Clinical Study On Treatment Of Cervical Spondylotic Ridiculapathy With Acupuncture Kinesiotherapy

ObjectiveTo observe the clinical effect of acupuncture exercise therapy on cervical spondylotic radiculopathy(CSR).By comparing the clinical effect with routine acupuncture,three scores were made before treatment and after the first and second courses of treatment.To evaluate the related scale,and provide the basis for acupuncture exercise therapy in the treatment of CSR.Methods60 cases of cervical spondylotic radiculopathy were selected from the outpatient department of Acupuncture Department of Wuhu traditional Chinese medicine hospital.The 60 patients were divided into control group(routine acupuncture)and treatment group(acupuncture exercise therapy)according to the random number table,30 cases in each group.The gender,age,course of disease,VAS pain score before treatment and symptom scale of 20 point method of Jingjiu nerve root cervical spondylosis in Tianzhong were recorded in the two groups,and statistical analysis was adopted to exclude the difference.According to the selection of acupoints for cervical spondylosis in the fourth edition of acupuncture therapeutics in the new century,the routine acupuncture group included Dazhui,Jiaji(double),Tianzhu(double),Houxi(double),Fengmen(double)and Fengfu.After each point is injected into the needle to get Qi,the flat tonic and flat purgative technique is used,and the needle is kept for 30 minutes,and the middle needle is applied once.In the acupuncture exercise therapy group,the third set of acupuncture points were the main points,and the matching points were Waiguan,Hegu,shousanli and Quchi.When the acupuncture gets Qi,keep the original sitting position,instruct the patient to do side flexion,forward flexion,back tilt,and rotate the head and neck;generally,move in the direction of severe pain,the movement range should be slow first,then slightly fast,first small,then large,the patient has the feeling of more and more relaxed,and keep the activity for 30 minutes during the retention period;during the period,perform the acupuncture once.At the end of the procedure,the needle is deliveredroutinely.Two groups were treated with 5 times as a course of treatment,each time about 30 minutes,once a day,a total of 2 courses of treatment.The changes of symptoms in the two groups were recorded and scored.The total effective rate of the two groups was compared and observed.After 1 or 2 courses of treatment,VAS pain score and cervical spondylosis symptom scale 20 score were developed.The data of the recorded indicators were sorted and analyzed statistically.Results1.The general conditions(gender,age,course of disease,etc.)of the two groups before treatment were statistically analyzed P<0.05,no statistical significance,comparable.2.After one course of treatment,the VAS pain score and Tianzhong Jingjiu symptom scale score of the two groups were significantly improved compared with the treatment(P < 0.05),but there was no significant difference between the two groups(P > 0.05),suggesting that the treatment effect difference could not be seen in one course of treatment.3.After two courses of treatment,the VAS pain score and Tianzhong Jingjiu symptom scale score of the two groups were significantly improved(P<0.05)compared with before and after one course of treatment,and the difference between the two groups was significant(P<0.05),suggesting that after two courses of treatment,acupuncture exercise therapy was significantly better than common acupuncture group in treating CSR.4.The total effective rate was 96.67% in the observation group and 86.67% in the control group,the difference was statistically significant(P<0.05).ConclusionAcupuncture and exercise therapy can effectively improve the clinical symptoms,signs and pain of patients with cervical spondylotic radiculopathy after 1 or 2 courses of treatment.After 1 course of treatment,there was no significant difference in symptoms and pain improvement between the two groups.After 2 courses of treatment,the curative effect of the treatment group was significantly better than thatof the control group,indicating that the longer the course of treatment was,the more significant the curative effect was in the observation group.