| BackgroundCervical spondylosis is also called cervical vertebra syndrome, is cervical vertebra osteoarthritis, proliferative GengZhuiYan, syndrome of cervical nerve root, the floorboard of the cervical intervertebral disc TuoChuZheng, is a kind of to change on the basis of disease produces. Mainly due to the long-term strain and bone hyperplasia of cervical vertebra, or thickening of hernia of intervertebral discs, ligaments, causing compression of cervical spinal cord, nerve root or vertebral artery, causing a series of clinical syndrome of dysfunction. Clinical epidemiological studies have shown that both at home and abroad, cervical vertebra disease for middle-aged and old people, and gradually obvious younger trend, increasing number of cases. Although the clinical treatment of cervical syndrome is very much, but the final purpose or alleviate the clinical symptoms of patients with functional, slow and to prevent further deterioration of the illness. Therefore, how to improve the clinical curative effect of treatment of cervical syndrome, reduce the pain of the patients, reduce the medical expenses of related disease, become medical researchers who focus on problems.Neck warm three needle best neck pain point treatment wind cold dampness type cervical spondylosis, needle and moxibustion combined with the application can improve the clinical curative effect, reduce the patients’ pain, but also has the method is simple and easy, curative effect, low cost, less adverse reaction, and many other advantages, to provide basis for its clinical application.ObjectiveCervical spondylosis is also called cervical vertebra syndrome, which is occurred in the period of chronic degenerative disease of the spine, neck is due to the cervical spine bone hyperplasia, intervertebral disc degenerative change and neck strain causes spinal disorder of internal and external balance, stimulate or oppression of cervical nerve root, vertebral artery, spinal cord or the sympathetic nerve caused by a group of syndrome., according to the results of domestic epidemiological investigation in cervical spondylosis is a common disease, frequently-occurring disease, the elderly. By 40 to 60 years old for the high incidence of age, and after a 70-year-old prevalence of 90% [1] Pressure with work and study in recent years, the computer popularization and working pattern, the chance of cervical work, etc., the prevalence of cervical spondylosis showed a trend of obvious younger [2]. Cervical vertebra disease symptoms of acute and particularity, has serious harm to the patient in work and life for everyday life work inconvenient, and causing pain of patients, the serious influence the quality of people’s lives, harm to human health, bring heavy economic burden to patients in the life, the main purpose of this study is to explore neck warm three needle best neck pain point wind cold dampness type of cervical spondylosis clinical curative effect, the warm needle cervical objective validity of law point, determine its clinical value, provide the basis for its clinical application.MethodsInto 90 cases accord with a standard, the wind cold dampness type cervical spondylosis patients were randomly divided into three groups. Is given priority to with cervical three needles (sky column hole and neck pain, large zhu of xia hole hole) three holes is given priority to, among them with warm acupuncture double hundred lowe neck acupuncture point treatment wind cold dampness type of cervical spondylosis clinical research, with warm acupuncture cervical best lowe point and lamp acupuncture group and simple acupuncture groups for comparison, comparing the three in the differences in the clinical effecacy, therefore warm acupuncture cervical hundred lowe point wind cold dampness type cervical spondylosis on the choice of specific treatment to provide more effective basis.(1) treatment group:wen acupuncture cervical hundreds of acupuncture point group therapy. Needle selection days association card 0.32 x 40 mm needle insertion and 0.32 x 25 mm. The patient prone position, take the neck hole, sky column hole, large zhu of xia hole. Before each acupuncture point 75% alcohol after routine disinfection, with 0.32 x 25 mm needle needle sky column hole (double), zhu of xia hole (double), sky column hole, large zhu of xia hole after acupuncture at depth specified by qi. With a 0.32 x 40 mm needle needle neck pain acupuncture point (double) oblique thorn, oblique thrust direction for spine direction, Pierce about 25 mm. After acupuncture at depth specified by gas for degrees, take about 2 cm long around moxa roll, respectively set on each point of the needle handle,2 -- 3 cm distance skin, again from the bottom to ignite shi moxibustion. In the combustion process, if the patient feels burning hot, it can be a piece of cardboard at the hole area, in order to reduce heat, article ai the burning, remove the ashes, and then remove the needle. Generally takes 30 minutes, three times a week, day time, jiu shi zhuang 1 at a time. In 1 week for a period of treatment, treatment 2 days off, were observed 3 period of treatment.(2) in the control group:lamp acupuncture treatment group. Needle selection days association card 0.32 x 40 mm filiform needle. The patient prone position, take the neck pain Sky column hole Big zhu of xia. Before each acupuncture point 75% alcohol after routine disinfection, with 0.32 x 25 mm needle needle sky column hole (double), zhu of xia hole (double), sky column After the big zhu of xia point acupuncture at depth specified for gas. With a 0.32 x 40 mm needle needle neck pain acupuncture point (double) oblique thorn, oblique thrust direction for spine direction, Pierce about 25 mm. With TDP therapy apparatus (lamp therapeutic apparatus) in the neck pain point (double) as the center and local irradiation, generally takes 30 minutes. Remove the TDP therapy apparatus (lamp therapeutic apparatus), then remove the needle. Three times a week, day,1 week for a period of treatment, treatment course 2 days off, were observed 3 period of treatment.