Clinical Observation Of Conventional Acupuncture Combined With Moxibustion At Yintang Point On Cervical Spondylosis Of Vertebral Artery Type

Objective:To observe the clinical effect of conventional acupuncture and moxibustion Yintang acupoint in the treatment of cervical spondylosis of vertebral artery type.Methods:This study was conducted using a randomized controlled study.A total of60 patients with cervical spondylosis of vertebral artery type or mixed cervical spondylosis mainly of vertebral artery type who met the inclusion criteria were randomly divided into observation group and control group according to random number table,with 30 cases in each group.The control group used conventional acupuncture treatment of cervical spondylosis,and the observation group added moxibustion to Yintang point on the basis of the control group,and Yintang rotary moxibustion was used in Yintang point for35 to 45 minutes.Both groups were treated once a day,with 5 days for 1course,with 2 days of rest between courses and courses,and a total of 4courses of treatment.Symptoms and functional assessment scale scores(Evaluation Scale for Cervical Vertigo,ESCV)and neck pain scores(Visual Analogue Scale / Score,VAS),And the clinical efficacy of the two groups after treatment,and the statistical analysis of the observations.Results:(1)Results of clinical efficacy in the two groups: In the observation group,5 cases were clinically cured,9 cases were markedly effective,15 cases were effective,1 case was ineffective,with an overall response rate of 96.67%;in the control group,2 cases were clinically cured,5 cases were markedly effective,19 cases were effective,4 cases were ineffective,with an overall response rate of 86.67%.The overall response rate of the control group was(96.67% VS 86.67%),and the difference had no statistical significance(χ~2=1.964,P=0.161).However,the rank sum test showed that the difference in the clinical efficacy between the two groups had statistical significance(Z=-2.128,P=0.033),and the clinical efficacy of the observation group was better than that of the control group(P<0.05).(2)ESCV Scale Score Results:The ESCV scale score of the observation group after treatment(24.13±1.77)was higher than that before treatment(14.40±1.16),and the difference had statistical significance(P<0.05);the ESCV scale score of the control group after treatment(22.10±2.35)was also higher than that before treatment(14.46±1.45),and the difference had statistical significance.However,after treatment,the ESCV scale score in the observation group(24.13±1.77)was higher than that in the control group(22.10±2.35),and the difference was statistically significant(P<0.05).After treatment,the scores of 5 dimensions of ESCV scale,including "vertigo","neck and shoulder pain","headache","daily life and work" and "psychological and social adaptation",were compared between the two groups.Except for "neck and shoulder pain",the scores of the other 4 dimensions were higher than those of the control group,and the differences were statistically significant(P<0.05).(3)Results of VAS score of neck pain: The VAS score of neck pain in the observation group after treatment(2.27±1.23)was lower than that before treatment(5.37±1.16),and the difference had statistical significance(P<0.05).The VAS score of neck pain in the control group after treatment(2.20±1.24)was also lower than that before treatment(5.30±1.18),and the difference had statistical significance(P<0.05).However,there was no significant difference in VAS score of neck pain between the observation group(2.27±1.23)and the control group(2.20±1.24)(P>0.05).Conclusion:(1)Simple conventional acupuncture is an effective treatment for cervical spondylosis of vertebral artery type,but conventional acupuncture based moxibustion at Yintang point can significantly improve the clinical efficacy.(2)Conventional acupuncture and conventional acupuncture combined with moxibustion at Yintang point can improve the symptoms related to cervical spondylosis of vertebral artery type,but in improving vertigo and headache symptoms,as well as improving daily life and work,psychological and social adaptability,conventional acupuncture combined with moxibustion at Yintang point is superior to conventional acupuncture therapy alone.(3)Conventional acupuncture combined with moxibustion at Yintang point is effective in treating cervical spondylosis of vertebral artery type,with uncomplicated operation.It is worthy of being widely popularized in the clinical application.