SHI Hao, HUANG Qian, YAO Wen-ping, et al. Randomized controlled trial on cervical spondylotic radiculopathy of wind-cold-damp type treated with acupuncture and thunder-fire moxibustion[J]. Acupuncture research, 2021, 46(12): 1036-1042.
DOI:
SHI Hao, HUANG Qian, YAO Wen-ping, et al. Randomized controlled trial on cervical spondylotic radiculopathy of wind-cold-damp type treated with acupuncture and thunder-fire moxibustion[J]. Acupuncture research, 2021, 46(12): 1036-1042. DOI: 10.13702/j.1000-0607.20210006.
Randomized controlled trial on cervical spondylotic radiculopathy of wind-cold-damp type treated with acupuncture and thunder-fire moxibustion
Objective To explore the therapeutic effect of acupuncture combined with thunder-fire moxibustion on cervical spondylotic radiculopathy of wind-cold-damp type and its impacts on the conduction velocity of F wave of median nerve and ulnar nerve
as well as hypersensitive C-responsive protein(hs-CRP)
interleukin 6(IL-6)
IL-1β and tumor necrosis factor α(TNF-α) in serum. Methods A total of 94 patients with cervical spondylotic radiculopathy of wind-cold-damp type were randomly divided into a control group and a combined therapy group
47 cases in each group. In the control group
acupuncture was applied to Fengchi(GV20)
Tianzhu(BL10)
Neck-Jiaji(EX-B5)
Dazhui(GV14) and others
30 min each time
once daily
5 times a week
totally for 4 weeks. In the combined therapy group
on the base of the treatment as the control group
the thunder-fire moxibustion was adopted over GV20
EX-B5
GV14
Jianjing(ST21) and Tianzong(SI11)
20 min each time
once every other day
for 4 weeks in total. After the treatment
the curative effect was compared in the patients between two groups. The short-form McGill pain questionnaire(SF-MPQ)
the neck specificity scale and the MOS 36-item short form health survey(SF-36) were scored. The conduction velocity of F wave in median nerve and ulnar nerve was detected by electromyography. The expression of hs-CRP was measured by immunoturbidimetry. IL-6
IL-1β and TNF-α in serum were determined by enzyme linked immunosorbent assay. Results The total effective rate in the combined therapy group was 95.7%(45/47)
which was higher than 80.9%(38/47) in the control group(P<0.05). Compared with their own pretreatment
the scores of SF-MPQ
neck specificity scale and SF-36 were all obviously improved after treatment in the patients of either group(P<0.05)
while the conduction velocity of F wave in median nerve and ulnar nerve was accelerated and hs-CRP
IL-6
IL-1β and TNF-α in serum were decreased(P<0.05). Compared with the control group
the improvements in the scores of SF-MPQ
neck specificity scale and SF-36 were more obvious(P<0.05)
the increase of the conduction velocity of F wave in median nerve and ulnar nerve and the decrease of hs-CRP
IL-6
IL-1β and TNF-α in serum were more remarkable(P<0.05) in the combined therapy group. Conclusion Acupuncture combined with thunder-fire moxibustion relieves the clinical symptoms of cervical spondylotic radiculopathy of wind-cold-damp type.
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