| Purpose: To observe the therapeutic effect of Naftaran oil on cervical spondylotic myelopathy（CSM）patients with neck and shoulder tendon injuries,and to analyze the skin temperature changes of patients with TDP irradiation treated with Naftaran oil,so as to expand the therapeutic range of Naftaran oil.Material and method:60 patients with cervical spondylotic myelopathy from January 2017 to January 2018 were randomly divided into three groups with 20 cases in each group.The observation group was treated with TDP lamp combined with Naftalan oil brushing knot tendon lesions,the control group 1 was treated with TDP lamp irradiation,and the control group 2 was treated with TDP lamp combined with Naftalan oil brushing meridian points.All kinds of patients were treated three times a week for 4 weeks.The efficacy,safety index and skin temperature of patients were observed.VAS pain score and JOA cervical vertebra score were observed before treatment,two weeks later and four weeks later,and the curative effect was evaluated after treatment.Twenty patients were randomly divided into Naftalan oil group and control group,10 in each group.Naftalan oil group was smeared with Naftalan oil on the lesions and acupoints of tendon formation,while the control group was not smeared with Naftalan oil.Infrared thermometer was used to observe the changes of skin temperature at the lesion point and acupoint area before and 1,2,4,8,16 and 20 minutes after TDP irradiation and 2,4,6,8,10 minutes after irradiation.Skin temperature curves were drawn and compared before treatment,at the end of irradiation and 10 minutes after irradiation.Results: 1.1.60 cases of clinical research showed that the observation group effective rate85.00%,60.00% markedly effective,control group 1 effective rate55.00%,markedly effective above 20.00%,control group 2 effective rate 70.00%,markedly effective above 35.00%.By2 test,the difference between the effective rate and the obvious rate between the two groups were statistically significant,the observation group and the control group were significantly different.Compared with the control group 1,there was no significant difference between the observation group and the control group 2.Compared with 2.VAS score,there was no significant difference in VAS scores between groups before treatment（p>0.05）.After treatment,VAS scores of each group were significantly lower than those of the control group（p < 0.05）.The VAS scores of each group were significantly lower than those of the control group（p < 0.05）.The Nemenyi method showed that there was significant difference between the control group 2 and the control group 1（p < 0.05）.The difference between the control group 1 and the observation group was statistically significant（p < 0.05）.The difference between the control group 2 and the observation group was statistically significant（p < 0.05）.After treatment,the VAS scores of each group were compared,the observation group < Control 2 group < Control 1 group,the data of each group did not conform to normal distribution,the difference was statistically significant by rank sum test（p < 0.05）.The comparison between the two groups by Nemenyi method showed that the difference between the control group 2 and the control group 1 was statistically significant（p < 0.05）,the difference between the control group 1 and the observation group was statistically significant（p < 0.05）,and the difference between the control group 2 and the observation group was not statistically significant（p > 0.05）.There was no significant difference in JOA score between the 3.JOA scores and rank sum test before treatment（p>0.05）.After treatment,the JOA score of each group was significantly lower than that of the control group（p < 0.05）,and the difference was statistically significant（p < 0.05）.The difference between the two groups was statistically significant（p < 0.05）,the difference between the two groups was statistically significant（p < 0.05）,and the difference between the two groups was statistically significant（p < 0.05）.The data of group A accorded with normal distribution,and the difference was statistically significant（p < 0.05）by one-way ANOVA test.LSD method showed that there was significant difference between control group 2 and control group 1（p < 0.05）.There was significant difference between control group 1 and observation group（p < 0.05）.There was no significant difference between control group 2 and observation group（p > 0.05）.4.The results of skin temperature correlation study showed that there was no significant difference in skin temperature between the two groups before TDP irradiation.After TDP irradiation for 20 minutes,skin temperature,fascicular lesion point and acupoint skin temperature of the Naftalan oil group were higher than those of the control group.The difference was statistically significant.The fitting curve equation of the Naftalan oil group was as follows.Y = 2.79 * ln（X）+ 33.28,control group Y = 2.23 * ln（X）+ 33.69,Naftalan oil group skin temperature rise faster than the control group.Ten minutes after irradiation,there was no significant difference in skin temperature between the two groups.The fitting curve equation of Naftalan oil group was Y =-3.64 * ln（X）+ 42.19,and the control group was Y =-2.64 * ln（X）+ 38.72.The temperature of Naftalan oil group decreased slower in the early stage than that of the control group,and faster in the later stage than that of the control group.Conclusion: 1.TDP combined with Naftalan oil is effective in treating cervical spondylotic neck and shoulder muscle injury.2.the focal points of the tendons and the point rubbed can reduce the symptoms of neck and shoulder pain.3.Naftalan oil can obviously regulate the skin temperature of the lesion spot and acupoint area of the patients with TDP lamp irradiation,increase the skin temperature and delay the decrease of temperature. |
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