| ObjectiveCervical spondylosis is a common clinical disease,almost as one of the highest outpatient rate clinic disease,because of cervical vertebra bone inflammation,hyperplasia,or changes in bone marrow,nerve root compression,produce a series of pathological changes,clinical manifestations as the bone spur formation,light person asymptomatic,the person that weigh is local pain,conservative treatment often can't ease;Ligament hypertrophy causes local muscle stiffness;The cervical pain and dizziness caused by the protrusion of the nucleus pulposus or the local nerve root,blood vessel,etc.Loose vertebral instability,lead to instability of the center of neck pain symptoms,or stenosis,the spinal cord and nerve root of neck pain and numbness finger,or the cervical sympathetic nerve compression of the sweat,the symptom such as palpitate,moreover had vertebral artery pressure,appeared dizziness,vertigo is unwell,because of the cause of pathological changes occurring in the course of a series of neck shoulder,the signs and symptoms of fingers,and even the whole body.Cervical spondylosis is the most mild and the earliest type of cervical spondylosis.Due to the local neck,shoulder,occipital pain,or numbness of the fingers,the body signs are the stiff upper neck,the local tenderness or the change of the line.The onset of the disease is often in the morning or night,the symptoms are lingering,easy to relapse.Light subjects can be relieved by lifestyle changes,self-exercise therapy or general treatment.In severe cases,surgery is needed.The incidence of the main crowd are urban white-collar workers and other mental workers,because of its long-term volt case work,but now it showed a trend of getting younger over the disease,with the widespread use of mobile phones,often brush head phones also is the important reason to cause the neck type of cervical spondylosis.In addition,the improved rhythm of life and work and the lack of exercise presents it as a sub-health state,leading to delayed healing.The etiology of neck type of cervical spondylosis is basical knowledged,for long-term down at his desk working,learning,etc.,while in the western medicine or Chinese medicine enough after the treatment,it can improve the patient's neck pain in a short time.However,after treatment,the patient still has no change in life or working methods,or does not follow the doctor's advice,exercise on his own,or exercise,etc.The condition recurs repeatedly,and due to the gradual increase of age,degenerative bone disease,the condition is basically difficult to cure.Earlier Chinese medicine understanding of cervical spondylosis,there is awareness in huangdi neijing,but ancient medical article of no single in the diagnosis of cervical spondylosis,only according to different clinical symptoms correspond to suit the naming,often as in the "bi" and "poliomyelitis","stun" and other disease,know about the etiology and pathogenesis are more detailed,causes outside att acks,deficiency of vital qi,injuries,etc.,had invaded by cold origin is given priority to,for the neck is the center of the back,in the human body position for Yang Yang,and six gas attack by the first vessel involvement back,neck bare,often bear the brunt.Vital qi deficiency is often performed right kidney deficiency,spleen deficiency,a better mousetrap deficiency,lung xuan fall,because the liver advocate muscle,kidney advocate bone,spleen main muscles,heart main veins,the lung main gas,any viscera deficiency,all can lead to bones and muscles not strong,the muscle,blood,meridians pathogenesis characteristic,cause a series of clinical symptoms.Neck meridian courses with fourteen meridians are closely linked,the related meridians directly follow line of neck,shoulder,or into the neck,or a pass into the neck,so the fourteen meridians lesions can lead to shoulder and neck lesions.Acupuncture treatment of neck and shoulder pain,dizziness,long history,curative effect,from the original stone needle,needle to maturity,from the simple acupuncture technique to different methods of needle method,from a single acupuncture to extubation,moxibustion therapy,the wisdom of his ancestors,and the optimization of Chinese history after fi ve thousand,sublimation,form the attention of the world today acupuncture therapy,the subject on the basis of traditional acupuncture in modern times,summed up their experience,constantly creates new acupuncture treatment methods,such as PingHengZhen,abdominal needle,thermal moxibustion,etc.,no matter what kind of intervention therapy,has its advantages,each clinical curative effect,this study design,at the beginning of the first reading ancient books,combined with the current times,analysis the neck type of cervical spondylosis etiology and pathogenesis of the disease and to analyze in detail,check for nearly 10 years after TCM treatment on neck type of cervical spondylosis of the Chinese and foreign literature,to classify don't mentioned,the treatment with Chinese medicine internal medicine,Chinese medicine external treatment,pure acupuncture,cupping,point injection and abdominal needle,small needle knife wheat,sparrow pecking moxibustion,acupuncture,moxibustion and cupping therapy,acupuncture,blood,fire needle therapy PingHengZhen,earpins,plum needle,needle,thermal moxibustion,etc.,different methods in different populations and different syndrome types and medical workers under operation,its clinical effect is different,but all can produce good clinical curative effect,for clinical therapy for the treatment of neck type of cervical spondylosis with pertinence.There are many methods for the clinical treatment of cervical cervical spondylosis.Western non-surgical treatments mainly includes massage