Clinical Observation On The Treatment Of Acute Stage Of Cervical Spondylotic Radiculopathy With Qi Stagnation And Blood Stasis By Using Cervical Pain Patch Combined With Electroacupunctur

Objective: To evaluate the effectiveness and safety of neck pain cataplasms combined with electroacupuncture therapy for acute phase cervical radiculopathy(CR)with qi stagnation and blood stasis.Methods: This study used a randomized,double-blind,placebo-controlled clinical research method.Seventy-two patients with acute phase CR with qi stagnation and blood stasis were randomly divided into observation group(n=36)and control group(n=36).Both groups were given electroacupuncture as the basic treatment,the observation group added the neck pain cataplasms,the control group added placebo with the same appearance and color.Patients in both groups received the treatment for 2weeks.The short-form Mcg Gill pain questionnaire(SF-MPQ)scores,neck disability index(NDI)scores,Yasuhisa Tanaka 20 scores,patients’ TCM symptom score and F-wave conduction velocity of the median and ulnar nerves in the affected upper limbs were recorded before and after treatment.Adverse reactions that occurred during the study were recorded.The results of the study were statistically analyzed to evaluate the clinical efficacy and safety.Results:1.Clinical efficacy: The cure rate of the observation group(58.33%)was significantly higher than that of the control group(16.67%)(P<0.05).2.SF-MPQ scores: In intra-group comparison,VAS scores,PRI scores and PPI scores of patients in both groups decreased after treatment compared with those before treatment(P<0.05),indicating that both groups could reduce the degree of pain in acute phase CR patients with qi stagnation and blood stasis;In inter-group comparison,VAS scores,PRI scores and PPI scores of the observation group were lower than those of the control group after treatment(P<0.05),indicating that the observation group was better than the control group in reducing the pain level of acute phase CR patients with qi stagnation and blood stasis.3.NDI scores: In the intra-group comparison,the NDI scores of patients in both groups decreased after treatment compared with those before treatment(P<0.05),indicating that both groups were able to reduce the clinical symptoms of acute phase CR patients with qi stagnation and blood stasis;In the inter-group comparison,the NDI scores of the observation group were lower than those of the control group after treatment(P<0.05),indicating that the observation group was better than the control group in reducing the clinical symptoms of acute phase CR patients with qi stagnation and blood stasis.4.Yasuhisa Tanaka 20 scores: In the intra-group comparison,the Yasuhisa Tanaka 20 score increased in both groups after treatment compared with that before treatment(P<0.05),indicating that both groups could improve the clinical symptoms of acute phase CR patients with qi stagnation and blood stasis;In the inter-group comparison,the Yasuhisa Tanaka 20 score was higher in the observation group than in the control group after treatment(P<0.05),indicating that the observation group was better than the control group in improving the clinical symptoms of acute phase CR patients with q i stagnation and blood stasis.5.TCM symptom score: In intra-group comparison,the TCM symptom scores of patients in both groups decreased after treatment compared with those before treatment(P<0.05),indicating that both groups could improve the symptoms related to qi stagnation and blood stasis in acute phase CR;In inter-group comparison,the TCM symptom scores of the observation group were lower than those of the control group after treatment(P<0.05),indicating that the observation group was better than the control group in improving the symptoms related to qi stagnation and blood stasis in acute phase CR.6.Nerve conduction velocity: In the intra-group comparison,the F-wave conduction velocity of the median nerve and ulnar nerve of the affected upper limb was faster in both groups after treatment than before treatment(P<0.05),indicating that both groups could improve the nerve conduction velocity of acute phase CR patients with qi stagnation and blood stasis;In the inter-group comparison,the F-wave conduction velocity of the median nerve and ulnar nerve of the affected upper limb was faster in the observation group than in the control group after treatment(P<0.05),indicating that the observation group was better than the control group in improving nerve conduction velocity in acute phase CR patients with qi stagnation and blood stasis.7.Safety evaluation: During this study,all patients did not experience any adverse reactions such as skin flushing,breakage,itching,skin allergy,etc.,indicating that the safety of neck pain cataplasms was good.Conclusion:1.Both the combination of neck pain cataplasms with electro-acupuncture and the combination of placebo with electro-acupuncture were effective in the treatment of acute phase CR with qi stagnation and blood stasis,and the combination of neck pain cataplasms with electro-acupuncture was more effective.2.Neck pain cataplasms has a good safety profile in the treatment of acute phase CR with qi stagnation and blood stasis,with no adverse effects.