| Objective:To observe the clinical efficacy of cervical spondylotic radiculopathy by using needling brachial plexus root combined with selecting acupoint along channel.Methods:70 patients, who suffered from cervical spondylotic radiculopathy, were divided into the experimental group and the control group randomly. The experimental group were treated with using needling brachial plexus root combined with selecting acupoint along channel, while the control group were treated according to "Acupuncture Therapy" prescription of cervical spondylosis selected points. After two groups were treated 20 times, we made statistical analysis with NPQ neck pain scale, McGill pain scale inquiry (SF-MPQ), Japan Tian Zhong jing jiu symptoms of cervical spondylosis 20 points scale method, generalized anxiety scale (GAD-7) and 9 entries patient health questionnaire (PHQ-9).Results:(1)3 cases were shed in the 70 patients and the actual completion cases were 67, one case was shed both in test group and control group. (2) The efficiency of experimental group was 97.0% while the control group was 90.9%, there was no significant difference (P> 0.05); markedly effective rate of experimental group was 58.8% while control group was 33.3%, the experimental group optimized to the control group. (3) The NPQ neck pain scale score:Comparing in the group, The two groups were significantly improved compared with before treatment, comparing with before has significant difference (P<0.01); Comparison between groups, there were significant differences between the two groups after treatment(P<0.01), the experimental group was significantly better than the control group. (4) PRI, VAS, PPI scores:Comparing in the group, The two groups were significantly improved compared with before treatment, comparing with before has significant difference (P <0.01); Comparison between groups, there were significant differences between the two groups after treatment(P<0.01), the experimental group was significantly better than the control group. (5) 20 sub-scale total score:Comparing in the group, The two groups were significantly improved compared with before treatment, comparing with before has significant difference (P<0.01); Comparison between groups, there were significant differences between the two groups after treatment(P<0.01), the experimental group was significantly better than the control group; Symptoms and signs points were statistically significant (P< 0.01) after treatment and the experimental group was better than the control group; There were no statistically significance (P> 0.05) in work and life skills and improvement of hand function after treatment and both groups had no differences. (6) The incidence of anxiety was deceased compared the treatment before (experimental group was 88.2%, control group was 81.8%) with treatment after (experimental group was 35.5%, control group was42.4%); Anxiety integral aspect, Comparing in the group, The two groups were significantly improved compared with before treatment, comparing with before has significant difference (P<0.01); Comparison between groups, there were significant differences between the two groups after treatment(P<0.01), the experimental group was significantly better than the control group. (7) The incidence of depression was decreased compared the treatment before (experimental group was 52.9%, control group was 57.6%) with treatment after (experimental group was 5.9%, control group was 9%); Depression score aspect, Comparing in the group, The two groups were significantly improved compared with before treatment, comparing with before has significant difference (P<0.01); Comparison between groups, the difference between the two groups was not significant after treatment(P> 0.05).(8) Correlation analysis: The improvement of symptom scores and anxiety were negatively correlated, The correlation between symptom score and depression was not significant (9)There was no difference (P> 0.05) with treatment after 1 month, but the overall efficiency of the test group (74.41%) was higher than control group(66.66%). (10) During the treatment,1 patients had sticking of needle in the test group, and the other patients had no adverse reactions. The safety evaluation showed two treatment methods are safe (P> 0.05).Conclusion:This study employed randomized controlled study and made a comparison between using needling brachial plexus root combined with selecting acupoint along channel treatment of cervical spondylotic radiculopathy and conventional acupuncture treatment of cervical spondylotic radiculopathy neck line, we made the following conclusions:1. Both treatments can treat nerve root type cervical spondylosis and consistent with a overall effect.2. NPQ and McGil indicated that both groups had improved compared with before without treatment, but the experimental group was better than the control group.3. Experimental group was between than the control group in Japan Tian Zhong jing jiu symptoms of cervical spondylotic radiculopathy 20 points scale method, while there was no difference in improving hand function and the ability of work and life.4. The two methods could improve the state of anxiety and depression.5. Two methods,which were cured nerve root type cervical spondylosis, were safe. |
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