| ObjectiveTo observe the clinical effect of ultrasound-guided edge needle release for the treatment of posterior nodules of cervical transverse process for radiculopathy,analyze the advantages and disadvantages of this treatment,and evaluate its safety and enrich the effective treatment modalities for radiculopathy.MethodsA randomized controlled clinical study was conducted,and 80 patients with radiculopathy who visited the orthopedic department at Hei Long Jiang University of TCM and Xi’an Hospital of TCM between September 2021 and September 2022 and met the criteria of this study were selected and divided into an acupuncture group and an edge needle group according to a 1:1 ratio,according to a computer-generated random number,with 40 patients in each group(n = 40).The acupuncture group was the control group,which was treated with conventional milli acupuncture;The edge needle group was the observation group,which was treated by ultrasonic guided edge needle of the posterior nodule of the cervical transve-rse process.VAS score,NDI score,JOA score of cervical spine,lateral flexion and rotation degree of cervical spine before and after treatment,and clinical effectiveness rate of TCM were recorded for patients at pretreatment,1,2,3,and 4 weeks of tre atment,and the collected data were analyzed statistically using spss26.0 software to comprehensively evaluate the clinical effects.Results(1)Data were compared between the two groups pre-treatment: baseline data were compared between the two groups: age,gender,disease duration,etc.,with no statistical differences(P > 0.05)The VAS score,NDI score,JOA score of cervical spine,and the number of flexion and rotation degrees of the left and right sides of cervical spine before treatment were compara ble between the two groups without statistical difference(P > 0.05).(2)Intra-group and between-group comparisons between the two groups of patients at 1 week of treatment: intra-group comparison::In the edge needle group,the NDI score,JOA score and cervical mobility at 1 week of treatment were significantly different from those before treatment(P < 0.05),and the related data at 1 week of treatment were better than those before treatment;However,VAS scores at 1 week of treatment were not statistically different from those before treatment(P > 0.05).It indicated that both treatment grou-ps showed efficacy,but pain symptoms did not improve in the edge needle group at 1 week of treatment.Between group comparisons: the data of the two groups were analyzed at 1 week of treatment,which was statistically different(P < 0.05),and at 1 week of treatment,the edge needle group was superior to the acupuncture group in terms of the improvement of overall cervical spine function;In terms of pain relief,the acupuncture group was superior to the edge needle group.(3)Inter-and intra group comparisons were performed for the two groups of patients at 2 weeks of treatment: I)acupuncture group: VAS score,NDI score,JOA score at 2 weeks of treatment,cervical spine mobility contras-t at 1 week of treatment,all with statistically significant differences(P <0.05),and the related data at 2 weeks of treatment were better than those at 1week of treatment All the VAS score,NDI score,JOA score and cervical mobility contrast at 2 weeks of treatment in the edge needle group were statistically different(P < 0.05),and the related data at 2 weeks of treatment were better than those at 1 week of treatment.It was indicated that the efficacy of both treatment groups was better than that of treatment for 1 week at 2 weeks,and the efficacy was gradually improved with the progress of the treatment.Intergroup comparisons: the intergroup comparisons were perfor-med at 2 weeks of treatment and were statistically significant(P < 0.05),and at 2 weeks of treatment,the data related to the edge needle group were better than those of the acupuncture group.It was illustrated that at 2 weeks of treatment,the efficacy of edge needle was better than that of acupu ncture.(4)Inter-and intra group comparisons were performed for the two groups of patients at 3 weeks of treatment: I)acupuncture group: VAS score,NDI score,JOA score at 3 weeks of treatment,cervical mobility contrast at 2weeks of treatment with statistical significance(P < 0.05),and the related data at 3 weeks of treatment were superior to that at 2 weeks of treatment In the edge needle group,the VAS score,NDI score,JOA score at 3 weeks of treatment and cervical mobility at 2 weeks of treatment were statistically different(P < 0.05),and the related data at 3 weeks of treatment were better than those at 2 weeks of treatment.It indicated that the efficacy of both treatment groups was better than that of treatment for 2 weeks at 3 weeks,indicating that the efficacy was still improving with the progress of the treat-ment.Intergroup comparisons: at 3 weeks of treatment,intergroup comparis-ons of the data of the two groups were performed with statistical significance(P < 0.05),and the related data of the edge needle group were better than those of the acupuncture group.It was illustrated that the efficacy of edge needle was still better than pinprick at 3 weeks of treatment.(5)Inter-and intra group comparisons were performed for the two groups of patients at 4 weeks of treatment: I)acupuncture group: I)acupunc-ture group: VAS score,NDI score,JOA score,cervical spine mobility at 4weeks of treatment compared to 3 weeks of treatment,with no statistical difference(P > 0.05),indicating that the efficacy had peaked at 3 weeks and did not continue to improve In the edge needle group,the VAS score,NDI score,JOA score at 4 weeks of treatment,and cervical mobility contrast at 3weeks of treatment were not statistically different(P > 0.05),indicating that the efficacy had peaked at 3 weeks and did not continue to improve.The efficacy of the two treatments at 4 weeks of treatment was not statistically different from that at 3 weeks of treatment,with efficacy already peaking at week 3.Intergroup comparisons: at 4 weeks of treatment,intergroup comparis-ons of the data of the two groups were performed with statistical significance(P < 0.05),and the related data of the edge needle group were better than those of the acupuncture group.It was illustrated that the efficacy of edge needle was still better than pinprick at 4 weeks of treatment.Combining the statistical data of each evaluation index,there was no significant difference between the treatment effects of the two groups after 4 weeks of treatment and 3 weeks of treatment,and the peak of efficacy appeared at 3 weeks.(6)Comparison of TCM clinical effectiveness rates of the two groups of patients pre-treatment,1-week treatment,2-weeks treatment,3-weeks treatment,and 4-weeks treatment:(1)at 1-week treatment,the effectiveness rate was 52.50% in the acupuncture group and 75.00% in the edge needle group,with statistically significant differences(P < 0.05);(2)The effective rate of the acupuncture group at 2 weeks of treatment was 62.50% and that of the edge needle group was 82.50%,which was statistically different(P <0.05);(3)At 3 weeks of treatment,the effective rates were 75.00% in the acupuncture group and 92.50% in the edge needle group,which were statistic-ally different(P < 0.05).(4)At four weeks of treatment,the effective rates of 72.50% in the acupuncture group and 90.00% in the edge needle group were statistically different(P < 0.05),but the effective rates of both groups were not significantly different from those at three weeks of treatment.It was indicated that both treatment regimens had efficacy throughout the whole course of treatment,and both achieved their peak efficacy at 3 weeks of treatment,but from 1 week to 4 weeks of treatment,the total effect ive rate of the edge needle group was better than that of the acupuncture group,indicating that the treatment of CSR by using ultrasound-guided edge needle of nodules after transverse cervical spine dissection combined with needles and knife had satisfactory efficacy.Conclusion1.The efficacy of ultrasound-guided needle release of the Posterior cervical transverse Process nodes in the treatment of neurogenic cervical spondylosis is accurate and satisfactory,and is superior to that of traditional milli-needle acupuncture.2.Ultrasound-guided needle release of the Posterior cervical transverse Process nodes for neurogenic cervical spondylosis can rapidly and effectively relieve Patients’ symptoms and improve the mobility of the cervical spine,with low risk factor,easy operation,reproducibility and satisfactory efficacy;it helps to explore the target and mechanism of needle release for CSR. |
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