Clinical Study on the Treatment of Cervical Spondylotic Radiculopathy(Rheumatic Fever Arthralgia Type)by Blade Needle Combined with Danggui Niantong Decoction
Objective:To explore the clinical efficacy of the combination of the blade needle and the tendon node release and Danggui Niantong decoction on the treatment of the acute stage of nerve root cervical spondylotic radiculopathy(CSR)(rheumatic fever arthralgia type).Methods:204 patients with CSR admitted to the of our hospital from December 2021 to December 2022 were selected and randomly divided into two groups with 102 patients in each group.The control group was treated with Danggui Niantong decoction,and the observation group was treated with blade needle loosening through tendon junction combined with Danggui Niantong decoction.The differences of efficacy,TCM symptom scores,pain degree,cervical symptoms and dysfunction degree,serum in-flammatory cytokines and adverse reactions were observed between the two groups.Results:The total effective rate of observation group was 93.14％,which was higher than that of control group 77.45％(P＜0.05).TCM symptom scores,visual analogue scale(VAS)scores,Northwick Park neck pain questionnaire(NPQ)scores,cervical neck disability in-dex(NDI)scores,serum levels of interleukin-1β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor α(TNF-α)were decreased(P＜0.05),and scores of clinical evaluation scale for cervical spondylosis(CASCS)were increased(P＜0.05).After treatment,TCM syndrome scores,VAS scores,NPQ scores,NDI scores,serum levels of IL-1β,IL-6 and TNF-α in observation group were lower than those in control group(P＜0.05),and CASCS score was higher than those in control group(P＜0.05).Conclusion:The treatment of CSR can significantly inhibit inflammatory response,relieve pain,improve cervical spine function and improve clinical efficacy.
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