Visual acupotomy assisted with nonsteroidal anti-inflammatory drugs in treatment of patients with cervical spondylosis
Objective To observe the efficacy and safety of visual acupotomy assisted with nonsteroidal anti-inflammatory drugs in the treatment of patients with cervical spondylosis.Methods One hundred and six patients with cervical spondylosis treated at First Hospital,Nanyang Medical College were selected for the randomized controlled trial,and were divided into a conventional group and an acupotomy group by the random number table method.There were 30 males and 23 females in the conventional group;they were(35.44±5.17)years old.There were 31 males and 22 females in the acupotomy group;they were(36.15±5.22)years old.The conventional group were treated with manual manipulation and nonsteroidal anti-inflammatory drugs,and the acupotomy group with visual acupotomy and nonsteroidal anti-inflammatory drugs.The pain relief,improvement in cervical mobility,and improvement in cervical physiological structure and function before and after the treatment and incidences of complications were compared between the two groups.t and x2 tests were applied.Results The scores of Visual Analogue Scale(VAS)1,2,and 4 weeks after the treatment in the acupotomy group were lower than those in the conventional group[(4.55±1.27)vs.(5.65±2.08),(3.24±0.38)vs.(4.41±1.09),and(2.56± 0.21)vs.(3.07±0.46)],with statistical differences(t=3.286,7.379,and 7.343;all P＜0.05).After the treatment,the cervical spine flexion activity,backward extension activity,and left and right rotation activity in the acupotomy group were higher than those in the conventional group[(62.41±10.27)° vs.(55.46±10.27)°,(60.45±10.24)° vs.(54.33±10.25)°,and(45.22±10.36)° vs.(39.16±10.21)°],with statistical differences(t=3.484,3.075,and 3.046;all P＜0.05).After the treatment,the Cobb angle of cervical spine,the curvature of cervical spine,and the score of Japanese Orthopedic Association(JOA)in the acupotomy group were higher than those in the conventional group[(18.24±4.41)° vs.(15.45±4.36)°,(7.63±2.25)° vs.(6.42±2.07)°,and(23.36±5.41)vs.(20.18±5.22)],with statistical differences(t=3.275,2.881,and 3.080;all P＜0.05).There was no statistical difference in the incidence of complications between the acupotomy group and the conventional group[11.32％(6/53)vs.7.55％(4/53);x2=0.832;P=0.362].Conclusions Visual acupotomy assisted with nonsteroidal anti-inflammatory drugs in the treatment of patients with cervical spondylosis can effectively relieve their pain and has positive significance in promoting their recovery of cervical activity,physiological structure,and function.This treatment does not significantly increase the risk of related complications,with high safety.
Nonsteroidal anti-inflammatory drugsCervical spondylosisVisual needle knifeCervical structureCervical function
万方数据
维普
