| ObjectiveThis paper aimed to evaluate the influence of Jing-moxibustion on patients with cervical spondylosis of different diease courses among the young and middle-aged patients and discussed the correlation between the efficacies of Jing-moxibustion with the disease course of cervical spondylosis.MethodsThis study use a prospective design with 104 eligible cases included.According to the different course of the cervical spondylosis history.Subjects were divided into three groups,Group A: the course equal 1 year or less with 35 cases;Group B: the course between 1 year and 5 years(incluidng)with 35 cases;Group C: disease course beyond 5 years with 34 cases.All the three groups were treated with Jing-moxibustion.Acu-points1.EX-HN15,SI-15,GB-21,BL-15,BL-19,BL-23,all points use both sides;2.EX-HN21,SI-14,BL-11,SI-11,BL-14,BL-22,all points use both sides;The above two groups of acu-points were used alternately.Acupoint positioning: referring to the national standard of the People's Republic of China in 2006(GB/T 12346-2006),the Name and Location of Acupoints.OperationIn the treatment,a small amount of oil is applied to the above acupoints,which can act as adhesion and anti-scald.Use the mold to make a moxa cone of 2.0mm x 3.0mm,then place them on the points and light it.When the moxa cone is lit,press the stopwatch(set the stopwatch to 6 seconds in advance)and remove the moxa cone in time after the bell ring.Period of treatment10 treatments were a course of treatment,2 times a week,and the treatment interval should be longer than 48 hs.The subjects had to complete 8-10 treatments within 5 weeks.Evaluate timeing and indicators.The evaluating time was at the beginning of the first treatment,after the fifth treatment,at the end of the treatment period,and at the follow-up period with 1 month.The Northwick Park cervical pain scale(NPQ)and the 36-item Short Form Survey Instrument(Sf-36)were used to observe the efficacy,and the adverse reactions and side effects were recorded in the study.StatisticsThe colleeted data were inputted to a database set up Excel2010 and analyzed by SPSS20.0 with methods including descriptive analysis,analysis of variance,Kruskal-Wallis,and chi-square test.Results1.The baselineA,B,C three groups of patients before treatment demographic and baseline comparison,evaluation indexes in gender(P=0.450),age(P=0.578),occupation(P=0.654),neck pain frequency(P=0.270),the duration(P= 0.317),long-term bend or not(P=0.593),TCM syndrome types(P=0.952),western medicine diagnosis(P=0.729)and NPQ score(P=0.113),SF-36 score(P=0.468)were no obvious difference.2.Score of NPQ scale.At the end of the treatment,the total score of NPQ scale in the three groups showed a decreasing trend compared with the score before treatment.Group comparison: three groups of treatment,treatment after 5 times at the end of the score was decreased,the follow-up 1 month is slightly rise at the end of treatment,differences in the group with statistical significance(P<0.01).Comparison between groups: after the fifith treatment,there were significant differences between group A and group B compared to group C(P< 0.01),and there was no significant difference between group A and group B(P=0.504).At the end of the treatment,the difference between group A and group C was statistically significant(P=0.003),and there was no statistically significant difference between group B and group A and group C(P>0.05).During the follow-up of one month,the differences between group C and group A and group B were statistically significant(P<0.01),and the difference between group A and group B was not statistically significant(P=0.354).A,B,C three groups of subjects in the process of before and after treatment and follow-up reducing rates had no statistical difference(P>0.05),group A and group C compared after treatment for five times,reducing rates were statistically significant(P=0.034).Repeated measurement variance analysis: the time factor between different groups was statistically significant(P<0.01),and the grouping factors were statistically different(P=0.006).But there was no interaction between time factor and grouping factor(P=0.198).The results showed that subjects A,B and C had significant improvement in the score of NPQ scale.In the improvement of NPQ scale,group A and group B were better than group C.There was no significant difference between group A and group B in improving NPQ scale score.3.SF-36 scale scoreAt the end of the treatment of the three groups,the score of SF-36 was higher than that before treatment.Group comparison: The score before treatment,after the fifith treatment and at the end of the treatment were rising,the follow-up of 1 months is a bit down at the end of treatment,there were statistically significant difference(P< 0.05),in which the group B compare the follow-up 1 month score before treatment,there was no statistically significant difference(P=0.058).Comparison between groups: there was no statistically significant difference between the three groups after the treatment(P>0.05).The results showed that subjects A,B and C had significant improvement in SF-36 score.There was no significant difference between group A,group B and group C in the improvement of SF-36 score.4.EfficiencyThe total effective rate of group A,group B and group C at the end of treatment was 75.0%,65.5% and 54.8% respectively,and the difference was statistically significant(P=0.022).In terms of efficiency,group A was better than group B and group C,and group B was better than group C.5.Correlation analysisAt the end of the treatment,Spearman rank correlation coefficient and Kendall rank correlation coefficient were used to analyze the correlation between the outcome index and the course of disease.At the end of the treatment,the correlation between NPQ reduction rate and course of disease was r=-0.303,P=0.004,r=-0.214 and P=0.003.At the end of the treatment,the correlation between sf-36 and the duration of the disease was observed,and the correlation coefficients were r=0.108,P=0.316,r=0.076,P=0.301.The results showed that NPQ was negatively correlated with the rank of the disease,and the correlation between SF-36 and the course of disease was not statistically significant(P>0.05).According to the results of the NPQ scale,the longer the patient's cervical spondylosis,the worse the effect.On the contrary,the shorter the course of cervical spondylosis,the better the effect.6.Shedding and removal rate.A total of 96 subjects were recruited in this study,88 of which were effective,including 28 in group A,29 in group B and 31 in group C.There were 8 cases in total,including 3 in group A,4 in group B,1 in group C and 2 in group C.The total shedding rate was 8.3%,and the rejection rate was 2.1%.ConclusionJing-moxibustion technology is effective in treating patients with cervical spondylosis with different diseases,and the longer the course of disease,the worse the effect.NPQ scale score improvement of Group A and Group B were better than Group C,while there was no tatistically significant difference between Group A and Group B;There was no statistically significant difference between the three groups in the score improvement of SF-36 scale. |
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