Clinical Study: Muscle Bone Ultrasound Guided Blade Needle Combined With Shu Jing Tong Du Massage In The Treatment Of Radicular Cervical Spondylosis

Objective:?Looking for a better therapeutic method for cervical spondylotic radiculopathy;?To develop the muscle bone ultrasound guided blade needle to treat cervical spondylotic radiculopathy,operation mode,exploration route and treatment location.?To establish a set of standardized diagnosis and treatment system of Muscle bone ultrasound guided blade needle combined with Shu Jing Tong Du massage in the treatment of cervical spondylotic radiculopathy,which can be popularized and applied;?To develop efficacy evaluation method of Quantitative sensory nerve detector in the evaluation of cervical spondylotic radiculopathy.Methods:80 cases of cervical spondylotic radiculopathy were randomly divided into two groups,40 cases in each group.The treatment group was treated with muscle bone ultrasound guided blade needle combined with Shu Jing Tong Du massage,while the control group was treated with non direct vision blade needle combined with Shu Jing Tong Du massage.Two groups were treated 5 times,every 7 days,a total of 30 days for a course of treatment.Tianzhongjingjiu 20 scores,NRS scores,NDI,cascs,JOA cervical scores,C6,C7,C8 nerve root CPT values were observed before and 7 days after the end of the last treatment respectively,and the clinical efficacy was evaluated 7 days after the end of the treatment.Result:l.Tanaka's 20-point method results:There was no significant difference between the treatment group and the control group before treatment(P>0.05).There was significant difference between the two groups after treatment(P<0.05).The treatment group was better than the control group.There was significant difference between the two groups after treatment and before treatment(P<0.05).2.NRS score results:There was no significant difference between the treatment group and the control group before treatment(P>0.05).There was no significant difference between the two groups after treatment(P>0.05).There was significant difference between the two groups after treatment and before treatment(P<0.05).3.NDI score results:There was no significant difference between the treatment group and the control group before treatment(P>0.05).There was no significant difference between the two groups after treatment(P>0.05).There was significant difference between the two groups after treatment and before treatment(P<0.05).4.CASCS score results:There was no significant difference between the treatment group and the control group before treatment(P>0.05).There was no significant difference between the two groups after treatment(P>0.05).There was significant difference between the two groups after treatment and before treatment(P<0.05).5.CPT test results:(1)C6 nerve root:There was no significant difference in the CPT of pain side(2000Hz,250Hz,5Hz)before treatment compared with the control group(P>0.05).There was no significant difference between the CPT values of healthy side(2000 Hz,250 Hz,5 Hz)and the control group(P>0.05).Before treatment,CPT values of pain side and healthy side(2000 Hz,250 Hz,5 Hz)were significantly different(P<0.05).The difference of CPT between the treatment group and the control group was statistically significant(P<0.05)at 2000 Hz and 5 Hz,but not at 250 Hz(P>0.05).(2)There was no significant difference in CPT(2000 Hz,250 Hz,5 Hz)between the two groups(P>0.05).There was no significant difference in CPT(2000 Hz,250 Hz,5 Hz)between the healthy side and the control group before treatment(P>0.05).Before treatment,CPT values of pain side and healthy side(2000 Hz,250 Hz,5 Hz)were significantly different(P<0.05).The difference of CPT between the treatment group and the control group was statistically significant(P<0.05)at 2000 Hz and 250 Hz,but not at 5 Hz(P>0.05).(3)C8 nerve root:There was no significant difference in CPT(2000 Hz,250 Hz,5 Hz)between the two groups(P>0.05).There was no significant difference in CPT(2000 Hz,250 Hz,5 Hz)between the healthy side and the control group before treatment(P>0.05).Before treatment,CPT values of pain side and healthy side(2000 Hz,250 Hz,5 Hz)were significantly different(P<0.05).The difference of CPT between the treatment group and the control group was statistically significant(P<0.05)at 2000 Hz and 250 Hz,but not at 5 Hz(P>0.05).6.1n the treatment group,25 cases were cured,13 cases were improved,and 2 cases were ineffective.The cure rate was 62.5%and the effective rate was 95.00%.The control group was cured in 15 cases,22 cases were improved and 3 cases were ineffective.The difference in cure rate between the two groups was statistically significant(P<0.05),and the difference in effective rate was not statistically significant(P>0.05).Conclusion:Musculoskeletal ultrasound guided blade needle is more effective in treating cervical spondylotic radiculopathy than non-direct-looking acupuncture with blade needle.Quantitative sensory nerve detector can objectively evaluate the sensory nerve damage of nerve root type cervical spondylosis.