| Objective:To observe the clinical effect of Lee's pestle acupuncture and electroacupuncture at Jiaji points in the treatment of axial symptoms of postoperative cervical spondylotic myelopathy.Method:To adopt the research method of random contrast single blind,there are 30patients with axial symptoms of postoperative cervical spondylotic myelopathy were randomly divided into two groups:15 cases in the treatment group,15 cases in the control group.The treatment group was treated with pestle needle and electroacupuncture at Jiaji point,while the control group was treated with celecoxib capsule alone orally.The pain Visual Analogue score(VAS),Tsuji score of cervical axial symptom and NDI score of cervical spine dysfunction were compared before and after treatment,and the relapse rate of axial symptom after operation was observed within 3 months after treatment.Results:Before treatment,gender,age,course of disease,visual analogue scale of pain(VAS),Tsuji score of cervical axial symptom and NDI score of cervical spine dysfunction were compared between two groups by ANOVA and independent sample t test,Statistical analysis showed no significant difference(P>0.05),comparable.After the end of treatment,the observation of the two groups of indicators have changed accordingly:(1)The VAS scores of the two groups after treatment were decreased,within groups using paired samples t test,there were statistically significant differences(P<0.05),comparison between groups using independent sample t test showed no significant difference(P>0.05),the VAS scores of the two groups were similar after treatment,indicating that the two groups can improve the indicators,and improve the effect of considerable.(2)The Tsuji scores of the two groups were significantly increased after treatment,compared two groups,there were statistically significant differences(P<0.05),comparison of Tsuji scores between the two groups after treatment,there were significant differences(P<0.05),Tsuji score of the treatment group was higher than that of the control group,which indicated that two groups could improve the index,but the improvement effect the treatment group than the control group.(3)The NDI scores of the two groups were decreased after treatment,compared two groups,there were statistically significant differences(P<0.05),comparison of NDI scores between the two groups after treatment,there were significant differences(P<0.05),NDI score of the treatment group was lower than that of the control group,which indicated that two groups could improve the index,but the improvement effect the treatment group than the control group.(4)Comparison of the effects:Two groups were able to treat axial symptoms of postoperative cervical spondylotic myelopathy to a certain extent,by the Mann-Whitney U test analysis showed that there were significant differences between the two groups(P<0.05),the curative effect of the treatment group was better than that of the control group.(5)3 months recurrence rate comparison:after the end of treatment,the patients were followed up in 3 months.The X~2 test showed that there was a statistical difference between the two groups(P<0.05).The recurrence rate of the control group was significantly higher than that of the treatment group.Conclusion:(1)“The therapy of pestle needle with electroacupuncture at Jiaji point”and“simple oral therapy for patients with Celecoxib Capsules”for axial symptoms of postoperative cervical spondylotic myelopathy have different degrees of improvement.The total effective rate and cure rate,compared to the two groups have significant difference(P<0.05),the total effective rate and the cure rate of the treatment group were better than the control group,in the treatment of postoperative cervical axial symptoms,“The therapy of pestle needle with electroacupuncture at Jiaji point”has more advantages than“simple oral therapy for patients with Celecoxib Capsules”in the overall effect.(2)The visual analogue VAS showed that“The therapy of pestle needle with electroacupuncture at Jiaji point”and“simple oral therapy for patients with Celecoxib Capsules”had the same effect on analgesia(P>0.05),however the axial symptoms Tsuji score and neck disability index NDI score showed in improving axial symptoms and cervical dysfunction etc,“The therapy of pestle needle with electroacupuncture at Jiaji point”was significantly better than“simple oral therapy for patients with Celecoxib Capsules”(P<0.05).In the treatment of postoperative cervical axial symptoms,“The therapy of pestle needle with electroacupuncture at Jiaji point”has good clinical efficacy,is worthy of promotion.(3)“The therapy of pestle needle with electroacupuncture at Jiaji point”in the treatment of postoperative cervical axial symptoms,pestle needle therapy mainly to promote blood circulation,relax muscle adhesion,improve cervical dysfunction,and electroacupuncture at Jiaji point mainly to relieve pain,transport of degradation of inflammatory substances,restore the excitability of nerve tissue,both use can be effective in the treatment of postoperative cervical axial symptoms and the recurrence rate is low.(4)“The therapy of pestle needle with electroacupuncture at Jiaji point”is a safe,effective and convenient treatment of axial symptoms of postoperative cervical spondylotic myelopathy,can improve the satisfaction,improve the CSM treatment effect,it is worthy of clinical application and promotion. |
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