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Clinical observation on the treatment of cervical headache by Jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation
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DOI   10.11656/j.issn.1673-9043.2017.06.12
Key Words   Jingtong granules;cervical spinal nerve radiofrequency ablation;cervicogenic headache;cervical mobility;depression
Author NameAffiliationE-mail
KONG Xian-bin Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
CHEN Xu-yi Department of Brain, Affiliated Hospital of Logistics University of PAP, Tianjin 300162, China
Tianjin Key Laboratory of Neurological Trauma Repair, Tianjin 300162, China 
 
TU Yue Department of Brain, Affiliated Hospital of Logistics University of PAP, Tianjin 300162, China
Tianjin Key Laboratory of Neurological Trauma Repair, Tianjin 300162, China 
 
SUN Shi-zhong Department of Brain, Affiliated Hospital of Logistics University of PAP, Tianjin 300162, China
Tianjin Key Laboratory of Neurological Trauma Repair, Tianjin 300162, China 
loveicu@126.com 
YANG Hui Henan worker's hospital, Zhengzhou 450000, China  
SUN Zhong-lei Jinzhou Medical University, Jinzhou 121000, China  
Abstract
    [Objective] To observe the effect of Jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation on cervical headache.[Methods] A prospective study, from June 2014 to December 2015, we analyzed 99 cases of recurrent CEH (the Type of qi Stagnancy and Blood Stasis) patients, the test is divided into 3 groups, one group of 30 cases received jingtong granules treatment(jingtong granules group). 4 g/times, 3 times/day, for 4 weeks; one group of 30 cases received posterior ramus of cervical spinal nerve radiofrequency ablation treatment(RF group); one group of 30 cases received jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation treatment(combined group). Patients fill in the VAS scale, SDS scale, and recorded the ROM score before treatment, 1 days, 7 days and 28 days after treatment.[Results] VAS, SDS and ROM of three groups had no significant difference before treatment (P>0.05). After treatment, VAS, SDS, ROM were tend to improve in each groups, and there was a significant difference within groups (P<0.05). Between the three groups, the VAS value of combined group is better than the Jingtong granules group and RF group, the difference was statistically significant (P<0.05); comparison of ROM score, SDS score of three groups, there was no significant difference between the groups (P>0.05).[Conclusion] Jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation alleviate headache superior to posterior ramus of cervical spinal nerve radiofrequency ablation and Jingtong granules. Both of the three methods can alleviate the poor cervical mobility and depression, and the effect is basically the same. They were close to normal level after treatment.

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