| ObjectiveIn this study,through clinical randomized controlled trials,scientific statistical methods were used to observe the role of "Tianzhu Ⅱ" in the treatment of cervicogenic headache(CEH),in order to provide certain ideas and evidence for the future treatment of CEH with acupuncture and moxibustion.MethodsA total of 66 patients with CEH were included in this study,and they were randomly divided into 2 groups.During the treatment,1 case fell off from the treatment group and 2 cases fell off from the control group.The patients who finally completed the study were 32 cases in the treatment group and 31 cases in the control group.Both groups were treated with conventional acupuncture combined with electric acupuncture,and combined with the therapy of rubbing Fengchi points.Acupoint selection for the treatment group: Baihui,Taiyang(double),Fengchi(double),Hegu(double),TianzhuⅡ.Acupoint selection for the control group: Baihui,Taiyang(double),Fengchi(double),Hegu(double),Tianzhu.Electroacupuncture points: treatment group: Tianzhu Ⅱ(heavy side)-Baihui,control group: Tianzhu(heavy side)-Baihui.Two groups were treated 30 minutes,once a day,5 consecutive treatments per week,a course of treatment for 5 days,a total of 2 courses of treatment,2 days apart between the 2 courses,and followed up in the 4th week after treatment.By observing the improvement of weekly headache index,range of motion,the total score of accompanying symptoms and the degree of sleep quality scores of the two groups at each time node,scientific statistical analysis was performed to evaluate the efficacy of electroacupuncture at "Tianzhu Ⅱ" in the treatment of CEH.Results1.Baseline data analysis: There were no statistically significant differences between the two groups in gender,age,course of disease,and evaluation indicators before treatment(P>0.05),and they were comparable.2.Comparison of the evaluation index scores within the group: After treatment,except for the comparison between the 2 courses of treatment and the 4-week followup,the comparison of the evaluation index scores between the two groups at each observation point was statistically significant(P<0.01).It shows that after treatment,the headache symptoms,cervical spine range of motion,accompanying symptoms,and sleep quality were significantly improved in the two groups.There was no statistically significant difference in the scores of various evaluation indexes between the 2 courses of treatment and the 4-week follow-up(P>0.05),indicating that the two treatment methods both have good long-term effects in improving headache symptoms,range of motion,accompanying symptoms,and sleep quality.3.Comparison of evaluation index scores between groups:(1)Weekly headache index: There were statistically significant differences in the weekly headache index of the two groups in 1 course of treatment(P<0.01),2 courses of treatment(P<0.05)and4-week follow-up(P<0.05)(2)Cervical spine range of motion: There were statistically significant differences in the ROM scores of the two groups in 1 course of treatment(P<0.05),2 courses of treatment(P<0.01)and 4-week follow-up(P<0.01).(3)The total score of accompanying symptoms: the difference in the total score of accompanying symptoms of the two groups in 2 courses of treatment(P<0.05)and 4-week follow-up(P<0.01)were all statistically significant.(4)Sleep quality score: the difference in the sleep quality scores of the two groups in 2 courses of treatment and4-week follow-up were all statistically significant(P<0.05).It shows that at each observation point,the improvement of headache symptoms,cervical spine range of motion,accompanying symptoms,and sleep quality in the treatment group were better than those in the control group.4.Statistics on the characteristics of trigger points at Tianzhu Ⅱ:(1)Intra-group comparison: in addition to the comparison between the 2 courses of treatment and the4-week follow-up in the treatment group,the differences in the comparison of the observation points in the treatment group are statistically significant(P<0.01).There was no statistically significant difference within the control group at each observation time point(P>0.05).It shows that the electric acupuncture at Tianzhu Ⅱ has an obvious effect on the trigger point inactivation here,and has a relatively ideal longterm effect;but the electric acupuncture at Tianzhu has no obvious effect on the trigger point inactivation at Tianzhu Ⅱ.(2)Comparison between groups: The comparison of trigger point statistics between the end of the 2 courses of treatment and the 4-week follow-up showed that the difference was statistically significant(P<0.05).Compared with the control group,the number of trigger points at the Tianzhu Ⅱ point in the treatment group was significantly reduced after treatment and at follow-up.It shows that compared with the electric acupuncture at Tianzhu point,the electric acupuncture at Tianzhu Ⅱ can more accurately inactivate the trigger point at Tianzhu Ⅱ.5.Comprehensive efficacy evaluation and safety evaluation:(1)Comprehensive efficacy evaluation: The difference in comprehensive efficacy evaluation between the two groups was statistically significant(P<0.01).Total effective rates of the two groups were higher(100% in the treatment group,96.77% in the control group),but compared with the clinical good improvement rate of two groups,the treatment group(53.13%)was significantly higher than the control group(12.90%).It shows that both groups can effectively treat CEH,but the treatment group can achieve better treatment effect within a 2-week treatment cycle.(2)Safety evaluation: when the two groups have unfavorable conditions,they can continue treatment after proper handling.There is no statistically significant difference in safety comparison between the two groups(P>0.05).It shows that the two treatment methods are relatively safe,and there is no significant difference in safety.Conclusion1.Both groups can effectively treat cervicogenic headache,but the short-term and slight-long-term(4 weeks)curative effects of the treatment group are better than those of the control group.2.Electro-acupuncture at Tianzhu Ⅱ has an obvious and precise inactivation effect on the trigger point here.3.The treatment methods of the two groups are relatively safe,and there is no obvious difference in safety,which can be promoted and applied in clinical practice. |
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