| Objective: This research,through observing the clinical efficacy of the stiff neck by miu acupunture with exercise therapy,was to evaluate the difference of the clinical efficacy between two acupuncture methods by comparing with the routine acupuncture method,in order to find a more simple,effective,safe and economic treatment,and provide a certain clinical basis for the treatment of this disease in the future.Methods:All cases in this research were from patients with stiff neck who were treated in the acupuncture clinic of Hubei traditional Chinese medicine hospital from March 2018 to December 2019.A total of 73 patients were selected to meet the inclusion criteria.They were randomly divided into two groups: Miu acupuncture group(37cases)and routine acupuncture group(36 cases).Finally,Miu acupuncture(34 cases)and routine group(34 cases)completed the study.Points selected in Miu acupuncture group: Houxi SI3(healthy side)and Shugu BL65(healthy side).When the patient coughs,the needle is inserted into the Houxi point and the Shugu point.Then directly penetrated 0.5-1 inches,and twist and turn,let the patient move the neck as much as possible meanwhile.When the patient realizes that the pain in the affected area is relieved,afterwards,shakes the pinhole and then gives out the needle without pressing it.In routine acupuncture group,points were selected:Ashi point,JingJiaji point(EX-B2),Fengchi point(GB20),Tianzhu point(BL10),Jianjin point(GB21),Jianwaishu point(SI14).Direct needling at Ashi point for 1 inch,oblique needling at Jiaji point for 1 inch in the direction of spine,oblique needing at Fengchi point for 1 inch in the direction of nose and oblique needing at Tianzhu point,Jianjin point,Jianwaishu point.Keep twirling,lifing and tthrusting slightly to make the needling sensation radiate forward to the chest.Needle retaining time was 30 minutes.Two groups received treatment 1 time a day,A total of 3times were included.Before and after treatment,VAS,CVM and NDI scale were carried out for both groups,and statistical software was used to analyze the difference between both groups.Results:1.Baseline data:There were no significant differences in age and sex between the two groups(P > 0.05).The data were comparable.2.Comparison of VAS score :Before and after treatment,there was no significant difference in VAS score between the two groups(P >0.05).The VAS score of the two groups after treatment was lower than that before treatment,the difference was statistically significant(P < 0.05).After treatment,the VAS score of Miu acupuncture group was significantly lower than that of routine acupuncture group(P < 0.05).3.Comparison of CVM score:Before and after treatment,there was no significant difference in CVM score between the two groups(P >0.05).The CVM scores of the two groups after treatment were lower than that before treatment,the difference was statistically significant(P < 0.05).After treatment,the CVM score of Miu acupuncture group decreased more significantly than that of routine acupuncture group(P < 0.05).4.Comparison of NDI score:Before and after treatment,there was no significant difference in NDI score between the two groups(P >0.05).The NDIscores of the two groups after treatment were lower than that before treatment,the difference was statisticallysignificant(P < 0.05).After treatment,the NDI score of Miu acupuncture group decreased more significantly than that of routine acupuncture group(P < 0.05).5.Comparison of the clinical efficacy: the total effective rate of the Miu acupuncture group was 94.12%,of which 26 cases were cured,6cases were effective and 2 cases were ineffective;the total effective rate of the routine acupuncture group was 76.47%,of which19 cases were cured,7 cases were effective and 8 cases were ineffective.By rank sum test,the difference between the two groups was statistically significant(P < 0.05).Conclusions:1.Miu acupuncture with exercise therapy and routine acupuncture have certain cutative effect on stiff neck,and the former is more effective than the latter.2.Miu acupuncture with exercise therapy and routine acupuncture can reduce the VAS score,CVM score,NDI score of patients with stiff neck,but the former is better than the latter.3.The Miu acupuncture with exercise therapy need large samples of clinical research... |
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