| Objective:This topic is based on the neck source sex have a headache patients as the research object,with cupping MTRP respectively,including conventional acupuncture point,oral western medicine for three types of intervention,using randomized controlled trials,observe contrast three kinds of therapy in the treatment of cervical headache in the role of the source,including observation of MTRP therapy the clinical curative effect of cervical source sex have a headache,to explore the therapeutic effect of cupping MTRP mechanism,for the neck of source sex have a headache to provide scientific theoretical basis for clinical treatment.Research methods:1.General information: According to the inclusion criteria,a total of 90 subjects were selected for inclusion in the study.SPSS software was used to randomly divide them into three groups:treatment group(n=30),control group 1(n=30),control group 2(n=30).The treatment group was treated with electroacupuncture at myofascial pain point,control group 1 was treated with electroacupuncture at conventional meridian points,and control group 2 was treated with oral diclofenac sodium sustained-release capsules.By the end of the experiment,a total of 10 patients had been discontinued or shed.Finally,80 patients completed this study,including 27 patients in the treatment group,27 patients in the control group 1,and 26 patients in the control group 2.The general data of three effective cases were statistically analyzed.There was no statistical significance in gender composition,age distribution,course of disease,headache VAS score,weekly headache index score,neck function activity(ROM)and other aspects among the three groups(P<0.05),indicating that the general situation of the three groups was relatively balanced and comparable.2.Treatment method: in the treatment group(electroacupuncture MTRP group),the MTRP operation was firstly performed by acupuncture,and then the electroacupuncture instrument was connected.The density wave(alternating between 2Hz and 100Hz)was selected for treatment for 30 minutes,so as to see the muscle contraction or to be tolerated by the patient.Control group 1referred to the textbook "Acupuncture and Moxibustion Therapy" edited by Gao Shuzhong and Yang Jun for acupoint selection and operation requirements: Baihui,Fengchi,Tianzhu,Nugjiaji(C3,C4).After obtaining qi by acupuncture,electric acupuncture was connected,and density wave(alternating between 2Hz and 100Hz)was selected for treatment for 30 min,so as to see muscle contraction or to be tolerated by the patient.Control group 2(oral western medicine group): Oral diclofenac sodium sustained-release capsule,50mg/ time,twice a day,for 3 weeks.Treatment Group and Control Group 1: All patients were treated once a day,five times a week,five times a course of treatment,a total of 3 weeks.3.Efficacy evaluation: Vas scores,weekly headache index scores and Rom of cervical spine were recorded before and after 1course and 3 courses of treatment respectively.4.Statistics: All data were analyzed by SPSS25.0 software.Results:1.Electroacupuncture in myofascial pain point group was significantly effective in 17 cases,effective in 8 cases and ineffective in 2 cases,with a total effective rate of 92.60%.In the conventional acupuncture group,14 cases were significantly effective,10 cases were effective,and 3 cases were ineffective.The total effective rate was 88.90%.Western medicine group was significantly effective in 5 cases,effective in 14 cases,ineffective in 7 cases,the total effective rate was 73.10%.The difference between the three groups was statistically significant(P<0.05),but the total effective rate was the highest and the efficacy was the best in the myofascial trigger point group.2.There was no significant difference in VAS scores and weekly headache index scores before treatment(P>0.05),and in headache scores and weekly headache index scores At 1 course and 3 course after treatment,the electroacupuncture group of myofascial irritant point had the best effect.1 In the course of treatment,the effect of acusector group was similar to that of Western medicine group,but the effect of acusector group was worse than that of Western medicine group.On the ROM score of Cervical Vertebra,1 course and 3 course of electroacupuncture at the myofascial trigger point group and electroacupuncture at routine acupoints group can improve the ROM score to some extent,but the two groups have similar curative effect and no obvious difference,the Western Medicine Group had the worst effect in improving the mobility of cervical spine.Conclusion:1.For cervical headache,electroacupuncture of myofascial irritable points,conventional meridian acupuncture points or oral western medicine can relieve pain to varying degrees,but electroacupuncture of myofascial irritable points and conventional meridian acupuncture points have better clinical efficacy in the treatment of cervical headache.2.Electroacupuncture of myofascial trigger points in the treatment of cervical headache,electroacupuncture of conventional meridians and oral western medicine in the treatment of cervical headache can all reduce headache VAS score and weekly headache index score,but electroacupuncture of myofascial trigger points can reduce headache index and improve the quality of life in a short time(1 course).3.Electroacupuncture of myofascial trigger points in the treatment of cervical headache,conventional meridian acupuncture and oral western medicine can improve the range of motion of upper cervical spine to varying degrees,although the effect of electroacupuncture of myofascial trigger points group is better than the other two groups. |
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