The Clinical Effect Of Acupuncture And Baihui-pressure Moxibust Ion To Treat Vertebral Artery Type Cervical Spondylosis

ObjectiveIn this clinical trial,90 subjects were divided into acupuncture combined with pressure moxibustion group,acupuncture group and pressure moxibustion group respectively according to the scientific research design principle of randomized control.(WHOQOL-BREF)were used to evaluate the subjects before and after treatment,and the data were analyzed by the data of the cervical vertigo(TCD),the cervical vertebrae X-ray examination and the WHO Quality of Life Scale(WHOQOL-BREF)To evaluate the clinical effect of acupuncture combined with pressure moxibustion,acupuncture and vertebral artery in the treatment of cervical spondylosis of vertebral artery,and to clarify the clinical significance of acupuncture combined with Baihui Moxibustion in the treatment of vertebral artery type cervical spondylosis.MethodsCase of Taiwan Chinese medicine clinic patients,the case collected from December 2015 to February 2017,a total of 96 patients with vertebral artery type cervical spondylosis.The patients were divided into three groups according to the ratio of complete random 1:1:1:acupuncture combined with acupuncture and moxibustion group,acupuncture group and drug group.Western diagnostic criteria refer to the third session of the national cervical spondylosis Symposium on vertebral artery type cervical spondylosis Western diagnostic criteria,TCM syndrome classification criteria with reference to the Chinese Medicine Authority "diagnosis and treatment of traditional Chinese medicine diagnosis and treatment of standard" developed vertebral artery type cervical spine Disease diagnosis of traditional Chinese medicine syndrome,vertebral artery type cervical spondylosis is divided into the following five syndromes:liver yang disturbance type,blood stasis type,phlegm obstruction type,liver and kidney type,blood deficiency type.Acupuncture combined with pressure moxibustion group of the main points for the lesion vertebral Jiaji points,the wind pool(double),Baihui points pressure moxibustion.Acupuncture points after disinfection,straight to the vertebral Jiaji points 0.8-1.0 inch,acupuncture was gas after the application of flattening diarrhea method.Needle for 30 minutes,intermittent needle 2-3 times.Acupuncture group acupuncture acupoints for the large vertebrae,Tianzhu,after the river,cervical Jiaji ridge.Dazhui acupoints 1.0 inch,so that the needle to the shoulder and arm conduction;straightening lesions vertebral Jiaji points 0.8-1.0 inch,acupuncture was gas after the application of flattening diarrhea method.The rest of the acupuncture points conventional acupuncture.Needle for 30 minutes,intermittent needle 2-3 times.Epidemiological assessment of specific items include:"cervical vertigo symptoms and functional assessment scale",WHO quality of life measurement scale(WHOQOL-BREF),intracranial vertebral-basilar artery systolic peak blood flow velocity(Vp)and end diastolic peak Blood flow velocity(Vd).Criteria for evaluation of efficacy in accordance with the 2002 issue of "Chinese medicine new drug clinical research guidelines" in the cervical spondylosis evaluation criteria for the development of the standard.ResultsBefore and after acupuncture combined with acupuncture and moxibustion group,acupuncture group,acupuncture group,drug group in gender,age,course of disease,TCM syndrome differentiation,cervical vertigo symptoms and function evaluation scale,WHO quality of life measurement scale,vertebral-The peak systolic velocity(Vp)and end-diastolic peak velocity(Vd)of the arteries were not statistically significant,indicating that the baseline data of the three groups were comparable.After treatment,the indicators are as follows:1.Cervical vertigo symptoms and functional assessment scale? Vertigo score score comparisonAfter three weeks of treatment,acupuncture combined with Baihui pressure moxibustion group,acupuncture group alone,the drug group of vertigo symptoms have different degrees of improvement,and acupuncture combined with Baihui moxibustion clinical efficacy than acupuncture alone,Drug treatment is obvious.Long-term efficacy,acupuncture combined with Baihui pressure moxibustion,acupuncture alone more advantages,and acupuncture combined with Baihui Moxibustion group of long-term efficacy is better than the drug group.?Comparison of neck and shoulder pain scoresAfter three weeks of treatment,acupuncture combined with Baihui pressure moxibustion group,acupuncture group of neck and shoulder pain score and drug group were compared,the difference was statistically significant(P<0.05).There was no significant difference between the three groups in the neck and shoulder pain scores(P>0.05).After three weeks of treatment,acupuncture combined with Baihui pressure moxibustion,acupuncture alone can relieve the symptoms of cervical spondylosis of vertebral artery type cervical spondylosis,and drug therapy for improving the patient's neck and shoulder pain symptoms no effect.Follow-up data show that three different therapies for improving vertebral artery type cervical spondylosis in patients with neck and shoulder pain symptoms,in terms of timelability did not get a good long-term effect.? Headache scores score comparisonAfter three weeks of treatment,the headache scores of the acupuncture group and the drug treatment group were not statistically significant(P>0.05).The difference of the headache score between