therapy,physical therapy,traction therapy,drug therapy(oral,or intravenous medication),and intermediate frequency therapy.In severe cases,surgical treatment is used.Traditional Chinese medicine has an unique advantage in treating non-organic diseases because of its no side effects,economic benefits,and significant efficacy and it is accepted by patients of medical personnel.Acupuncture is an important treatment method for traditional Chinese medicine,which lasted for five thousand years,and is increasingly prosperous,and is currently acquired abroad.The more recognized Chinese medicine treatments are commonly used to treat painful conditions such as neck,waist,and leg pain.Moxibustion uses moxa sticks or moxa as material and is given on acupuncture points,or suspended moxibustion,or moxibustion,or needles.In line with the current physical fitness of the general public,most of them are placed in air-conditioned rooms,blindly use fire-retarding cold tea,long-term consumption of frozen food,and more yang deficiency constitution,and acupuncture and warming Yang significant effect,the current acupuncture treatment of cervical cervical spondylosis As the first choice for clinical treatment,there are many inte rventions,such as acupuncture,massage,moxibustion,blood puncture,and small needle knife.The specific options vary from person to person.Differentiation and treatment,but also because of the personal preferences of medical staff have a selective weight,but the purpose is to stop the pain through the time,not to fill with pain and relieving time,no matter what kind of treatment measures,are inseparable from the yin and yang,the table,cold,heat,Virtual eight classes of syndrome differentiation,treatment can not be separated from the virtual reality.Jin's three needling for JinRui,concentrated all its effort,to summed up the experience in clinical work for a long time due to find refining,simple operation and curative effect in acupuncture s ession of popularization and application already.Neck three needles is one way to find out in the Neck three needle,conventional find out methods for the treatment of neck shoulder disease,as local find,adjustable neck essence,qi,blood,relieve muscle tension,improving local blood supply,regulate qi-blood balance.Moxibustion as clinical treatment using high frequency,there are comfortable and easy to accept,completely without side effects,and cheap and efficient characteristics,effect and can achieve this kidney lines,cold qushi analgesia,gas blood advantages of curative effect,both the treatment neck type of cervical spondylosis,is easily accepted by patients,high expectations,provide non-surgical treatment of neck type of cervical spondylosis clinical effective method.Methods1.Inclusion sample: a total of 90 patients with cervical spondylosis who met the criteria and excluded the relevant exclusion criteria were included in the study,and the study time was from July 2016 to July 2017.The cases are from the patients in the hospital of the first affiliated hospital of the hospital,the first affiliated hospital of guangzhou university of traditional Chinese medicine,and the patients recruited by themselves.The informed consent must be signed before the patients are included.2.Grouping method: this study was divided into three groups,and the design scheme was a clinical randomized controlled trial,which was specifically divided into treatment group: acupuncture and moxibustion group.Control group 1 was simple acupuncture;Control group 2 was pure wheat moxibustion,30 cases in each group.3.Treatment plan: treatment group after the first pricker wheat jiu jiu,maintain the continuity of two implementation plan,and implement taken immediately after the acupuncture treatment of wheat of the interventions,two control wheat respectively using simple acupuncture and moxibustion therapy.3.1 Acupuncture method: the acupuncture points are: the Neck three needle for main(tianzhu(BL10),dazhui(GV14),dazhu(BL11),jingbailao(XE-HN14),hegu(LI4)).Acupuncture method of operation: choose the acupuncture needle,acupuncture depth varies from person to person,fat person can deep stab,thin people are shallow,not to pin all pierce,adopts unitary carried after the needle inserted flat filling-in catharsis,retaining needle 30 minutes after qi,pull out the needle cotton swabs after pressure to prevent hemorrhage.3.2 Moxibustion method: the moxibustion of wheat moxibustion is: dahuai-bi,great vertebra,bai-shuang-shuang-shuang.Wheat moxibustion operation: material selection routine moxa,wick of wheat to make it into the size of the ai(high specification for 4 mm,3 mm diameter at the bottom of the cone shape),shi jiu ahead of acupoints on the coat ed with purple flower oil,before buy again with moxa cone,when patients feel pain with cotton will moxa wick away,this is a bit strong 1,each acupuncture moxibustion total of five strong,each moxibustion quantity is given priority to with the subjective perception of pain in patients with first,objective body check is observed by the medical staff of sleek skin flush for degrees,moxibustion to wipe the skin after a grey foam,again in sleek coated with purple flower oil,prevent local skin damage,sparkling.3.3 Treatment course: this study is one course of treatment,one time for the next day and three times a week for 4 weeks(12 times)for one course of treatment.3.4 Evaluation indexes: the NPQ cervical pain scale was used as the main index,and the McGill pain scale(including PRI,VAS,PPI),sf-36 and cervical joint activity were secondary indicators.4.Curative effect evaluation: wheat for better evaluation of acupuncture and moxibustion treatment of neck type of cervical spondylosis curative effect,after the