A Clinical Research For Treating Pain Of Cervical Spondylosis With Different Extends Of Moxibustion

ObjectiveThis paper evaluate the effect of different degree of moxibustion by three different degree of moxibustion treatments for cervical spondylosis neck pain, such as ordinary moxibustion, foaming moxibustion 1 and foaming moxibustion 2.MethodsThis research uses Randomized controlled trial to divide 93 patients from Guangdong Province TCM Hospital, uses PEMS3.2 package to divide the patients into ordinary moxibustion group (31 cases), foam moxibustion group (31 cases), festering moxibustion group (31 cases).Point1, BaiLao (double), JianZhongShu (double), Jianjing(double), XinShu (double), ShenShu (double);2, XinShe(double), JianWaiShu(double), FengMen (double), GeShu (double), DanShu (double).Three groups use the same points, the above two groups of acupoints used interchangeably. Acupuncture point positioning reference to ordinary higher education teaching material of "11th Five-year Plan" national planning "Acupuncture".OperationTHE Treatment use the purple flower oil on the points, adhesion and anti-scald effect, and use the homemade moxibustion apparatus to make the gold moxa uniform INTO about 2.0 mm x 3.0 mm high conical moxa cone. Place moxa cone on the points, and lit with joss stick moxa cone.2 per each point.1, Ordinary moxibustion groups:Burn the moxa cone to more than half, and take the cone away after the patients feel the burning sensation, and leave the flush on local skin glow for degrees.2, Foaming moxibustion 1 groups:Burn moxa cone to more than half. After the patients feel the burning sensation and the moxa cone burn to 1/4, use hands scratching gently around the points to distract attention. Take away the moxa cone with tweezers, and leave a local skin glow flush glow center appears pale yellow vesicles.3, foaming moxibustion 2 groups:Burn moxa cone to more than half. After the patients feel the burning sensation, use hands scratching gently around the points to distract attention until the moxa cone burn out. Take away the moxa cone with tweezers, and leave a big local skin glow flush glow center appears pale yellow vesicles.Treatment:10 to 1 treatment course, participants were asked to complete 2 to 3 times a week treatment, the interval of 24 h over 4 weeks to finished treatment for 8 to 10 times. Period of treatmentOne course with 10 treatments, and the subjects should complete 2 to 3 treatments a week, and the interval is over 24 h,and finish the course in 4 weeks for 8 to 10 times. Evaluation point and indicatorsRespectively before treatment for the first time, at the end of the course, and followed up for 1 month. Using Northwick Park neck pain scale (NPQ), visual analogue scale (VAS), short form McGill pain rating scale to observe curative effects between different point group and, at the same time record in the study of the adverse reactions and side effects. StatisticsClinical trial data properties (measurement, classification and grade data), select the appropriate statistical analysis method. Classification data by chi-square test or the exact probability method, the measurement data to normality test and F test, meet the requirement sample mean compared with t test, and the comparison between the before and after use t test. Did not meet the sample mean compare with Wilcoxon rank and inspection, compared before and after using Wilcoxon itself. Level data comparing sample Wilcoxon rank and inspection (calibration) or more groups of comparisons Kruskal Wallis test.Results1、The baselineOrdinary acupuncture group, foaming moxibustion 1 group, the foaming moxibustion 2 group three groups of patients before treatment generally baseline comparison, in the age(P=0.215), gender(P=0.690), education level (P=0.478), the course of the disease(P=0.845)、(P=0.707), diagnosis and classification of traditional Chinese medicine(P=0.942) and to observe VAS visual analogue scale method(P=0.477), Northwick Park neck pain scale (NPQ)、 (P=0.264), short form McGill pain scale were no obvious difference(P=0.521), comparable.2、NPQ scoreAt the end of the three groups of patients after the treatment of NPQ scale total score before treatment were presented down trend.Group comparison:Ordinary moxibustion group than before and at the end of the treatment have difference(P<0.01); Foam before moxibustion treatment group compared with the treatment at the end of the difference (P<0.01); Foaming moxibustion 2 group than before and at the end of the treatment are different(P<0.01).Comparison between groups:at the end of the course, foaming moxibustion 1 group, foaming moxibustion 2 group (18.35±8.99) than ordinary acupuncture group (27.92±8.88) at the end of the treatment had significant difference (P=0.001); Followed up for 1 month, foaming moxibustion 1 group, foaming moxibustion 2 group than normal acupuncture group at follow-up 1 month have significant difference (P=0.000); Foaming moxibustion 1 and foaming moxibustion 2 group (P=0.439) at the end of the course,1 months follow-up no significant statistical differences (P=0.332) score.Results show that the ordinary acupuncture group, foaming moxibustion 1 group, the foaming moxibustion 2 group has improved significantly in both NPQ scale evaluation; In terms of NPQ scale improvement, foaming moxibustion 1 group, foaming moxibustion 2 group were better than ordinary acupuncture group. Foam moxibustion 1 and foaming moxibustion 2 group in terms of improvement of NPQ scale has no obvious difference between.3、McGillAt the end of the three groups of patients after the treatment of short form McGill pain scale total score before treatment were presented down trend.Group comparison:Ordinary moxibustion group than before and at the end of the treatment have difference (P<0.01); Foaming moxibustion 1 group before moxibustion treatment group compared with the treatment at the end of the difference (P<0.01); Foaming moxibustion 1 group are different before and at the end of the treatment(P<0.01).Comparison between groups:at the end of the course, foaming moxibustion group 1 compared with common acupuncture group statistically significant difference (P=0.009) Followed up for 1 month, foaming moxibustion 1 group, foaming moxibustion 2 group were compared with common acupuncture group has statistically significant difference (P=0.025); Foaming moxibustion 1 group and Foaming moxibustion 2 group after treatment (P=0.592),1 months follow-up has no obvious difference (P=0.896) score, no statistical difference.Results showed that the improvement in the short form McGill pain scales, foaming, foaming moxibustion 2 group, moxibustion group were better than ordinary acupuncture group; Foam moxibustion 1 groups with no obvious curative effect difference between foaming moxibustion 2 group.4、VASAt the end of the three groups of patients after the treatment method of visual analogue scale (VAS) scale score was presented the downward trend.Group comparison:Ordinary moxibustion group than before and at the end of the treatment have difference(P<0.01); Foaming moxibustion 1 group treatment group compared with the treatment at the end of the difference(P<0.01); Foaming moxibustion 2 group than before and at the end of the treatment are different(P<0.01).Comparison between groups:at the end of the treatment, foaming moxibustion 1 group, foaming moxibustion 2 group than ordinary acupuncture group there were significant differences (P=0.004); Followed up for 1 month when foaming moxibustion 1 group, foaming moxibustion 2 group were compared with common acupuncture group statistically significant difference (P=0.001); Foaming moxibustion 1 group and Foaming moxibustion 1 group after treatment (P=0.755),1 months follow-up no obvious difference (P= 0.726) score, no statistical difference.Results show that the improved method of visual analogue scale (VAS) scale, foaming moxibustion 1 group, foaming moxibustion 2 group were better than ordinary acupuncture group; Foaming moxibustion 1 group with no obvious curative effect difference between foaming moxibustion 2 group.5^ EfficientOrdinary acupuncture group, foaming moxibustion 1 group, foaming moxibustion 2 group three groups at the end of the treatment of total effective rate was 53.33%,83.33%,87.50% respectively, with significant statistical difference. Showed that foaming moxibustion 1 group, foaming moxibustion 2 group treatment group were superior to ordinary acupuncture group as a whole.6, Fall off rateThis study recruited 93 patients,31 cases in each group. Ordinary acupuncture group 1 off, foaming moxibustion 1 group 1 off, foaming moxibustion 2 group off seven people, the total loss rate was 9.67%.Conclusion1、The common moxibustion, foaming moxibustion, festering moxibustion three kinds of moxibustion in improving cervical spondylosis neck pain has certain curative effect.2、Foaming moxibustion 1, foaming moxibustion 2 group on improving cervical spondylosis pain curative effect is better than ordinary acupuncture group. Foaming moxibustion 1 group, foaming moxibustion 2 group curative effect is superior to the ordinary acupuncture group as a whole.3、Foaming moxibustion 1 group and foaming moxibustion 2 group in the aspect of improving cervical spondylosis neck pain has no obvious curative effects.