Clinical Efficacy of Bowstring Mechanics Massage Combined with Shujin Tongluo Granules in the Treatment of Cervical Spondylotic Radiculopathy
Objective:To investigate the clinical efficacy and mechanism of bowstring mechanics massage com-bined with Shujin Tongluo Granules in the treatment of cervical spondylotic radiculopathy(CSR).Methods:Total-ly 144 cases of cervical spondylotic radiculopathy with syndrome of blood stasis due to qi deficiency were random-ly divided into 3 groups,with 48 cases in each group.Group A was treated with Shujin Tongluo Granules.Group B was treated with bowstring mechanics massage.Group C was treated with bowstring mechanics massage combined with Shujin Tongluo Granules.Each group was treated for 4 weeks.The effective rate and therapeutic effect of each group were observed.Visual Analogue Score(VAS),neck Disability Index(NDI),Japanese Orthopedic Associ-ation(JOA)score,cervical Range of Motion(ROM)were compared before and after treatment.Serum levels of neu-ropeptide Y(NPY),cyclooxygenase-2(COX-2),interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α)and nu-clear factor-κB(NF-κB)were measured before and after treatment.Results:After 4 weeks of treatment,the total clinical effective rate of group C was significantly higher than that of group A and B(P＜0.01).NDI and VAS scores were significantly reduced(P＜0.01).JOA and ROM scores were significantly increased(P＜0.01).Serum levels of NPY,COX-2,IL-1β,TNF-α and NF-κB were significantly lower(P＜0.05),and group C was better than those of group A and B(P＜0.05).Conclusion:Bowstring mechanics massage combined with Shujin Tongluo Granules is effective in treating CSR with syndrome of blood stasis due to qi deficiency.Its mechanism may be re-lated to reducing the contents of inflammatory factors and pain factors around nerve roots.
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