The Clinical Efficacy’s Observation On Cervical Spondylotic Radiculopathy By The Acupuncture Treatment Combining Distribution Of Terminal Branch Of Brachial Plexus With The Circulation Of Meridian

Objective: Through randomized controlled clinical trial,observing Cervical spondylotic radiculopathy`s therapeutic effect by the method of acupuncture combining distribution of terminal branch of brachial plexus with the meridians line,and compare to a controlled group which was treated with conventional acupuncture method.Methods: In this study,we divided 70 patients who meet our standards into two groups,experimental group and control group in average,and each group has 35 cases.Experimental group mainly received the acupuncture treatment combining distribution of terminal branch of brachial plexus with the meridians line,control group received conventional acupuncture.Every group receives two courses treatments,and each course has 10 treatments.After receiving 5 treatments,all patients take a rest of 2 days.After 2 courses the Short-From of McGill pain Questionnaire(SP-MPQ)、 Hamilton Anxiety Scale(HAMA)、 Neck disability index(NDI)、 the MOS item short from health survey,SF-36 would be taken to evaluate curative effect.Results:(1)In this study,a total of 67 cases were completed,respectively,34 cases of the experimental group,one case droped off,33 cases of the control group,two cases droped off.(2)The total effective rates of the experimental group was 94.12%and the control group was 87.88%.There was no significant difference between the two groups(P > 0.05).The cure and efficiency rate of the experimental group was67.65%,the control group was 33.3%.There was a difference between the two groups(P<0.05).(3)After treatment,the scores of PRI、VAS and PPI decreased in both two groups.And there was a significant difference between the two groups(P <0.05),the treatment group was superior to the control group.(4)Total scores of 20 points compared to pretreatment were decreased in both groups,and there was a significant difference(P <0.01).There was a difference between the two groups in the total score of 20 points and points of symptoms and signs after treatment(P <0.05)and the treatment group was superior to the control group.There was no significant difference between the two groups in hand function points as well as life and work ability(P>0.05).(5)There was a significant difference by comparing between groups or withinthe group of NDI score.The experimental group is better than the control group.(6)The incidence of anxiety both decreased in both groups,and the scores of the two groups had significant difference comparing to pretreatment(P<0.01),and statistical significance between groups.The treatment group was superior to the control group.(7)There was a significant difference of SF-36,scores comparing to pretreatment(P<0.01).and no difference between the two groups(P> 0.05).(8)There was no recurrence case in the two groups after following-up the cured patients after 1 month of the treatment,but one case was relapsed after 2 months of the treatment in two groups,which was statistically significant(P >0.05).(9)During the treatment,there was one adverse event in each group.After processing,the treatment was continued.The rest of the patients had no adverse event.And the safety evaluation of the two methods are safe.Conclusion: On the treatment of CSR,both methods are effective.The acupuncture treatment combining distribution of terminal branch of brachial plexus with the meridians line is more better than the conventional acupuncture treatment in improving the patients’ pain,symptoms and signs,reducing the disability index,and improving patients’ anxiety.