guidance of clinical practicability,the curative effect of this study is divided into real-time,recent and forward curative effect,time of treatment respectively with 4 weeks,3 months,6 months,scale,effect of different period for statistics and analysis.5.Statistical analysis: the statistical software package was analyzed by SpSS18.0,and the comparison between the two groups in the group and the comparison between the groups was conducted by rank sum test and t test.Descriptive statistics or chi-square test were used in the analysis method.Results:This study recruited 90 dedical cases.In the treatment group,there were one loss of the patients in the treatment group for dismision,another case was aborted in the treatment group,wh ich accounted for 6.7% of the total observed cases,and 28 cases were completed.In the control group 1,2 patients were sheded for treated on a irregular basis and took Chinese medicine privately,which accounted for 6.7% of the total observed cases,and 28 cases were completed.2 patients in the control group 2 were not treated on time due to the busy work,and one case was not treated on time due to the burning pain,which accounted for 10.0% of the total observed cases,and 27 cases were completed in the treatment group.The sex,age,medical history in these three groups are comparable.Before treatment,the difference in Mcgill pain scale scores,NPQ neck pain scale scores,SF-36 scores and Cervical joint activity scores have no statistical significance,they ar e comparable.(1)Mcgill pain scale scoresThe McGill pain scale scores change(including PPI,VAS,PRI)of three groups shown differences statistically significance(P<0.05)after treatment of second week,third week,fourth week and followed up for 3 months,which illustrated that there were different in improving The McGill pain scale scores in these three methods and the method in the treatment group was the best one.There was no significant difference in McGill pain scale scores between the three groups(P> 0.05)during the follow-up period of 6 months after the treatment,indicating that there were no significant differences between the three methods in improving the long-term efficacy of McGill pain scale scores.(2)NPQ neck pain scale scoresThe NPQ neck pain scale scores change of three groups shown differences statistically significance(P<0.05)after treatment of second week,third week,fourth week and followed up for 3 months,which illustrated that there were different in improving NPQ neck pain scale scores in these three methods and the method in the treatment group was the best one.There was no significant difference in NPQ neck pain scale scores between the three groups(P> 0.05)during the follow-up period of 6 months after the treatment,indicating that there were no significant differences between the three methods in improving the long-term efficacy of NPQ neck pain scale scores.(3)SF-36 scoresIn the initial stage of treatment,at the second week,the patients in the three groups showed a decrease in the score of the SF-36 scores scores,but the difference in efficacy was not statistically significant(P>0.05).And the SF-36 scores scores change of three groups shown differences statistically significance(P<0.05)after treatment of third week,fourth week and followed up for 3 months,which illustrated that there were different in improving SF-36 scores in these three methods and the method in the treatment group was the best one.There was no significant difference in SF-36 scores between the three groups(P> 0.05)during the follow-up period of 6 months after the treatment,indicating that there were no significant differences between the three methods in improving the long-term efficacy of SF-36 scores.(4)Cervical joint activity scoresThe cervical joint activity scores change of three groups shown differences statistically significance(P<0.05)after treatment of second week,third week,fourth week and followed up for 3 months,which illustrated that there were different in improving cervical joint activity scores in these three methods and the method in the treatment group was the best one.There was no significant difference in cervical joint activity scores between the three groups(P> 0.05)during the follow-up period of 6 months after the treatment,indicating that there were no significant differences between the three methods in improving the long-term efficacy of cervical joint activity scores(5)Treatment sfficacy evaluationAfter tne treatment,the effective rate of the treatment group was 92.86%,while the control group 1 was 71.43% and the control group 2 was 66.67%.The treatment group's effective rate was higher than the control groups.At the follow-up visit after 6 months,the effective rate of the treatment group was 89.29%,while the control group 1 was 64.29% and the control group 2 was 62.96%.The treatment group's effective rate was higher than the control groups.At the follow-up visit after 6 months,the effective rate of the treatment group was 82.14%,while the control group 1 was 60.71% and the control group 2 was 55.56%.There was no significant difference in clinical efficacy between the three groups.Conclusion:The acupuncture and wheat moxibustion therapy in Neck three neddles can effectively improve clinical symptoms of the neck type of cervical spondylosis patients which were effective in the treatment of cervical spondylosis.Both can significantlt reduce neck pain and improve the ability of the neck of patients.Both can treat the cervical spondylosis safely and effectively.Acupuncture combined with the wheat moxibustion have better effect than other two methods,deserving a full scale promotion in clinical practice. |
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