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Small Needle Knife Release The Small Rectus Muscle Behind The Head To Treat Cervical Spondylosis Clinical Curative Effect Observation

Posted on:2024-05-16Degree:MasterType:Thesis
Country:ChinaCandidate:W WangFull Text:PDF
GTID:2544306938955289Subject:Rehabilitation Medicine & Physical Therapy
Abstract/Summary:PDF Full Text Request
Objective: Observe the clinical efficacy of the small rectus muscle in the treatment of cervical spondylosis after the release of the head,analyze the relationship between the small rectus muscle after the release and the treatment of cervical spondylosis,and provide clinical reference for the rehabilitation treatment of cervical spondylosis.Methods: From December 2021 to December 2022,60 patients were selected to the rehabilitation medicine outpatient department of our hospital for cervical spondylosis(meeting the clinical diagnostic criteria of cervical spondylosis),and divided into observation group and control group according to the random number table method.The observation group adopted the specification: 0.440 mm after the release of the head,while the control group used the traditional fine needle treatment,etc.The acupoints were selected according to the planning textbook "Acupuncture therapy" of national Chinese medicine colleges and universities.Inform the patient operation process and prognosis effect,for all voluntary patients signed voluntary consent to participate informed consent and clinical research,respectively record basic data,treatment,treatment 4 days,treatment 7 days pain visual analog score(Visual Analogue Score,VAS),cervical dysfunction index(Neck Disability Index,NDI)and efficacy evaluation,record the above results,and use the SPSS26.0 statistical software for analysis.Results:Comparison of basic data of all patients: between the two groups of sex,age and pathogenesis,their P values> 0.05 were not statistically significant and comparable.1.Comparison of the VAS scores1.1 Within-group comparison: The P-value of the pre-treatment pain visual analog score was <0.05,which was statistically significant,and the pain visual analog score was decreased.After the end of treatment,the P-value<0.05 was statistically significant,with the pain visual analog score decreasing in both groups,and the decrease was more obvious in the observed group.1.2 Comparison between groups: Before treatment,the visual analog score of pain between the two groups showed a P value> 0.05,which was not statistically significant and comparable.On day 4 of treatment,the VAS scores of the two groups were compared,and their P-value was <0.05,which was statistically significant,and the visual analog score of pain in the observation group was lower than that of the control group.After the end of treatment,the visual analog scores of the two groups were compared,and their P-value was <0.05,which was statistically significant,and the visual analog scores of pain in the observation group decreased significantly compared with the control group,indicating that the pain in both groups improved after 7 days of treatment,and the pain improvement in the observation group was significantly compared with that in the control group.2.Comparison of the cervical spine dysfunction index2.1 Within-group comparison: On the fourth day of treatment,the two groups were compared with pre-treatment.The P-value <0.05 was statistically significant,and the cervical spine dysfunction index decreased in both groups.The cervical spine dysfunction index in the observed group decreased significantly more than that in the control group.On the 7th day of treatment,the P-value of cervical dysfunction index in the two groups was <0.05.Both groups decreased,and the decrease of cervical dysfunction index in the observed group was more obvious than that in the control group.2.2 Comparison between groups: Before treatment,the index value of cervical spine dysfunction between the two groups showed a P value> 0.05,which was not statistically significant and comparable.On day 4 of treatment,after comparing the two groups’ cervical spine dysfunction index,the P-value was<0.05,which was statistically significant,and the NDI score of the observation group was lower than that of the control group.After the end of treatment,the NDI scores,with a P-value <0.05,and the observation group had a lower cervical dysfunction index than the control group.3.Comparison of curative effect evaluationAfter 7 days of treatment in the two groups,0 patients in the control group were clinically cured,8 patients were effective,19 patients were effective,and 3 patients were ineffective,and the total effective rate was about 86.67%.In the observation group,3 people were clinically cured,19 were effective,5were effective and 1 was ineffective,and the total effective rate was about96.67%.Conclusion: Both treatments have clinical effect on cervical spondylosis;the treatment of cervical spondylosis is better than the traditional microacupuncture treatment.In terms of the correlation between the treatment position and the efficacy of cervical spondylosis,new treatment points are proposed,which has high clinical value for promoting the better and faster development of TCM rehabilitation medicine.
Keywords/Search Tags:small needle knife, small rectus muscle behind the head, cervical spondylosis, neck type
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