(3) the control group:the simple acupuncture group. Needle selection days association card 0.32 x 40 mm filiform needle. The patient prone position, take the neck hole, sky column hole, large zhu of xia hole. Before each acupuncture point 75% alcohol after routine disinfection, with 0.32 x 25 mm needle needle sky column hole (double), zhu of xia hole (double), sky column After the big zhu of xia point acupuncture at depth specified for gas. With a 0.32 x 40 mm needle needle neck pain acupuncture point (double) oblique thorn, oblique thrust direction for spine direction, Pierce about 25 mm. After acupuncture at depth specified by gas for degrees, more than three holes in the qi retaining needle, after every ten minutes a needle, a needle in half an hour. Three times a week, day,1 week for a period of treatment, treatment course 2 days off, were observed 3 period of treatment.Results1. The basic informationThree groups of subjects in gender, age, Northwick Park neck pain scale (NPQ), McGill pain ask scale (MPQ) etc were not statistically significant, comparable.2. The NPQ score comparison after treatmentAfter 3 course of treatment, temperature NPQ score after acupuncture treatment group was 11.77+/-7.01; Lamp group after treatment NPQ score was 14.27+/-7.38; Simple acupuncture group NPQ score was 15.30 +/-7.55 after treatment. NPQ score between the three groups after treatment, the variance analysis showed that F= 1.85, P= 0.163, there is no statistical significance (P> 0.05). Visible, three groups of wind cold dampness type cervical spondylosis has good therapeutic effect.3. NPQ score difference comparison before and after the treatmentAfter 3 course of treatment, temperature NPQ score difference before and after the acupuncture treatment group was 17.53+/-6.34; Lamp NPQ score difference before and after the treatment group was 14.37+/-5.70; Pure NPQ score difference before and after the acupuncture treatment group was 13.37+/-6.35. NPQ score difference between before and after treatment in three groups, the variance analysis showed that F = 3.77, P= 0.027, with statistical significance (P< 0.05). Visible, three groups in terms of NPQ score difference have differences.4. Comparing two NPQ score difference before and after the treatmentFurther by further-significant difference (LSD) test, warm acupuncture group and the magic lamp NPQ score difference comparison before and after the treatment was 3.17+/-1.59, LSD test showed that P= 0.049, with statistical significance (P< 0.05). Visible, wen NPQ score difference before and after acupuncture group in treating group is significantly superior to it. Temperature before and after the acupuncture group was treated with simple acupuncture group NPQ score difference is 4.17+/-1.59, LSD test P= 0.010, with statistical significance (P< 0.05). Visible, temperature before and after acupuncture group in the treatment of NPQ score difference significantly superior to simple acupuncture groups. Lamp with simple acupuncture group NPQ score difference comparison before and after the treatment was 1.00+ /-1.59, LSD test shows that P= 0.530, there is no statistical significance (P> 0.05). Visible, lamp and simple acupuncture groups between NPQ score difference was no significant difference before and after treatment.5. MPQ pain score comparison after treatmentAfter 3 course of treatment, temperature after the acupuncture treatment group MPQ pain score was 11.40+/-6.30; Lamp group MPQ pain after treatment was 13.77+/-7.42; Simple acupuncture group after treatment MPQ pain score was 14.77+/-7.11. MPQ pain score between the three groups after treatment, the variance analysis showed that F= 1.851, P= 0.163, there is no statistical significance (P> 0.05). Visible, three groups of wind cold dampness type cervical spondylosis has a better analgesic effect.6. MPQ pain score difference comparison before and after the treatmentAfter 3 course of treatment, temperature MPQ pain score difference before and after the acupuncture treatment group was 18.83+/-5.73; Lamp MPQ pain score difference before and after the treatment group was 15.13+/-5.91; Pure MPQ pain score difference before and after the acupuncture treatment group was 15.90+/-5.90. MPQ pain score difference between the three groups before and after the treatment, the variance analysis showed that F= 3.344, P= 0.040, with statistical significance (P< 0.05). Visible, three groups have differences in MPQ pain score difference.7. Before and after treatment MPQ pain score difference between two comparisonFurther by further-significant difference (LSD) test, warm acupuncture group and the magic lamp MPQ pain score difference comparison before and after the treatment was 3.70+/-1.51, LSD test showed that P= 0.016, with statistical significance (P< 0.05). Visible, warm acupuncture group in MPQ pain score difference before and after the treatment group is significantly superior to it. Temperature before and after the acupuncture group was treated with simple acupuncture group MPQ pain score difference is 2.93+/-1.51, LSD test P= 0.055, with statistical significance (P< 0.05). Visible, warm acupuncture group in MPQ pain score difference before and after treatment markedly superior to simple acupuncture groups. Lamp with simple acupuncture groups before and after treatment MPQ pain score difference compared to 0.77+/-1.51, LSD test shows that P= 0.613, there is no statistical significance (P> 0.05). Visible, lamp and simple acupuncture groups before and after treatment between the MPQ pain score difference was no significant difference.8.Clinical effectAfter 3 courses of treatment, simple acupuncture group cured in 3 patients,8 cases were markedly effective, efficient,9 cases,10 cases were invalid, the total effective rate was 66.67%; Lamp set of 4 cases were cured,16 cases had marked effect,5 cases were effective, invalid in 5 cases, total effective rate was 83.33%; Wen acupuncture group 6 cases cured,18 cases were markedly improved,3 cases ineffective in 3, and the total effective rate was 90.00%, the Ridit analysis, R= 0.50, chi-square value= 8.37, P< 0.0392= 0.05. This suggests that the clinical curative effect of warm acupuncture group is superior to the simple acupuncture group and the magic lamp.Gonclusion1. The simple acupuncture treatment of wind cold dampness type cervical spondylosis clinical curative effect, can effectively improve the patient’s pain and dysfunction.2. Acupuncture combined lamp irradiation treatment wind cold dampness type cervical spondylosis clinical curative effect, can effectively improve the patient’s pain and dysfunction.3. Acupuncture combined therapy with warm acupuncture cervical hundred lowe point wind cold dampness type of cervical spondylosis clinical efficacy is superior to the single curative effect, in improving patients’pain and dysfunction. |
PDF Full Text Request