| ObjectiveWith the accelerated pace of life in modern society and changes in working methods,the incidence of cervical spondylosis is increasing year by year,and it is getting younger and younger.The disease can be divided into cervical type,nerve root type,vertebral artery type,spinal cord and sympathetic type.Among them,the nerve root type has the highest incidence,accounting for about60% of cervical spondylosis,and it is often other types of cervical spine.Early manifestations of the disease.The external treatment of Chinese medicine is widely accepted by the public in the treatment of cervical spondylosis.The clinical effects of acupuncture and massage are also reflected in the research of many doctors.Compared with modern medicine,it pays attention to the change of anatomy,the holistic view and dialectics of Chinese medicine.The treatment of patients of different physique reflects different treatment methods.The use of fire needles to treat diseases has a long history.There are documents in all dynasties and dynasties that have been used in the rehabilitation of various diseases.This study has systematically reviewed and sorted out the literature.This article reviews the understanding and treatment of radiculopathy in Chinese medicine and modern medicine,uses massage to dredge the meridian route,and improves the curative effect of acupuncture points with fire needles.Acupuncture and moxibustion program based on Lingnan fire needle combined with massage is proposed for the treatment of cervical spondylosis(Nerve root type),to explore the clinical value of this method in the treatment of cervical spondylosis(nerve root type).MethodsThis study conducted a randomized controlled observation of 60 patients with cervical spondylotic radiculopathy.All subjects were strictly screened according to uniform diagnostic criteria,exclusion criteria,dropout criteria and inclusion criteria.Before the start of the experiment,each group of experimenters recorded gender,age,disease course,syndrome type,and efficacy scale score to evaluate whether the difference was statistically significant,such It is comparable if it is not statistically significant.Thirty patients in the treatment group were treated with fire-needling and massage combined with Yangmingjing alone;30 patients in the control group were treated with warm-needling and massage.The study time is 3 weeks and6 treatments are a course of treatment.The clinical efficacy of each case was compared before and after a course of treatment,a comprehensive score of cervical spondylosis was made,the pain improvement was detected with the pain analog scale,and the data summary score was entered.Results1.A total of 60 patients were treated in this study.3 cases were lost in the treatment group and 3 cases in the control group.54 cases were finally completed and the gender,age,course of disease,syndrome type and curative effect scale score of each group were recorded.No statistics Differences in science and comparability.(P>0.05)2.Comparative analysis of data collected for treatment results.This study uses VAS visual simulation score,NPQ neck pain scale,radiculopathy20-point scale,summarizing the scores of each scale before and after treatment and the score difference between the two groups,and statistics In the analysis,the baseline independent score before treatment was used as the improvement score of the basic efficacy.Results In terms of NPQ cervical pain scale(P>0.05),there was no significant difference in improvement.The statistical analysis results on the 20-point scale of VAS and radiculopathy cervical spondylosis(P<0.05)indicate that this test has significant improvement in the improvement of radiculopathy cervical spondylosis Curative effect.3.The treatment time in the experiment is about 5 minutes for fire needle therapy.Warm needling moxibustion requires moxa sticks to burn out.The treatment time is about 30 minutes.In terms of treatment time,the treatment group is shorter than the control group.4.Observation of clinical effective rate,the effective rate of the treatment group was 88.88%,and the effective rate of the control group was85.19%.The treatment effect of the treatment group and the control group(P>0.05)showed that the two methods can be used in the treatment of cervical spondylotic radiculopathy.Curative effect.The score improvement difference before and after treatment on the VAS score(M(P25～P75))5(4～6)points in the treatment group was better than 4(4～5)points in the control group,and the scores before and after treatment on the NPQ Neck Pain Scale improved The difference()The treatment group is 22.65±12.00 points,which is better than the control group by 20.27±9.95 points.The score improvement difference before and after treatment on the 20-point scale of cervical spondylosis of radiculopathy()The treatment group is-7.63±3.01 points better than the control group-6.04 ±2.74.From the above data,we can find that the difference between the three groups of scale scores has a clear trend that the treatment group is better than the control group.5.In terms of improving the symptoms of upper limb pain and numbness after treatment,the scores on the 20-point scale of radiculopathy of the two groups of patients were significantly lower than before treatment,with significant differences(P<0.05).The scores of patients in the treatment group were lower than those in the control group The difference was statistically significant(P<0.05),indicating that the treatment group was significantly better than the control group in improving upper limb pain and numbness.6.After treatment,to improve the symptoms of tingling and needle sensation in the arm,the scores of the two groups of patients on the NPQ Neck Pain Scale were significantly lower than those before the treatment,there was a significant difference(P<0.05),and the score reduction of the patients in the treatment group was better than that in the control group The difference is statistically significant(P<0.05),indicating that the treatment group is significantly better than the control group in improving the symptoms of tingling and tingling in the arm.7.Three months after treatment,patients were followed up for upper limb pain and numbness in terms of radiculopathy and cervical spondylosis 20 subscale scores to improve symptoms.The treatment group was significantly better than the control group(P<0.05),and the arm numbness and needle sensation NPQ Neck Pain Scale score treatment The group was significantly better than the control group(P<0.05),indicating that the therapeutic effect of the treatment group was more sustainable.ConclusionIn the treatment time,the time of fire needle is shorter,and the time of warm needle moxibustion is longer.The treatment time effect of the treatment group is significantly better than that of the control group.After treatment,the total scores of the therapeutic effect evaluation scale of the two groups were reduced,indicating that the two methods have curative effects on the treatment of cervical spondylotic radiculopathy.In terms of curative effect,the treatment group is equivalent to the control group.The difference in scores before and after treatment on the VAS score,NPQ cervical pain scale,and radiculopathy on the 20-point scale of cervical spondylosis,the treatment group is better than the control group,the total number of cured The number of recovered patients is also better than that of the control group.The above research data analyzes the efficacy observations.Due to the limited sample size,statistics do not show significant significance.However,we can see from the data that the treatment group has a clear trend to be better than the control group,and In treatment,symptoms can be improved in a shorter time.In terms of symptom improvement,data from the NPQ Neck Pain Scale and the 20-point Nerve Root Cervical Spondylopathy Scale showed that the treatment group was significantly better than the control group in terms of improving the symptoms of upper limb pain and numbness and tingling sensation in the arm(P<0.05).During the follow-up,the effect of improving upper limb pain and numbness and the tingling sensation of arms in the continuous treatment group was also significantly better than the control group(P<0.05). |
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