A Clinical Study Of Effect Of Different Acupuncture Treatment On Cervical Spondylosis Based On CER

ObjectiveIn order to compare the effectiveness of three different acupuncture treatment(acupuncture, acupoint injection and bloodletting) on the cervical spondylosis under real-world conditions,this study was designated base on comparative effectiveness research(CER). We use patient-reported outcomes (PRO) mode to compare the short-term and mid-term effectiveness of the three methods above.MethodsSubjects are recruited from acupuncture department in Guangdong Provincial Hospital of TCM.150 subjects were divided into 3 groups: standard control group(routine acupuncture group), acupoint injection group and bloodletting group. Case Report Forms (CRF) were filled in in four time points (before treatment, after treatment,1 month after treatment and 3 month after treatment). NPQ scale is main outcome indicators and SF-36 scale is supplementary outcome indicators. Statistical datas were analyzed by SPSS20.0 for windows.Results1.143 Subjects were recruited and divided into 3 groups:48 cases in standard control group(routine acupuncture group),48 cases in acupoint injection group and 47 cases in bloodletting group. The baseline was confirned by spss20.0 analysis for pre-treatment:sex(P>0.05),age(P> 0.05), duration of course (P>0.05), NPQ(P>0.05), SF-36 (P>0.05) showing no significant differences.2. Statistics show that there are significant differences(P<0.05) in NPQ Within-Subjects Contrasts, which mean that both 3 groups have definite effect in relieving neck pain. Then NPQ Between-Subjects Contrasts show that there are not significant differences (P> 0.05) between standard control group and acupoint injection group, but there are significant differences (P< 0.05) between bloodletting group and the 2 groups above. These results suggest that effects of standard control group and acupoint injection group are similar but bloodletting group is inferior to the 2 groups above.3. Statistics show that there are significant differences (P<0.05) in SF-36 Within-Subjects Contrasts, which mean that both 3 groups have definite effect in improvement of quality of life. Role-Physical (RP) and Vitality(VT) Between-Subjects Contrasts show that there are significant differences(P<0.05),which mean that acupoint injection group has better effect in those 2 aspects than the other 2 groups.ConclusionAcupoint injection group and standard control group have similar effect in relieving neck pain. Acupoint injection group has better effect in improvement of Role-Physical(RP) and Vitality (VT) than the other 2 groups. Bloodletting group and standard control group have similar effect in improvement of quality of life. But bloodletting group has poor effect in relieving neck pain compared with the other 2 groups.