| ObjectiveUsing simple randomized control method, cervical three needles with septal ginger moxibustion and electroacupuncture treatment of neck type cervical spondylosis in McGill pain scale, NPQ quantity scale score changes and the efficacy of treatment differences. The treatment group was treated with three needles and ginger moxibustion, and the control group was treated by electro acupuncture. To investigate the effectiveness of cervical three needle moxibustion combined with ginger moxibustion for cervical cervical spondylosis.MethodsThe 2014-2015 January in January, in the clinical diagnosis of acupuncture clinic of the First Affiliated Hospital of Guangzhou University of traditional Chinese medicine for cervical spondylopathy and in accordance with the included 60 cases of standard cases of patients, according to the random number table is divided into cervical three needles combined with septal ginger moxibustion treatment group (30 cases), electro acupuncture control group (30 cases). Diagnostic standard according to the State Administration of traditional Chinese medicine, the TCM syndrome diagnosis and curative effect standard "and the second session of the cervical vertebra disease summary of the Forum on the neck type of cervical spondylosis of diagnostic criteria of Western medicine, TCM diagnostic criteria and the syndrome standard reference state administration of traditional Chinese medicine in 1994 the TCM syndrome diagnosis and curative effect standard" in cervical vertebra disease diagnostic criteria (ZY/T001.1-001.9-94 the TCM disease syndrome diagnostic efficacy of standards promulgated ").All the cases were observed and treated according to the design requirements, and the cases were randomly based on the method of digital table. The treatment group with cervical three needles combined with interval ginger moxibustion treatment, acupoints for Jing Bailao (double),Dazhu (double),Tianzhu (double), Jianjing (ipsilateral),Quchi (ipsilateral) and Cervical Jiaji, needle for 30 minutes after, in Jing Bailao (double), Dazhu (dual) ginger partitioned moxibustion on a total of 5 strong. Every other day for 1 times,7 times for a course of treatment, a total of 1 courses of treatment. Control group was treated with electro acupuncture, acupoints in the same group, after acupuncture in bilateral carotid Bailao and shuttle of a loom large hole connected to EA, plus ipsilateral neck Bailao and shuttle of a loom large hole current in the same group, using density wave, the frequency is 15 times per minute, the size of the current to patients tolerated for degrees, the needle for 30 minutes. Every other day for 1 times,7 times for a course of treatment, a total of 1 courses of treatment. Curative effect was evaluated according to the "Chinese disease diagnosis and efficacy standards" formulation of cervical spondylosis efficacy evaluation criteria, Jane’s McGill pain scale and NPQ amount table comprehensive evaluation score. Respectively before treatment and 7 times and treatment over 1 month after the amount of McGill table comprehensive evaluation and NPQ quantity, for 7 times and treatment over 1 month after the calculation clinical efficacy, to 7 times after treatment and compared the adverse reactions.Results(1) Two group patient safter McGill Pain Questionnaire total score between the two groups, the difference was statistically significant (P<0.01), explain the treatment group in reducing the total McGill score is better than that of control group.The two groups before and after treatment of Jane’s McGill Pain Questionnaire total score comparison within group, the difference was statistically significant (P<0.01), the two methods can reduce the neck type of cervical spondylopathy with McGill Pain Questionnaire total score, improve symptoms.(2) Compared two groups of patients after treatment of PRI, VAS and PPI score, there was statistical significance between the two groups were compared after treatment in the three aspects of the difference score (P<0.01), control group and lower PRI, VAS,PPI scores were better than the control group;group comparison, the two groups before and after treatment differences were statistically significant (P<0.01).explain two groups of PRI,VAS and PPI score can change overtime, the two groups were significantly lower than before treatment, the two methods can improve the dysfunction of patients with the neck type of cervical spondylosis.(3) The NPQ neck pain scale score of patients in the two groups after treatment were compared between groups, there were statistically significant differences between groups after treatment (P<0.01),explain the treatment group in reducing NPQ neck pain scale score is better than that of control group.In the NPQ group before and after treatment in the two groups of neck pain scale score difference was statistically significant (P<0.01), the two methods can reduce the neck type of cervical spondylosis patients NPQ neck pain scale score,improve symptoms.(4) Comparison of the efficacy of the two groups after treatment:treatment group total effectiveness is 93.3%, the control group the total effective rate was 70%, statistically significant differences, indicating that treatment group is better than control group.ConelusionIn summary, cervical three needles with ginger partition moxibustion and electroacupuncture treatment of neck type cervical spondylosis have better clinical efficacy, including of neck pain duration and pain intensity, in a certain extent reduces the PRI, VAS, PPI Evaluation Scale total score, and can fully improve the cervical spondylosis patients the function and quality of life. But the three needle and moxibustion of Moxibustion in combination with moxibustion is more advantageous than electro acupuncture treatment. To reduce neck type cervical spondylosis patients with PRI, VAS, PPI evaluation quantity form of total score, cervical three needles with ginger partitioned moxibustion group after short-term treatment can be effective, and EA group compared to longer treatment time; in improving the quality of life in patients with neck type cervical spondylosis and reduce the amount of NPQ scale ratings points and cervical three needles with septal ginger moxibustion treatment group compared with the acupuncture group also showed obvious advantages for the treatment, can improve the symptoms in a shorter time. In contrast, in improving the quality of life of patients, the neck three needle combined with ginger moxibustion therapy than electroacupuncture has a greater advantage. |
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