Clinical Efficacy of Gegen Decoction Combined with Acupuncture Therapy in the Treatment of Cervical Spondylotic Radiculopathy and Its Impact on Serum Inflammatory Factors in Patients
Objective To explore the clinical effect of the combination of Gegen decoction and acupuncture therapy in the treatment of cervical spondylotic radiculopathy(CSR).Methods 52 patients with CSR admitted to our hospital from May 2019 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 26 cases in each group.The control group was treated with acupuncture therapy,and the observation group was treated with Gegen decoction on the basis of the control group.Both groups were treated for 4 weeks.Pain level,cervical function,serum inflammatory factor levels and cervical motion were compared between the two groups.Results After 4 weeks of treatment,the Visual Analog Scale score of the observation group was(1.86±0.22)points,which was lower than(2.23±0.34)points of the control group;the subjective symptoms,clinical signs,adaptive ability and total score of cervical spondylosis clinical evaluation scale were(15.61±1.69)points,(63.31±4.16)points,(6.85±1.02)points and(85.42±6.38)points,respectively,they were higher than(13.54±1.42)points,(57.78±4.04)points,(5.18±0.86)points,(76.50±6.13)points of the control group,and there were statistical significance between groups(P＜0.05);the levels of interleukin-1β and tumor necrosis factor-α in observation group were(3.89±0.42)ng/mL and(23.25±2.14)ng/mL,respectively,which were lower than(5.11±0.88)ng/mL and(30.34±3.22)ng/mL in control group,respectively;the differences between groups were statistically significant(P＜0.05);cervical extension,anterior flexion,lateral flexion and rotational motion of the observation group were(56.29±4.81)°,(65.14±5.11)°,(57.89±5.02)°,(72.85±6.22)°,respectively;they were higher than(50.93±4.74)°,(60.87±5.05)°,(53.23±4.87)°,(68.52±6.14)°in the control group,and the differences between groups were statistically significant(P＜0.05).Conclusion Gegen decoction combined with acupuncture therapy can improve the therapeutic effect of CSR,reduce local inflammatory and damage,and accelerate the speed of cervical spine function recovery,which is worthy of clinical application.
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