| Objective:To Observe clinical efficativeness of the acupotomy nerve stimulation in the treatment of Cervical Spondylotic Radiculopathy,to provide a more reliable evidence for the selection of clinical intervention schemes for Cervical Spondylotic Radiculopathy.1 We targeted 60 patients for observation(2)60 patients were randomly divided into 2 groups by randomized digital table.(3)Acupotomy nerve stimulation therapy was used to treat treatment group,acupuncture therapy was used to treate control group.(4)Course of treatment: The frequency of treatment group was one time a week;a course of treatment was 7 day;Acupuncture was used to treat control group,the frequency of treatment was one time a day;two groups was treated 3 courses;(5)Observation indicators include: Visual Analogue Score(VAS),cervical dysfunction index(NDI),Tanaka Yasuhsu score,and electromyography examination including F-wave occurrence rate and conduction velocity was used to evaluate the effect of acupotomy nerve stimulation on CSR.(6)Measurement nodes: before treatment,1 week after treatment,3 weeks after treatment.(7)Therapeutic evaluation basis: "TCM syndrome diagnosis and curative effect criteria" as the clinical therapeutic effect evaluation basis.In the course of treatment,truthfully record the relevant information of adverse reactions,and record their occurrence time,symptoms,treatment measures and treatment results in detail.The data analysis software was SPSS 24.0.Result:1.There was no significant difference(P >0.05)on baseline data,indicating comparability between the two groups.2.VAS score: There was no significant difference in VAS between the two groups before treatment(P >0.05).At the two observation nodes after treatment,the VAS of the treatment group and the control group had benign changes,which proved that acupotomy neurostimulation and acupuncture were effective in the treatment of CSR(P < 0.05).In the comparison of VAS between the acupotomical nerve stimulation group and the acupuncture group,it was found that the VAS score of the former was better than the latter at the two observation nodes after treatment,indicating that the two therapies have different effects on CSR(P < 0.05).3.Neck Disability Index(NDI): There is no significant difference in NDI between two groups,comparing before treatment.At the two observation nodes after treatment,the NDI of the treatment group and the control group had benign change(P >0.05).In the comparison of NDI between the acupotomy nerve stimulation group and the acupuncture group,it was found that the NDI of the former was better than the latter at the two observation nodes after treatment,indicating that the two therapies have different effects on CSR.(P <0.05).4.Yasuhisa Tanaka 20 Score Scale: There is no significant difference in Yasuhisa Tanaka 20 Score Scale between two groups,comparing before treatment.(P >0.05).At the two observation nodes after treatment,the VAS of the treatment group and the control group had benign changes,which proved that acupotomy never stimulation and acupuncture were effective in the treatment of CSR(P <0.05).In the comparison of Yasuhisa Tanaka20 Score Scale between the acupotomy nerve stimulation group and the acupuncture group,it was found that the VAS score of the former was better than the latter at the two observation nodes after treatment,indicating that the two therapies have different effects on CSR(P <0.05).5.Comparison of F wave occurrence rate: There was no significant difference in F wave occurrence rate between the two groups before treatment(P < 0.05).Compared with before treatment,the occurrence rate of F wave in electromyography of the two groups increased after treatment(P < 0.05),indicating that acupotomy nerve stimulation and acupuncture could improve the occurrence rate of F wave in the observation subjects.In the comparison of F wave occurrence rate between the acupotomy nerve stimulation group and the acupuncture group,it was found that the F wave occurrence rate of the former was better than the latter at the observation nodes after treatment,indicating that the two therapies have different effects on CSR(P <0.05).6.Comparison of nerve conduction velocity: There was no significant difference in nerve conduction velocity between the two groups before treatment(P < 0.05).Compared with before treatment,the nerve conduction velocity of the two groups was changed in both groups(P <0.05),the two therapies were effective in improving nerve conduction velocity.In the comparison of nerve conduction velocity between the acupotomy nerve stimulation group and the acupuncture group,it was found that the nerve conduction velocity of the former was better than the latter at the observation nodes after treatment,indicating that the two therapies have different effects on CSR(P <0.05).7.Efficacy results: At the end of the treatment,the number of marked effective cases in acupotomy nerve stimulation group was 16;the number of effective cases was 12,and the number of ineffective cases was 2;The total effective rate was 93.33%.the number of marked effective cases in acupuncture group was 12;the number of effective cases was 14,and the number of ineffective cases was 4,and the total effective rate was 86.66%,(P < 0.05),indicating that the treatment effect of acupotomy nerve stimulation therapy was better than that of acupuncture therapy.Conclusion: This study shows that ultrasound-guided acupotomy neurostimulation can relieve the symptoms and function of patients with cervical spondylotic radiculopathy,which is safe and reliable,and can be widely used in clinical practice. |
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