Clinical Observation Of Modified Warm Acupuncture And Moxibustion In The Treatment Of Cervical Spondylotic Radiculopathy Of Wind-Cold-Damp Type

Objective:to observe the clinical efficacy of modified warm acupuncture in the treatment of cervical Spondylotic radiculopathy of wind-cold-damp type.To explore an more effective method for the treatment of cervical Spondylotic radiculopathy of wind-cold-damp type,and summarize the clinical experience of mentors.Methods:60 patients who met the criteria were randomly divided into the treatment group(n = 30)and the control group(n = 30).The control group was treated with electroacupuncture.The acupoints were Fengmen,C4 cervical Jiaji,C7 cervical Jiaji,Houxi,Shenmai,Xuanzhong and Fengfu,and a 0.30 mm × 50 mm disposable acupuncture needle was taken from top to bottom.The ipsilateral C4 and C7 cervical Jiaji points were treated as a group of electroacupuncture and dense waves were given,and the specific stimulation intensity was tolerable by the patient.The treatment group was treated with modified warm acupuncture and moxibustion.Two 0.30 mm × 50 mm disposable acupuncture needles were taken from both C4 and C7 cervical Jiaji points to hold the middle of the needle body.At the same time,the acupuncture methods of other acupoints were the same as those in the control group.Take bilateral C4 and C7 cervical Jiaji acupoints plus moxibustion,continuous warm acupuncture and moxibustion for 3 Zhuang.The needle retention time was 30 minutes in both groups.The two groups were treated once a day,6 times as a course of treatment,one day off after each course of treatment,and the curative effect was evaluated after 3 consecutive courses of treatment.The general data,VAS score,NDI scale score and tumor necrosis factor-α(tumor necrosis factor,TNF-α level of the two groups before and after treatment were recorded in detail,and the curative effect was evaluated after treatment.Results:1.Before treatment,there was no significant difference in general data,VAS score,NDI scale score and TNF-α level between the two groups.2.Overall clinical effect: after 3 weeks of treatment,the total effective rate of the treatment group was 96.67%,and that of the control group was 80.0%.The total effective rate of the treatment group was higher than that of the control group(P<0.05).The cure rate of the treatment group was 20.00%,and that of the control group was 6.67%.The cure rate of the treatment group was higher than that of the control group(P<0.05).It shows that the clinical effect of the treatment group is better than that of the control group.3.VAS pain score: after 3 weeks of treatment,the VAS pain score of the two groups was lower than that before treatment,and the VAS pain score of the treatment group was significantly lower than that of the control group(P<0.05).It shows that the treatment group is better than the control group in improving neck pain.4.NDI score: after 3 weeks of treatment,the NDI score of the two groups was lower than that before treatment,and that of the treatment group was significantly lower than that of the control group(P<0.05).The improvement of cervical dysfunction in the treatment group was better than that in the control group.5.The level of TNF-α: after 3 weeks of treatment,the level of TNF-α in the treatment group was significantly lower than that in the control group,and the level of TNF-α in the treatment group was significantly lower than that in the control group(P<0.05),indicating that the level of TNF-α in the treatment group was better than that in the control group.6.Safety analysis: in the course of this study,the safety indicators of the two groups of patients were not abnormal,and no adverse reactions related to this study were found.treatment group improved patients’ cervical spine dysfunction better than the control group.Conclusions:1.Modified warming acupuncture and electroacupuncture are effective in the treatment of cervical Spondylotic radiculopathy of wind-cold-damp type.2.Modified warm acupuncture is superior to electroacupuncture in relieving pain,improving related clinical symptoms and reducing the level of TNF-α in patients with wind-cold-damp cervical Spondylotic radiculopathy.3.In the course of the study,there were no adverse reactions in the two groups,which provides an more effective method for the clinical treatment of cervical Spondylotic radiculopathy of wind-cold-dampness type.