Effect Of Extracorporeal Shock Wave Meridian Acupoint Selection On Symptoms Of Neck Type Cervical Spondylosis With Wind-cold-dampness

Objective:To explore the effect of extracorporeal shock wave meridian acupoint selection on the symptoms of neck pain and cervical spine movement dysfunction in patients with neck type cervical spondylosis(NTCS)of wind-cold-dampness type,so as to improve the intervention effect and explore a new way for clinical intervention.Methods:A randomized controlled study was conducted.From December 2021 to October2022,70 patients with NTCS of wind-cold-dampness type who were admitted to the Department of Spine Orthopedics of a third-class A hospital of traditional Chinese Medicine in Gansu Province were selected as the research objects.The number(01-70)was randomly divided into the experimental group and the control group according to the ratio of 1:1 by random number generator,with 35 cases in each group.On the basis of routine nursing,the control group was treated with conventional extracorporeal shock wave method and pain point shock wave intervention.The patients in the experimental group were treated with the extracorporeal shock wave acupoint selection method along with the shock wave Yang meridian and experiential effect acupoint intervention.The Zu Taiyang Pangguang meridian and its Dazhu,and the Shou Yangming large intestine meridian and its Quchi,Biru and Jianyu,the Shou Taiyang small intestine meridian and its Houxi,Jianzhen,Rushu,Tianzong,Jianwaishu as well as the experience effect acupoint including ashi point,Jing Jiaji,Jianjing and Jingbailao.The two groups were selected pneumatic ballistic shock wave,D15 probe,the frequency was 10～15 Hz,the pressure was 1.5～2.5bar,and the total number of shocks was 3000 times.The intervention was performed once every two days,and the intervention was performed 5 times continuously.The visual analogue scale(VAS)score,neck disability index(NDI)score,range of motion(ROM)score,cervical spondylosis symptom and sign grading quantitative table score before and after intervention.Adverse reactions were recorded.SPSS 21.0 software was used to analyze the data with relevant statistical methods.Results:1.Case completion: This study finally completed 68 cases,with 1 case dropped out of the experimental group and 1 case excluded in the control group,the dropout rate of this study was 2.8%,which met the statistical requirements.2.Comparison of general data: before intervention,there was no statistically significant difference in gender,age and course of disease between the two groups(P>0.05),which was comparable.3.Comparison of VAS scores: before intervention,there was no statistically significant difference in VAS scores between the two groups(P>0.05),which was comparable.After intervention,the VAS scores of the two groups decreased within the group,and the difference was statistically significant(P<0.05).The VAS score of the experimental group decreased significantly,and the difference was statistically significant(P<0.05).4.Comparison of NDI scores: before intervention,there was no statistically significant difference in NDI scores between the two groups(P>0.05),which was comparable.After the intervention,the NDI scores of the two groups decreased,and the difference was statistically significant(P<0.05).Compared with the control group,the NDI score of the experimental group decreased significantly(P<0.05).5.Comparison of ROM scores of cervical spine joints: Before intervention,there was no statistically significant difference in ROM scores of cervical spine joints in 6directions(flexion,extension,left rotation,right rotation,left flexion,right flexion)between the two groups(P>0.05),which was comparable.After intervention,compared within the group,the ROM scores of 6 directions of cervical joint in the two groups increased,and the differences were statistically significant(P<0.05).The ROM scores of the 6 directions of the cervical spine in the trial group were significantly higher than those in the control group(P<0.05).6.Comparison of the scores of the symptoms and signs scale of cervical spondylosis: before intervention,there was no statistically significant difference in the scores of the symptoms and signs scale between the two groups(P>0.05),which was comparable.After the intervention,the scores of the symptom and signs scale of the two groups decreased,and the difference was statistically significant(P<0.05).The scores of the Cervical Spondylosis Symptoms and Signs scale in the experimental group were significantly lower than those in the control group(P<0.05).7.Comparison of efficacy grades : in the experimental group,5 cases were cured,13 cases were markedly effective,15 cases were effective,and 1 case was ineffective,with an effective rate of 97.1%.In the control group,0 case was cured,5 cases were markedly effective,21 cases were effective,and 8 cases were ineffective,with an effective rate of 76.5%.There was statistically significant difference in the effective rate between the two groups(P<0.05).8.Adverse reactions: no adverse reactions occurred in the two groups during the intervention.Conclusion:Extracorporeal shock wave meridian acupoint selection can effectively relieve the pain of NTCS with wind-cold-dampness patients,improve cervical mobility dysfunction,and alleviate the symptoms and signs of cervical spondylosis.It is safe and reliable in the short term,and is worthy of clinical promotion and application.