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目的:采用随机对照临床实验观察火针结合黄派推拿复位法的远期临床疗效及安全性.方法:将88例枕大神经痛的患者随机分为观察组和对照组各44例,观察组采用火针结合黄派推拿复位法治疗,对照组采用单纯电针治疗,观察治疗16次后、及随访1月、6月的临床疗效.结果:观察组总有效率为100％,明显优于对照组的85.4％.两组症状疼痛评分和枕大神经肌电图检查在治疗16次后均有显著改善(均P＜0.05),观察组在症状及疼痛改善方面明显优于对照组(均P＜0.05).结论:火针结合黄派推拿复位法的远期疗效优于电针治疗.“,”Objection:To identify the clinical long-term effect and security of great occipital neuropathic pain treated by fire needle combined with HUANG group massage reset method.Methods:88patients with great occipital neuropathic pain were randomly divided into 2groups.44patients in the treatment group were treated with fire needle and HUANG group massage reset method.The controlled group were only treated with electroacupuncture.We evaluated the effect after 16treatment,and further evaluate the effect followed-up 1month to 6months.Results:In the treatment group,the total effective rate was 100％ which was significantly better than those in the controlled group which the total effective rate was 85.4％.There was a significant difference in pain and great occipital nerve muscle electromyography (EMG) between the two groups (P＜0.05),and the treatment group was better than the controlled group.Conclusion:The fire needle and HUANG group massage reset method has better long -term effect than electroacupuncture.