Clinical Observation on the Treatment of Cervical Spondylotic Radiculopathy by Combined Therapy of"Three Channels and Four Combinations"Acupuncture
Objective:To study the clinical efficacy of combined therapy of"Three channels and four combina-tions"acupuncture and conventional acupuncture in the treatment of cervical spondylotic radiculopathy(CSR).Methods:60 patients with CSR admitted to our hospital were randomly divided into control group(routine acu-puncture)and observation group(combined therapy of"Three channels and four combinations"acupuncture),with 30 cases in each group.cervical Jiaji(bilateral),Tianzhu(bilateral),Quchi(bilateral),Waiguan(bilateral),Houxi(bilateral),Shenmai(bilateral),Ashi acupoints were selected,and added with Shaohai and Shousanli acu-points for upper limb numbness,and Hegu acpoint for upper limb pain.The control group was given conventional acupuncture treatment,and the observation group was given combined therapy of"Three channels and four combi-nations"acupuncture.After the qi was obtained by acupuncture,patients were given:1)Electroacupuncture:the same side of the cervical Jiaji acupoint was received with electroacupuncture and dense wave was given at a fre-quency of 80～100 Hz;2)TDP irradiation:electroacupuncture combined with TDP irradiation of local skin for 30 min;3)Acupoint cupping:At the Dazhui,cervical Jiaji(bilateral),Dazhu(bilateral),and Jianjing(bilateral)acu-points,acupoint cupping was used to vertically tap the points firmly until the local skin reddened and mild bleed-ing occurred,accompanied by a sensation of mild pain,which was considered optimal.Subsequently,a disposable,calibrated fire cupping treatment(patent number:ZL 201520834109.5)was applied over the corresponding areas for bloodletting.The cups were retained for 10 minutes.Both groups received this treatment once daily,five times per week,with each set of 10 treatments constituting one course of therapy.The overall treatment regimen consist-ed of two courses.Patients from both groups were followed immediately after treatment completion,as well as one month later,to compare changes in their Visual Analogue Scale(VAS)scores for pain,Takakura's 20-point Cervi-cal Spondylosis Symptom Scale(TZCS),and Short Form Health Survey(SF-36)scores.Results:TZCS score and SF-36 scale scores were higher after treatment than before treatment(P＜0.05),and the scores of observation group after treatment and follow-up period were higher than those of control group(P＜0.05).After treatment,the pain VAS score of the two groups was lower than that before treatment(P＜0.05),and the score of the observation group was lower than that of the control group after treatment and during follow-up period(P＜0.05).The total ef-fective rate of the observation group was higher than that of the control group(P＜0.05).Conclusion:The com-bined therapy of"Three channels and four combinations"acupuncture has significant clinical efficacy in the treat-ment of cervical radiculopathy,which can quickly reduce the pain of patients,improve the rigidity and tension of neck and shoulder muscles,upper limb pain and numbness symptoms,improve daily life ability and improve the quality of life,and has good long-term effect,and is worthy of clinical promotion.
Cervical spondylotic radiculopathyCombined therapy of"Three channels and four combinations"acupunctureNeck functionElectroacupunctureTDPPricking and cupping
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