The Intervention Effect Of Small Needle Knife Therapy On Nape Ligament Calcification

Purpose:With the role of helicopters in modern warfare and conflict increasingly received more and more attention,the helicopter pilot who keeping the same posture for a long time has a different degree of soft tissue injuries,and nuchal ligament calcification occupies the most proportion.The aim of this study was to treat the calcification of ligaments by small needle-knife therapy and to observe the intervention effect of small needle-knife therapy and to analyze the factors influencing the therapeutic effect of ligament calcification.Material and method:Due to the special nature and confidentiality of helicopter pilots,according to the diagnostic criteria of ligament calcification,60 patients were selected from Liaoning Provincial Armed Police Corps Hospital from February 2013 to February 2014.All the patients who met the inclusion criteria were diagnosed as ligament calcification with complete follow-up data.Single-blind control group were randomly divided into two groups:the observation group(small needle-knife treatment group)and the control group(massage,physical therapy group),each group of 30 patients before and after treatment were evaluated in two groups of patients,the results of the analysis and comparison and analysis of relevant factors.Results:Item ligaments arise from the spinous process of all cervical spine,ending in the occipital protuberance and external cristae.Its main role is to control excessive song before the neck,to participate in providing the main stability of cervical flexion,chronic long-term traction and local trauma,leading to local capillary leakage,bleeding,resulting in calcification.Common items of ligament calcification of the lower cervical vertebra attachment point,the lower edge of the occipital protuberance attached.Biomechanical studies,Jin flexor C4-5 and C5-6micro-centers,C4-5 posterior cervical extension center,so in C4-5 and C5-6 at the maximum tensile stress of the ligament,the most easily ligament injury.The calcified area is here.Item ligament calcification often suggests the existence of cervical spondylosis.The clinical research through the use of small needle-knife treatment of ligament calcification,the main observations are as follows:1.After 2 weeks of treatment,the observation group of 30 cases,of which 10 cases were cured,accounting for 33.3%;markedly effective in 17 cases,accounting for 56.7%;effective in 3 cases,accounting for 10.0%;invalid 0,accounting for0%;total comfort rate 100%;control group of 30 cases,9 cases were cured,30.0%;markedly effective in 11 cases,accounting for 36.7%;effective in 6 cases,accounting for 20.0%,accounting for 13.3%;the total effective rate was 86.7%.Statistical analysis showed that there was a significant difference between the two groups.The treatment group was better than the massage and physical therapy group,small needle-knife treatment group of 30 patients with calcification of the neck ache pain relief significantly reduced the symptoms,activity was significantly limited recovery,calcification in some patients with X-ray than before treatment was significantly smaller.2.In the observation group,the scores of pain,swelling and activity before treatment were(2.26±0.62)points and(1.15±0.37)points and(1.93±0.62)points respectively.The scores of pain,swelling and activity after treatment were(0.26±0.08)and(0.17±0.08)points respectively in the control group.The scores of pain,swelling and activity before treatment in the control group were(2.22±0.69)points,(1.16±0.35)points and(1.95±0.58)points respectively).The score of pain,swelling and activity after treatment were(1.05±0.23)points,(0.39±0.09)points and(0.37±0.09)points respectively.The difference between the observation group and the control group after treatment was statistically significant(P>0.05)in terms of pain,swelling and activity.Show that the observation group more effective treatment the symptom scores improved after treatment than the control group.3.There were 4 patients aged 25 years old,the cure rate was 3,the effective number was 1,the number of improvement was 0,the number of invalid was 0 and the total effective rate was 100%.The age ranged from 26 to 35 of the total number of patients in 15 cases,the cure rate was 8 cases,the effective number was 4 cases,good number of cases was 2 cases,the number of invalid cases was 1 case,the total effective rate reached 96.6%;the number of patients aged 36-50 years 125 cases,the cure rate was 15 cases,the effective number was 5cases,the good number of cases was 4 cases,the invalid number was 1 case,the total effective rate reached 96%;the number of patients aged 51-69 ranged from 16 cases,cured the number of cases was 1,the effective number was 7,the number of improvement was 2,the number of invalid was 6 and the total effective rate was 62.5%.After statistical test,X~2=9.5366,P<0.05,showing a significant correlation between efficacy and age,indicating that no matter what treatment,age can affect the treatment effect,the younger the treatment effect is more obvious.In addition,there was no significant correlation between gender,duration of disease,TCM syndrome type and treatment effect(P>0.05).Conclusion:1.A small needle-knife treatment of ligament calcification effective,effective treatment of disease to improve patients'lives and work quality.2.A small needle-knife therapy in the treatment of ligament calcification process is simple,less damage,at the same time be able to reduce pain,swelling,limited mobility and other pain,improve patient clinical symptom score.3.A small needle-knife treatment is obvious,Vice injury is small,the patient is easy to accept,improve patient satisfaction.4.In the course of treatment should be promoted early detection,early treatment,the younger,the better the treatment.