acupuncture combined with Baihui Moxibustion group was statistically significant(P<0.05)compared with acupuncture alone and drug therapy.After three weeks of treatment,acupuncture combined with Baihui moxibustion,acupuncture alone,drug therapy can improve vertebral artery type cervical spondylosis headache symptoms,but the three clinical efficacy of the difference is not obvious.In the treatment of time to maintain,acupuncture combined with Baihui pressure moxibustion for the relief of vertebral artery type of cervical head disease symptoms,and acupuncture alone,compared with drug treatment,can get a good long-term effect.?Comparison of daily life and work scoresAfter three weeks of treatment,the daily life and work score of Acupuncture Group and Acupuncture Group were statistically significant(P<0.05).At the follow-up,the daily life and work score of acupuncture combined with Baihui Moxibustion group were significantly different from those of drug treatment(P<0.05).After three weeks of treatment,acupuncture combined with Baihui moxibustion,acupuncture alone,drug treatment for vertebral artery type of cervical spondylosis in patients with daily life and work have a good role in promoting,but the difference between the three therapies were not obvious.For the improvement of vertebral artery type of cervical spondylosis in terms of daily life and work,acupuncture combined with Baihui pressure moxibustion effect is better than drug treatment.? Psychological and social adaptation score comparisonCompared with the control group,the psychological and social adaptation scores of the three vertebral artery type cervical spondylosis were improved after treatment(P<0.05).Comparison between groups:After three weeks of treatment,the psychological and social fitness scores of acupuncture combined with Baihui Zao Moxibustion group were statistically significant(P<0.05)compared with acupuncture group and drug group.There was no significant difference between the three groups(P>0.05).2.WHO quality of life measurement scale comparisonAfter three weeks of treatment,the score of WHO quality of life was significantly higher than that of acupuncture group and drug group(P<0.05).At the follow-up,the score of WHO's quality of life test was significantly higher than that of the drug group(P<0.05).Three weeks after treatment,three different therapies can improve the vertebral artery type of cervical spondylosis in patients with WHO quality of life scale score,and acupuncture combined with Baihui pressure moxibustion is better than acupuncture alone,drug treatment.In the long-term efficacy,the drug group and acupuncture combined with Baihui pressure moxibustion group,acupuncture group is not ideal.3.Comparison of peak systolic velocity(Vp)and end-diastolic peak flow velocity(Vd)in vertebral-basilar arteryAfter three weeks of treatment,acupuncture combined with Baihui pressure moxibustion,acupuncture alone,drug therapy can increase vertebral artery type of cervical spondylosis patients with abnormal reduction of vertebral-basilar systolic peak blood flow velocity(Vp),compared with before treatment(P<0.05).There was no significant difference in the peak flow velocity(Vp)between the three groups of vertebral-basilar artery systolic and before treatment(P>0.05).There was no significant difference in the peak flow velocity(Vp)between the three groups of vertebral-basilar artery systolic(P>0.05)between the two groups after three weeks of treatment or follow-up.There was no significant difference between the two groups(P<0.05).There was no significant difference between the two groups(P>0.05).Conclusion:After treatment,the peak flow velocity(Vd)of vertebral-basilar artery diastolic peak in patients with cervical spondylosis P>0.05).There was no significant difference in the peak flow velocity(Vd)between the three groups of vertebral-basilar artery at the end of the follow-up(P>0.05).There was no significant difference in the peak flow velocity(Vd)between the three groups of vertebral and basilar arteries(P>0.05)after three weeks of treatment.ConclusionVertebral artery type cervical spondylosis is a common disease in modern society,frequently disease.Although the current drug therapy,physical therapy and rehabilitation treatment can get better clinical efficacy,but the long-term efficacy is not obvious,expensive,and drug treatment has some side effects.Therefore,the search for cost-effective treatment of vertebral artery type cervical spondylosis has a wide range of application prospects and far-reaching social significance.Acupuncture as a green therapy,in the treatment of vertebral artery type cervical spondylosis has a simple and effective operation,significant effect,no side effects and other advantages.Therefore,to explore a practical,simple,short course of treatment,easy for patients to accept acupuncture therapy,the treatment of vertebral artery type cervical spondylosis far-reaching.The results of this study also show that acupuncture combined with Baihui pressure moxibustion treatment of vertebral artery type cervical spondylosis clinical efficacy is significant,can better alleviate vertebral artery type cervical spondylosis patients with dizziness,headache and neck and shoulder pain symptoms,promote the recovery of cervical function,The clinical cure rate was 12.9%;the effective rate was 38.7%;the effective rate was 35.5%;the inefficiency rate was 12.9%;the total effective rate was 87.1%,and the clinical application was popularized.