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| Clinical efficacy of different needle-knife target selection in the treatment of cervicogenic headache |
LU Ping1 Dilimulati·Ailaiti2 YANG Min2 ZHANG Cairong2,3 |
1.Department of Acupuncture and Moxibustion, the Second People′s Hospital of Taixing City, Jiangsu Province, Taixing 225411, China;
2.Department of Acupuncture and Moxibustion, Nanjing Hospital of Chinese Medicine, Jiangsu Province, Nanjing 210000, China;
3.Department of Acupuncture and Moxibustion, Daishan Clinical Center, Nanjing Hospital of Chinese Medicine, Jiangsu Province, Nanjing 210039, China |
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Abstract Objective To observe the clinical effect of different needle-knife target selection in the treatment of cervicogenic headache. Methods Sixty patients with cervicogenic headache from April 2015 to December 2016 in Oupatient Department of Acupuncture and Moxibustion of the Second People′s Hospital of Taixing City, Nanjing Hospital of Chinese Medicine and Daishan Clinical Center of Nanjing Hospital of Chinese Medicine were selected as research objects. The patients were divided into needle-knife group 1 (taking the starting point and dead point of the cervical muscle as the entry points) and needle-knife group 2 (taking the points 2 cm away from 2, 3, 4 cervical spinous as the entry points) according to random number table method, with 30 cases in each group. The treatment effect, visual analogue scale (VAS), neck pain score of two groups were compared. Results After treatment for 2 weeks and 3 months, the VAS scores and neck pain scores of two groups decreased significantly compared with those before treatment (P ＜ 0.05), and the VAS score and neck pain score of needle-knife group 1 after treatment for 3 months decreased significantly compared with those after treatment for 2 weeks (P ＜ 0.05). And the score of neck pain of needle-knife group 1 after treatment for 3 months was significantly lower than that of needle-knife group 2 (P ＜ 0.05). After treatment for 2 weeks, the total effective rate of needle-knife group 1 was 93.3%, which of needle-knife group 2 was 90.0%. After treatment for 3 months, the total effective rate of needle-knife group 1 was 83.3%, which of needle-knife group 2 was 80.0%. There were no sinificant differences on the total effective rates between the two groups (P ＞ 0.05). Conclusion Needle-knife treatment requires a certain course of treatment, and the effect is better on 2 weeks. Needle-knife is a reliable therapy for the treatment of cervicogenic headache. Its effectiveness and safety have been clinically confirmed and it is worthy of clinical promotion and application.
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