| Purpose of study:In this project,by comparing the clinical effects of acupuncture in the combination of Ge Gen Tang plus or minus treatment and acupuncture for neurogenic cervical spondylosis,the clinical efficacy and superiority of acupuncture and Ge Gen Tang plus or minus treatment in the treatment of neurogenic cervical spondylosis were investigated.and to provide physicians with clinical thoughts for the future treatment of neurogenic cervical spondylosis.Research methods:From May 2019 to October 2020,90 patients who qualified for enrollment were chosen from inpatients attending the Department of Orthopaedic Injuries of Qinhuangdao Hospital of Traditional Chinese Medicine,and 90 patients were randomly categorized into two consecutive groups: the needle knife treatment group associated with Ge Gen Tang plus and minus and the acupuncture and knife treatment group,each containing 45 patients,which were recorded as the treatment group and the control group,respectively.Patients in the treatment group were treated with acupuncture combined with Ge Gen Tang plus or minus,i.e.acupuncture treatment and oral Ge Gen Tang plus or minus treatment were applied simultaneously.The patients in the therapy team were given needle knife therapy in combination with Ge Gen Tang plus or minus,i.e.,needle knife therapy and oral Ge Gen Tang plus or minus were applied simultaneously,and needle knife therapy was performed every 7 days for 3times as a procedure.while Ge Gen Tang plus or minus was given once a day,and the formula was added or subtracted at the time of taking 7 doses of the medicine for 21 days as a therapy series.In the control group,the treatment was based on the treatment group minus the treatment of oral Ge Gen Tang plus reduction,i.e.,a single acupuncture treatment was used,and the treatment course and treatment time interval were the same as the treatment group acupuncture treatment.The patients’ symptoms and other related indicators were documented before the treatment and again at the end of the treatment procedure for both groups.to observe the difference of symptom changes between the two different groups.The Simplified Mc Gill Pain Questionnaire and the Yasuhisa Tanaka Cervical Spondylosis Symptom Scale for cervical spondylosis were used for comprehensive assessment.The recorded data were then comprehensively analyzed using SPSS22.0 statistical software,and the efficacy of the two different treatment modalities was evaluated,among others.Results:(1)After the treatment course,the the over all efficiency of the therapeutic group and the reaction party were 87% and78%,respectively,and percentages of healing in the therapy group and the judgment of the reaction party were group were 20% and 0,etc.The general utilization factor and the melanization rate of the therapeutic group were higher than the negative one,the aggregate elevation factor of the two groups was examined scientifically,and it indicated that the difference was statistically considerable(P< 0.05);(2)The marks of the Tanaka Yasuhisa Cervical Spondylosis Symptom Scale: There was a positive response to the comparison of the marks of the two groups before and after therapy(P<0.01);All parties had some elevation of varying degrees after therapy,The variation was considered statistically significant by means of inspection(P<0.01);Scores were more higher in the therapy group than in the reaction arm(x±s).(3)Simplified Mc Gill pain interrogation scale scores:(1)PRI: The overall marks of sensibility prongs and affection prongs of the patients in the therapy and reaction groups before and after treatment were statistically significant.(P<0.01);There was a different degree of reduction in each group after being operated(x±s),and the pain intensity grading index scores of the two groups were statistically different(P<0.01).(2)VAS: The difference between the two groups of patients in their pain intensity before and after treatment was statistically significant(P<0.01);After the treatment,both groups had different decreases in their scores(?),and the decrease in pain intensity scores was greater in the treatment group,and the comparison between groups was statistically different(P<0.01);(3)PPI: There was a statistically significant difference between the patients’ existing pain degree scores before and after treatment(P<0.01);The treatment group had a more significant decrease in scores after treatment(x±s),and the difference was statistically significant by statistical tests.Conclusion:Acupotomology combined with Ge Gen Decoction and Acupotomology in the treatment of radiculotype cervical spondylopathy have a clear effect in improving neck and shoulder stiffness,limiting movement,dizziness,upper limb numbness and other symptoms,but the treatment effect of acupotomology combined with Ge Gen Decoction is better and obvious.Clinical application of acupotomology combined with Ge Gen Decoction in the treatment of radiculotype cervical spondylopathy can be popularised. |
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