Clinical Observation on the Efficacy of Acupuncture Combined with Acupoint Application in the Treatment of Cervical Spondylotic Radiculopathy of Collateral Obstruction by Wind-Cold Type
Objective:To observe the clinical efficacy of acupuncture combined with acupoint application in the treatment of cervical spondylotic radiculopathy of collateral obstruction by wind-cold type.Methods:A total of 94 patients with cervical spondylotic radiculopathy of collateral obstruction by wind-cold type,meeting the inclusion criteria,were randomly divided into a control group and an observation group,with 47 patients in each group.During the study,4 patients from the control group and 1 patient from the observation group dropped out.The control group received oral celecoxib,while the observation group was treated with acupuncture combined with acupoint application,both for 30 days.The McGill Pain Questionnaire,cervical range of motion(flexion,extension,lateral bending,and rotation),spinal scoliosis angle,electromyography-evoked potentials(median and ulnar nerve conduction velocities,brachial plexus evoked potential peak latency,and cervical spinal cord evoked potential peak latency)were observed in both groups.Arterial blood flow indices,including vertebral artery resistance index(VARI),mean blood flow velocity of the basilar artery(MBA-FV),mean blood flow velocity of the vertebral artery(MVA-FV),vertebrobasilar artery diameter(VAD),and serum inflammatory factors[interleukin(IL)-1β,IL-4,macrophage migration inhibitory factor(MMI),and tumor necrosis factor-α(TNF-α)]were also measured.Results:The total effective rates in the observation group at post-treatment and at 3,6,and 12 months follow-ups were 97.8%(45/46),91.3%(42/46),80.4%(37/46),and 71.7%(33/46),respectively,significantly higher than those in the control group at 83.7%(36/43),72.1%(31/43),51.2%(22/43),and 39.5%(17/43)(all P<0.05).Compared with pre-treatment,the McGill Pain Questionnaire scores,cervical range of motion,and spinal scoliosis angle improved significantly in both groups(P<0.05).Median and ulnar nerve conduction velocities increased,brachial plexus and cervical spinal cord evoked potential peak latencies shortened,and levels of VARI,TNF-α,MMI,IL-1β,and IL-4 decreased(P<0.05).MBA-FV,MVA-FV,and VAD levels increased(P<0.05).The observation group showed significantly better improvements in these indicators compared to the control group after treatment.Conclusion:Acupuncture combined with acupoint application significantly alleviates neck and shoulder pain,improves cervical function,promotes nerve conduction,increases vertebral artery blood flow,and reduces inflammatory responses in patients with cervical spondylotic radiculopathy of collateral obstruction by wind-cold type.
万方数据
维普
