| ObjectiveIn this study,patients with cervical spondylosis were selected as the research object,and the contents of simple McGill pain questionnaire,Northwick Park neck pain scale,cervical vertebra function evaluation scale and the number of tendon points,the degree and distribution of tenderness before and after treatment were taken as observation indexes.Through the comparison of simple acupuncture,the clinical efficacy of acupuncture combined with acupuncture in the treatment of cervical spondylosis was observed,and the specific operation of acupuncture under the guidance of meridian theory and meridian theory was discussed.The purpose of this study is to further optimize the application of traditional acupuncture in improving pain symptoms and functional activities in patients with cervical spondylosis of cervical type.Methods1.Sixty patients with cervical spondylosis were randomly divided into observation group and control group,30 cases each.2.Method of operation:the observation group selected 2 to 3 focal points with the most obvious reaction to restore acupuncture,punctured 0.5 inch straight from the point of tendon,and then retreated to the skin,then needled the needle toward the direction perpendicular to the meridian tendon,changed the acupuncture direction to the left and right according to the feeling under the needle,at the same time,told the patient to cooperate with the fist,and then retreated the needle to the skin again,and the patient did passive or active joint rotation with the help of the doctor,at the same time,the patient was told to cooperate with the fist,and then the needle was returned to the skin again.Repeatedly,the amount of stimulation was based on patient tolerance and pain relief,combined with routine acupoints:cervical spine(bilateral),Tianzhu(bilateral),Dazhui,posterior stream(affected side),Shenmai(affected side),Xuanzhong(affected side).After routine disinfection of the above acupoints,the needle was lifted,inserted and twirled,and the needle was retained for 30min.The control group also selected the three focal spots with the most obvious reaction,and the routine acupoints were the same as those in the observation group,and all adopted common acupuncture techniques,that is,needle lifting and twirling manipulation were used to obtain qi,and needle 30min was retained.The patients were treated once every 2 days,6 times as a course of treatment,and 1 day off after 1 course of treatment,for a total of two courses of treatment.3.The neck tendon points and the degree of tenderness were recorded during the treatment,and the curative effect was evaluated according to McGill pain questionnaire(PRI score,VAS score,PPI score),Northwick Park neck pain scale and cervical vertebra function scale.Results1.Comparison of the scores of simple McGill pain scale(PRI,VAS,PPI):there was no significant difference between the two groups before treatment(P>0.05),indicating that there was comparability between the two groups.After two courses of treatment,the scores of patients in the two groups decreased,and the difference was statistically significant(P<0.05).The score of the observation group was significantly lower than that of the control group(P<0.05),indicating that the curative effect of the observation group was better than that of the control group.2.Comparison of the scores of Northwick Park neck pain scale:there was no significant difference between the two groups before treatment(P>0.05),indicating that there was comparability between the two groups.After two courses of treatment,the scores of patients in the two groups decreased,and the difference was statistically significant(P<0.05).The score of the observation group was significantly lower than that of the control group(P<0.05),indicating that the curative effect of the observation group was better than that of the control group.3.Comparison of the number of tendon points and the grade of tenderness:there was no significant difference between the two groups before treatment(P>0.05),indicating that there was comparability between the two groups.After two courses of treatment,there was significant difference in the frequency of patients between the two groups(P<0.05),and the average value of rank sum decreased,and the difference between the two groups was statistically significant(P<0.05).And the average value of rank sum in the observation group decreased more obviously,indicating that the curative effect of the observation group was better than that of the control group.4.Comparison of the score of cervical vertebra function scale:there was no significant difference between the two groups before treatment(P>0.05),indicating that there was comparability between the two groups.After two courses of treatment,the scores of patients in the two groups increased,and the difference was statistically significant(P<0.05).After comparison between groups,the score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05),indicating that the observation group was better than the control group.5.Comparison of pain effect:after two courses of treatment,the pain reduction rates of the two groups were 100%,in which the markedly effective rate of the observation group was 36.7%,and that of the control group was 6.7%,which was higher than that of the control group,and the difference was statistically significant(P<0.05).6.Overall efficacy comparison:after two courses of treatment,the total effective rate of the observation group was 93.3%,and that of the control group was 86.7%.The observation group was higher than the control group,and the comparison between groups was statistically significant(P<0.05).ConclusionThis study shows that acupuncture combined with acupuncture has a good effect on relieving pain symptoms and improving the functional activity of cervical vertebra in the treatment of cervical spondylosis of cervical type.As a classical acupuncture method for the treatment of tendon arthralgia in Nei jing,it has its unique advantages in the treatment of cervical spondylosis and is worthy of further clinical study and promotion. |
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