A Clinical Study:Effect Of Acupuncture And Shoulder Manipulation On Treatment For Cervical Spondylosis With Radiculopathy

Background and Objective:As the population aging increasingly in our country.The morbidity of cervical spondylotic radiculopathy(CSR) has been significantly increasing.By retrieving literatures,the cause of disease pathogenesis and treatment of cervical spondylotic radiculopathy were deeply realized in this paper.To observe the clinical effects of Non-Operative Composite Therapy for CSR. Provide validable scheme in treating CSR.Methods:The research selected60patients who come from Singapore acupuncture point Chinese medicine clinic and were divided into three groups randomly.The treatment group1underwent shoulder tendon treatment, massage the Jianliao,Jianyu,Quchi,Hegu,Shou san li, Shaohai, Shenmen,2times a day, continuousmassage14D.Treatment group2with simple acupuncture treatment,Dazhui, shoulder well, columns, or valley, missing the neck clip ridge point and is point o, stitch filling-in xie ping, after much air retaining needle30min,2times a day.14d continuous treatment. Treatment group3by acupuncture and reinforcement technique to treat shoulder, respectively before and after the treatment7d,14d in order to observe the change in the state of the pain degree(VAS), cardinal symptompoints and the clinical symptoms(20score method chart). Then all the data and the clinical effect were analyzed by SPSS16.0.Results:1. The treatment group of1before treatment VAS score was7.49, for1weeks was7.06, for2weeks was6.64; the treatment group before treatment and2VASaverage score of7.31,1weeks of treatment VAS score was7.10, after treatment of2weeks was6.65; the treatment group before treatment and3VAS average score of7.46, treatment1VAS score for6.72weeks,2weeks of therapy was5.77, no significant difference between the two groups before treatment VAS score (P=0.368>0.05), there were statistically significant differences in VAS scores between the three groups after two weeks of treatment (P<0.05),and after two weeks treatment of1,2,3of the treatment group was significantly different compared with VAS score have (three P both <0.05), according to the results of the treatment group3of the degree of pain relief was better than that of treatment group1,2.2. The treatment group of1before treatment, self rating Anxiety Scale score for55.87, for2weeks was32.03; the treatment group before treatment and2score was55.76, for2weeks was32.78; the treatment group before treatment and3self rating Anxiety Scale score of56.18, after treatment of2weeks was32.71,repeated measures analysis of variance. The different time points of the self rating Anxiety Scale scores had no significant difference (P>0.05).3. The treatment group1before treatment "Tanaka Yasuku" symptom scalescore was9.53, for1weeks was10.92, for2weeks was11.38; the treatment group before treatment and2score was9.60,for1weeks was10.98, for2weeks was11.39; the treatment group before treatment and3symptom scale score was9.55,1weeks of treatment score11.43, after treatment of2weeks was12.55, before treatment the symptom scalescore was not significantly different, no statistical significance (P=0.629>0.05),repeated measures analysis of variance showed different time symptom scalescore difference was statistically significant (P<0.05), symptom of three groups of table after second weeks treatment was significant difference(P<0.05), the treatment group3improvement of symptoms in treatment group than that in1,2.4. The treatment group of1before treatment, TCM syndrome score was22.45, for1weeks was19.25, for2weeks was14.82; the treatment group before treatment and2score was23.08, for1weeks was18.96, for2weeks was15.08; the treatment group before treatment and3symptom scale score was22.98, for1weeks a score of16.71, after treatment of2weeks was11.98, before treatmentthe symptom scale score was not significantly different, no statistical significance(P=0.208>0.05), repeated measures analysis of variance showed different timesymptom scale score difference was statistically significant (P<0.05), symptom of three groups after second weeks treatment score table significant differences(P<0.05), TCM symptoms suggest that treatment group is better than the treatment group1,23.5. The treatment group1heal in5cases,10cases had marked effect, is invalid in5cases, the total effective rate was75%; Treatment group2,4cases were cured,11cases were markedly effective, effective in5cases,8no effect, the total effective rate was75%; Treatment group3cured7cases,11cases had marked effect,2had no effect, the total effective rate was90%. Results showed that the treatment group total effective rate was higher than the control group, the difference was statistically significant (P=0.044<0.05).Conclusions:Acupuncture with shoulder principle reinforcement technique can effectively eliminate the pain caused by cervical spondylosis of nerve root type, upper limb radiation pain or numbness and sensory disorder and incentive loss and other symptoms and signs, curative effect is clear, and is superior to the simple acupuncture treatment and reinforcement treatment, simple shoulder to prevent cervical spondylosis of nerve root type provides an effective means of treatment.