Comparison Of The Analgesic Effect Of Acupuncture Between Otopoint-penetrative Needling And Otopoint-straight Needling For Cerbical Type And Nerve-root Type Cervical Spondylopathy

Objective: Cervical spondylopathy is a kind of disease that due to the dedifferentiation of intervertebral disc and its secondary changes of pathogenesis and involved its surrounded weave construction (nerve root, spinal cord, vertebral artery, and sympathetic nerve etc.). Aches of the neck, shoulder, and back and even throe are its main clinical features. Incidence of this kind of disease is increased because of aging, changes of the life styles, high pace of the modern life and wide usage of TVs, computers, air conditioners and other electrical equipments, and commonly happens on young, middle and old age people. And it had become a popular disease and affects the quality of life and health level. And the cervical spondylopathy has become the major disease of the Department of Orthopedics and Traumatology instead of lumbocrural pain that caused by physical work. However, until now, there is no effective method to cure this disease, and during long time clinical practice, needling is effective in treatment. Needling is very helpful in pain receiving. During long time clinical practice, my advisor Mr. Jia Chunsheng found the otopoint-penetrative needling which is more concinient and effective in analgesics. This topic is one of the research works of rapid analgesic effect of acupuncture otopoint-penetrative needling for many kinds of peripheral neuralgia, aiming at through the comparison of the analgesic effect of acupuncture between otopoint-penetrative needling and otopoint-straight needling for cerbical type and nerve-root type cervical spondylopathy, to prove that the otopoint-penetrative needling is more rapid and effective in analgesis and supplied a better puncturing method for treating cervical spondylosis through needling.Method: According to the criteria and principles of management, type of diagnosis(this topic mainly research in the Analgesic Effect of needling, so only chose neck type and cyber-root type as object of study ) ,inclusion criteria , and exclusion criteria of Cervical spondylopathy that passed in Guilin,1994, 98 patients are chosen to take this test. These 98 patients are divided into two groups according to four crucial factors: the same gender, similar age (below and including 45 years old is youth group, above 46 years old is adults and elder group), the same type sickness (neck and cyber-root), and degree of illness (mild, middle and serious) and then match them one by one, then random divided these patients into two groups: Otopoint-penetrative group and Otopoint-straight group. For patients in Otopoint-penetrative group, use a needle to penetrate from one acupuncture point, and to anther acupuncture point, or penetrate from another point through subcutaneous part and subcutaneous cartilage to prong the whole point, after penetration, twist it 5 to 7 times lightly, and when the needle are retained, it can be twist like that mentioned above 2 to 3 times to reinforce the acanthesthesia, and needles are retained for 30 minutes for both groups. And when needles are put out, ask patient to move their afflicted part immediately. Using the simplified McGill score chart of painting to record the different painting degrees 5 minutes and 30minutes before and after treated, and makeα=0.05 as a criteria for hypothesis testing , use the sequential trial,matched-pair t test and Chi-square test, and use SPSS statistical software to analyze it, and all above made it clear that Otopoint-penetrative has a more rapid Analgesic Effect than Otopoint-straight needling.Results: Before acupuncture, the balance test of various pain scores, and the pain cumulative scores in different sex, disease types, ages and disease conditions showed that, There were no significant difference between the Otopoint-penetrative group and Otopoint-straight group (P>0.05), the two groups had comparability.The sequential trial showed that, 5 minutes after acupuncture, There was no significant difference between the Otopoint-penetrative group and Otopoint-straight group in analgesia effect (P>0.05), while 30 minutes after acupuncture, it had differences(P<0.05), the penetration group had a better effect than straight needling group.Findings of matched-pair t test showd that: (1) 5 minutes after the treatment, the comparison of the cervical spondylopathy patients various pain scores indicated that, there were statistical significance between the Otopoint-penetrative group and Otopoint-straight group in PRI-sence scores, PRI-emotional scores, total PRI scores, VAS scores and PPI scores(P<0.01), the healing effect had significant difference, and the penetration group is better than the straight group. (2) 5 minutes after acupuncture, the analgesia effect comparison of two needling methods for patients of different sex, disease types, ages and disease conditions showed that, there were statistical significance(P<0.01), the healing effect had significant difference, and the penetration group is better than the straight group.(3) 30 minutes after the treatment, the comparison of the cervical spondylopathy patients various pain scores indicated that, there were statistical significance between the Otopoint-penetrative group and Otopoint-straight group in PRI-sence scores, PRI-emotional scores, total PRI scores, VAS scores and PPI scores(P<0.01), the healing effect had significant difference, and the penetration group is better than the straight group. (4) 30 minutes after acupuncture, the analgesia effect comparison of two needling methods for patients of different sex, disease types, ages and disease conditions showed that, there were statistical significance(P<0.01), the healing effect had significant difference.Chi-square test indicated that: The healing effect had significant difference(P<0.01), and the otopoint-penetrative needling is better than otopoint-straight needling. Conclusions: According to the clinical test to 98 patients and the tests of sequential trials,matched-pair t test and Chi-square test, a conclusion is got as below: Otopoint-penetrative needling has a more rapid and better analgesic effect than otopoint-straight needling for both cerbical type and nerve-root type of Cervical spondylopathy.