPQ except for PRI(A)was statistically significant(P<0.05);2)After treatment and in the control group,all items of SF-MPQ were statistically significant(P<0.05).3.Comparison of cervical ROM: comparison between groups:After treatment,the difference in ROM between the two groups was statistically significant(P<0.05);Comparison within the group: The score of ROM before and after treatment of the two groups were statistically significant(P<0.05);4.Comparison of Quality of Life Scale(SF-36): Comparison between groups: The differences in SF and MH between the two groups were statistically significant(P<0.05),and there were no significant differences between the two groups in the rest items.Comparison within the group: There were statistically significant differences in PH,PF,BP,VT,SF,RE,and MH of the experimental group before and after treatment(P<0.05);the control group had differences Statistical significance in BP,VT,SF before and after treatment(P<0.05);5.Comparison of the efficacy between the two groups: 1 case was cured in the test group,11 cases were markedly effective,15 cases were effective,5 cases were ineffective and the total effective rate was 84.38%;0 cases were cured in the control group,8 cases were markedly effective,13 cases were effective,5 cases were ineffective and the total The effective rate was 80.77%,which was not statistically significant between the two groups(P>0.05).Conclusions:1.Acupuncture of Cao's "Surgical Basic Acupoint Prescription" and conventional acupun cture both have obvious therapeutic effects on the treatment of Cervicogenic headache,and both can improve the SF-MPQ score and ROM score of patients;2.Acupuncture Cao's "Surgical Basic Acupoint Prescription" has obvious advantages over conventional acupuncture in improving PRI(A)and PPI;3.Acupuncture Cao's "Surgical Basic Acupoint Prescription" is more effective than conventional acupuncture in improving ROM;4.Acupuncture of Cao's "Surgical Basic Acupoint Prescription" can improve patients' quality of life and SF-36 score compared with conventional acupuncture;5.Acupuncture of Cao's "Surgical Basic Acupoint Prescription" and conventional acupuncture have a sustainable effect on the SF-MPQ score,and the test group is better than acupuncture of routine acupoints)...