Clinical Observation Of Needling Distal Point Along Meridian Plus Exercising Combined Acupuncture By Routine Way In Treatment Of Neck Type Cervical Spondylopathy

Objective:Based on the theory of needling distal points along meridian plus exercising,to observe the clinical efficacy of needling distal point along meridian plus exercising combined acupuncture by routine way in treatment of neck type cervical spondylopathy(NTCS)and provide reliable evidence for the clinical treatment of NTCS.Methods: 70 patients who met the criteria for inclusion were divided into treatment and control groups.There were 35 patients in each group.The control group referred to the treatment protocol for cervical spondylosis in the 13 th five-year plan textbook,took the temple,Jinjiaji,Tianzhu,Fengchi,Xuanzhong and Shenmai,applied the conventional techniques and left the needles for 30 min after bringing about the desired sensation.The treatment group was added Zhongzhu,Houxi,Zulinqi and Kunlun,under the guidance of the theory of needling distal points along meridian plus exercising.The treatment began with acupuncture these acupoints and repeated stimulation,2min for each acupoint.These process takes 10 minutes in total.Then choose the acupoints as the control group and left the needles for 30 min after bringing about the desired sensation.Both groups were treated with acupuncture once a day for 5 consecutive days with 2 days of rest,2 weeks as a course of treatment,and consecutively treated for 2 courses.Visual analogue score(VAS),neck disability index(NDI)and neck rage of motion were recorded to evaluate the clinical efficacy before and after treatment.The statistical analysis of the data obtained in the study adopted SPSS 22.0software.Results:1.VAS score: Before treatment,there was no statistically significant difference between the VAS scores of the two groups(P>0.05),which was comparable.After treatment,the VAS score was downward in both groups compared with the same group before treatment(P<0.05).While in the treatment group,the VAS score was evidently lower than in the control group(P<0.05).2.NDI score: Before treatment,the score of these two groups were not statistically significant difference(P>0.05).After treatment,the NDI score was downward in both groups compared with the same group before treatment(P<0.05).Furthermore,the NDI score in the treatment group was significantly lower than in the control group(P<0.05).3.Range of motion of the neck: There was no statistically significant difference in the range of motion between the two groups before treatment(P>0.05).After treatment,the range of motion of these two groups were all wider than those before treatment in the same group,with a statistically significant difference(P<0.05).In addition,the rage of motion of the treatment group were significantly wide after treatment compared with the control group(P<0.05).4.Comparison of clinical efficacy: Compared to the control group,the clinical efficacy rate was 91.17% in the treatment group and 81.25% in the control group,which was significantly improved(P<0.05).Conclusion:1.The needling distal point along meridian plus exercising combined acupuncture by routine way and the acupuncture by routine have definite clinical efficacy.Both of them can induce the VAS score,improve NDI score and resume the rage of motion.these ways can relieve neck pain and resume the range of motion of the neck.The clinical effect is definite.2.Compared with acupuncture by routine way,the needling distal point along meridian plus exercising combined acupuncture by routine way has a more significant on the treatment of improving neck pain,neck mobility limitation and neck function.