Clinical Observation On The Treatment Of Vertebral Artery Type Of Cervical Spondylosis By Surrounding Needling In Suboccipital Muscles And Cervical Stability Training

objective:Comparison of the clinical efficacy of surrounding needling in suboccipital Muscles combined with cervical stability training,conventional acupuncture and neck stability training in the treatment of vertebral artery type cervical spondylosis,the results were statistically analyzed,and the difference of the curative effect between the two methods was studied and the safe and efficient treatment optimization scheme was discussed and the two evaluation indexes(Cervical spondylosis of vertebral artery type-Goal Attainment Scale and Neck Disability Index)correlation analysis,provide the basis for clinical application.The target achievement scale.Method:A total of 70 patients were included in the study,6 cases were dropped out,and 64 patients completed the whole study.33 cases of suboccipital muscle circumference and neck stability training group(treatment group)were divided into 33 cases and conventional acupuncture combined with neck stability training group(control group)and 31 cases of control group were treated with conventional acupuncture.The treatment group was treated with suboccipital muscle perimeter in two groups with stability training and treated for 2 weeks.Neck Disability Index NDI(cervical spondylosis of vertebral artery type-goal attainment)was compared before and after treatment,and the curative effect was evaluated.Result:1.baseline analysis:two groups of patients in terms of gender,age,duration of no significant difference(P>0.05),comparable.2.Cervical spondylosis of vertebral artery type-Goal Attainment Scale:the two groups before treatment,the control group,the difference was not statistically significant(u=429.50,P>0.05),comparable.The two groups after treatment control group,the difference was statistically significant(u=253.00,P<0.05),indicating that the treatment group is better than the control group.The difference between the two groups was statistically significant(ui=0.00,P<0.05,u2=47.50,P<0.05),indicating that the symptoms of the two groups improved after treatment.3.Neck Disability Index:The two groups before treatment groups had no significant difference(t=-1.729,P>0.05),comparable.There was a significant difference in the NDI score between the two groups after treatment(ti=18.3,P<0.05,t2=12.39,P<0.05),indicating that the two groups were effective.There was a significant difference between the two groups after treatment(t=-6.53,P<0.05),indicating that the treatment group was better than the control group.4.Comparison of clinical efficacy:After treatment between the two groups had no statistically significant differences in the efficiency of(X2=0.00,P>0.05).The effective rate between the two groups after treatment,there was significant(X2=6.34,P<0.05),suggesting that the efficiency of the treatment group was higher than that of the control group.5.Neck Disability Index(NDI)of Cervical spondylosis of vertebral artery type-Goal Attainment Scale(CSA-GAS)score correlation,the results showed that the two data were linear correlation(Spearman related =-0.81,P<0.05).Conclusion:Surrounding needling in suboccipital muscles therapy and conventional acupuncture therapy have certain effect on cervical spondylosis of vertebral artery type.Suboccipital muscle combined with the stability training group optimizes the treatment scheme for the pathogenesis of vertebral artery type cervical spondylosis,which is worth further promoting.Cervical spondylosis of vertebral artery type-Goal Attainment Scale and Neck Disability Index are complementary to each other in curative effect evaluation,which is worthy of further exploration and application.