Clinical investigation on the shock wave treatment combined with traditional Chinese medicine fumigation for occupation-associated cervical spondylosis
Objective To observe the clinical effect of shock wave combined with traditional Chinese medicine fumigation in the treatment of occupational-associated cervical spondylosis.Methods A total of 84 patients with occupational-associated cervical spondylosis were divided into control group(n=42)and observation group(n=42)by random number table method.The control group was treated with traditional Chinese medicine fumigation,and the observation group was treated with extracorporeal shock wave combined with traditional Chinese medicine fumigation.Clinical effects,pain,serum stress factors and quality of life were compared between the two groups.Results The excellent and good rate in the observation group(83.33%)was significantly higher than that in the control group(61.90%)(x2=4.850,P=0.028).After treatment,the present pain intensity(PPI)score in the control group and the observation group was(1.26±0.35)scores and(1.84±0.42)scores,respectively(t=6.875,P<0.01).The visual analogue scale(VAS)score in the control group and the observation group was(2.33±0.59)scores and(4.77±0.81)scores,respectively(t=15.780,P<0.01).The pain rating index(PRI)score in the control group and the observation group was(12.25±0.75)scores and(15.91±0.88)scores,respectively(t=20.514,P<0.01).The levels of serum neuropeptide Y(NPY)were(116.40±10.03)μg/mL and(128.52±12.46)μg/mL in the observation group and the control group,respectively(t=4.911,P<0.01).The levels of serum nerve growth factor(NGF)were(37.35± 3.26)pg/mL and(42.41±4.07)pg/mL in the observation group and the control group,respectively(t=6.289,P<0.01).The levels of serum substance P(SP)were(4.30±0.59)μg/mL and(5.17±0.78)μg/mL in the observation group and the control group,respectively(t=5.765,P<0.01).The physiological function score was(58.59±7.57)scores and(53.14±6.94)scores in the observation group and the control group,respectively(t=3.439,P<0.01).The physiological function score was(62.77±6.83)scores and(56.95±7.08)scores in the observation group and the control group,respectively(t=3.834,P<0.01).The vitality score was(66.35±7.82)scores and(61.41±6.59)scores in the observation group and the control group,respectively(t=3.131,P<0.01).The mental health score was(58.02± 7.30)scores and(52.75±6.81)scores in the observation group and the control group,respectively(t=3.421,P<0.01).The physical pain score was(60.80±6.63)scores and(54.37±6.13)scores in the observation group and the control group,respectively(t=4.615,P<0.01).The overall health score was(61.91±7.39)scores and(56.15± 7.04)scores in the observation group and the control group,respectively(t=3.657,P<0.01).Conclusion Shock wave combined with traditional Chinese medicine fumigation is markedly effective in the treatment of occupational-associated cervical spondylosis,which can lower the levels of stress factors,more effectively alleviate neck and shoulder pain,and improve quality of life of the patients.
Occupational-associated cervical spondylosisShock waveTraditional Chinese medicine fumiga-tionCurative effect