The Study Of Fire-needle Therapy On The Cervical Type Cervical Spondylosis

Cervical spondylosis is a common, and frequently occurring disease of the Rehabilitation Apartment, especially the neck type, which happens earlier and more frequently than other types of cervical spondylosis. Among the patients of this type, there are many youth, who suffer from the new working and studying type or other life factors, such as operating computers or bow desk work for a long time. The clinical performances mainly include the pain of head, neck, shoulder and arm. X—ray reports show no vertebral gap narrow, or other obvious changes of degeneration, but changes of cervical physiological curvature, vertebral instability and mild hyperostosis still can be seen. Nowadays, the course of The cervical type cervical spondylosis is basically concerned with the damage of the cervical spine by continual stess, strain or accidental injury which decrease the spine tension and stability. Once the cervical spine becomes unstable, on one hand, the various muscle groups in the heck would be unbalanced, thus giving rise to the defensive muscle spasm; on the other hand, it would cause vertebral hemorrhage edema, so that the spinal nerve endings surrounding the spinal sinus would be irritated, leading to aching paid or other symptoms. With the development of society and the growing popularity of computers, people’s study and work have been great changed. The incident rate of The cervical type cervical spondylosis is ncreasing,on the same time, there are more younger age risking of this disease. The cervical type cervical spondylosis has seriously affected people’s work and life quality, causind a growing threat to the health of human beings.ObjectiveThe study use clinical scientific research methodology, mathematical statistical analysis method, standardized NPQ neck pain scale, Mcgill pain scale, Verson neck waste index, and methods of MF (in the bit frequency) of cervical surface myoelectricity power spectrum in order to develop the clinical effect evaluation, observe the effect of fire needle treating the neck type of cervical spondylosis, and objective evaluate the fire needle therapy on neck type cervical disease patients’s neck pain, neck muscle tension degrees and the neck activities. With the study, the efficacy and safety of the fire needle treatment for the neck type cervical disease can be evaluated scientifically, so that the standardized programme for fire needle treating the disease with exact clinical therapeutic effect can be established.MethodAccording to diagnostic codes and staging standards,60patients consistent with standards from acupuncture clinic of Zhongshan Hospital are selected. They are divided into two groups by random number table,30in the treatment group (with fire-needle therapy) and the other30patients in the control group (with general acupuncture treatment). Follows:firstly, drawing random numbers through the manipulation of SAS statistical analysis software. Secondly, the researchers randomly assign cards, plus and seal envelopes; make sure the envelope sequence numbers are the same with the card numbers. When the eligible cases are into test, according to the priority of access, they should open the same number of envelopes, and accept the treatment that the number of envelope standing for. Treatment group:fire-needle therapy. Points: Fengchi (GB20), Bailao(GV14), Jianjing(GB21), Ar SHI points. Disinfect with anerdian on the points. After that, putting some Entitled flower oil on the points. Then lighting the alcohol lamp, endding up the alcohol lamp with the left hand coming near the points, and holding the fire needle with pen shaped with the right hand. The needle tip and the needle body are reset into alcohol lamp’s outer flame. As they are burned to bright, thorning the needle body quickly into points, and fast pulling it out in about1/10second. Then drying the bleeding by pressing the points with disinfective dry cotton ball and fell the entitled flower oil on the points to protect the wound. Needling Fengchi to the direction to nose into3fen deep, perpendicular needling Bailao into8fen deed. Oblique needlign the Jianjing into3fen deep. Needling Ar SHI points shouled base on the specific angle and depth. The acupoints’needling depth can be adjusted depending on whether the patients are fat of skinny. The time for therapy is5days one times,3times for a course. After2courses, the evaluation would be take. Control group:treate with electro-acupuncture. Points:the same with the treatment group. Access sat. After disinfection for the points, using the0.3x40mm filiform needles, perpendicular needling into the points. The needling depth is based on the point location, size and weight of patient. Normal reinforcement and normal reduction by lifting, thrusting and twirling on each point, then connect the needles to the electro-acupuncture apparatus with a wave of condensation for30minutes.1times per day,10times for a course. Evaluation after two treatments. Using standardized NPQ neck pain scale, Mcgill pain scale, Verson neck waste index, and methods of MF (in the bit frequency) of cervical surface myoelectricity power spectrum for clinical evaluation. Self-reflection as well as the comparison between groups should be carried out for the treatment group and the control group.Using SPSS13.0statistical software to analyze the results. Measurement data are expressed in mean士standard deviation, count data compared with Chi-square test, paired t test for comparison before and after treatment in a group, independent samples t test for comparison between the groups, p<0.05significant difference has a significant meaning, significance of p<0.01there is a significant statistical difference.Results(1)60patients consistent with standards from acupuncture clinic of Zhongshan Hospital were selected. They were divided into two groups by random number table,30in the treatment group (with fire-needle therapy) and the other30patients in the control group (with general acupuncture treatment). Analysing two groups of patients’age, sexual, therapy course and other general information before the treatment, there were no statistically significant difference (P>0.05). It shew that two groups of subjects were comparable.(2) Clinical effect:in the treatment group, cure of10cases, improvement in18cases, uncure2cases, total effective rate of93.33%. In the control group, heal in5cases, improvement in18cases, No healed7cases, total effective rate76.67%. Statistically significant differences existed of both groups before and after treatment (P<0.05). And a statistically significant difference existed between the effect of the two group by rank sum test (P<0.05). The total efficiency of fire-needle therapy for cervical spondylosis of neck type was superior to regular acupuncture treatments.(3) The McGill pain scale scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).(4) The NPQ neck pain scale scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).(5) The Verson neck waste index scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).(6) The surface EMG frequency MF poor value scores of trapezius muscle of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the difference was not statistically significant (P>0.05).(7) The surface EMG frequency MF poor value scores of sternocleidomastoid muscle of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the difference was not statistically significant (P>0.05).ConclusionsBoth fire needle and general acupuncture are effective in general improving the clinical symptoms of patients with cervical spondylosis of neck type. Both can significantly reduce neck pain, lower neck muscle tension, improve the ability of the neck of patients. They can treat The cervical type cervical spondylosis safely and effectively. And fire needle therapy is superior to the general acupuncture therapy, so that the fire needle should be promoted to use for the disease. But compared with the surface EMG frequency MF poor value scores of trapezius and sternocleidomastoid muscle between the two groups, the difference are not statistically significant (P>0.05), which means the two therapy is similar on improving the MF scores of trapezius and sternocleidomastoid muscle.