Clinical Observation On The Treatment Of Neck Type Cervical Spondylosis By Acupuncture Of ShuCi Combined With FuCi

Objective:Through randomized controlled trials,this study compared the difference of ShuCi combined with FuCi and routine acupuncture in relieving cervical pain symptoms,restoring normal cervical movement and improving quality of life in patients with the neck type of cervical spondylosis.The purpose is Objective to evaluate the clinical efficacy and advantages of the treatment of NTCS by the ShuCi combined with FuCi and to explore the theoretical basis and mechanism of this method for the treatment of this disease.The aim is to provide a simple and effective treatment for NTCS.Methods:In this study,66 patients with NTCS who met the inclusion criteria were enrolled in the outpatient department of acupuncture in the First Treaching Hospital of Tianjin University of Traditional Chinese Medicine from March 2019 to December 2020.There were two groups,the treatment group and the control group,with 30 cases in each group.The treatment group used the method of ShuCi combined with FuCi.The control group used the conwentional acupuncture method.Acupuncture was performed once a day for 30 minutes each time.Acupuncture was performed 5 days a week for 2 days rest.One week was a course of treatment,and the efficacy was evaluated after 2 courses.The efficacy was evaluated by visual analogue scale of pain(VAS),self-designed symptom scale and modified cervical pain scale(NPQ).The scores of the two groups were compared before and after treatment.The SPSS17.0 software is used to process the data statistically.The counting data were tested by chi-square test;t test was used for measurement data with normal distribution and homogeneous variance;rank sum test was used for skew distribution;rank sum test was used for comparison between grade data.Test criteria α=0.05,P<0.05 was considered statistically significant,P<0.01 was considered statistically obvious significant.Results:1.Before treatment,there was no statistical significance in gender,age,disease course distribution and scores of each scale of the two groups(P>0.05),it shows that the two sets of data are comparable.2.Comparison of two groups of patients : after treatment,compared with before treatmen t,the VAS score,self-designed symptom and sign score and modified NPQ score of two grou ps were significantly reduced,and the differences were significant by Wilcoxon signed rank s um test or paired sample t test(P<0.01),it shows that both treatments were effective.3.Comparison between groups of patients :after the end of the course of treatment,the da ta of the two groups by rank sum test,the self-designed symptoms and signs evaluation betwe en the groups was different(P<0.05);by rank sum test,there were obvious difference in VAS scores(P<0.01);by sample t test,there were obvious difference in NPQ scores(P<0.01).And rating of various scales of the treatment group were significantly lower than those of control group,it shows that the curative effect of the treatment group was better than that of the control group.4.Comparison of curative effect between two methods:the effective rate and the recovery rate of the treatment group were respectively 96.88%,71.88%.The effective rate and the recovery rate of the control group were respectively 87.50%,31.25%.After analysis,there are obvious differences between the two methods(P<0.01).By comparing the data,the improvement rate was higher in the treatment group.5.The treatment group was compared within groups: There was no statistical difference in the improvement rate of scores among different genders in the treatment group(P > 0.05),so the overall improvement of the treatment group was independent of gender.There were significant differences among different course of disease in the treatment group(P < 0.01),and the shorter course of disease,the higher the improvement rate,indicating that the shorter course of disease,the better the clinical efficacy.6.Safety evaluation: observing and recording the occurrence of adverse reactions in the course of treatment.No adverse reactions occurred in the two groups.Conclusion:The two acupuncture methods are effective in reducing the symptoms of neck pain,improving neck movement and improving the quality of life in patients with NTCS.However,the combination of acupuncture plus floating acupuncture has more advantages than conventional acupuncture,quick results,simple operation,and small side effects.On the premise of ensuring safety,it improves the clinical efficiency and is an innovative,simple and effective acupuncture method.