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| Clinical effect of floating needle combined with dialectical traction on cervical spondylotic radiculopathy |
| LI Yuanfeng1 WANG Zhen1 ZHANG Qian1 YANG Xue2 |
1.Department of Orthopedics and Traumatology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.National Traditional Chinese Medicine Clinical Research Base Project Office, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China |
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Abstract Objective To explore the clinical effect of floating needle combined with dialectical traction on cervical spondylotic radiculopathy. Methods A total of 70 patients with cervical spondylotic radiculopathy admitted to First Affiliated Hospital, Heilongjiang University of Chinese Medicine from May 2020 to December 2022 were selected as the study objects, and they were divided into the observation group and the control group according to random number table method, with 35 cases in each group. The observation group was treated with floating needle combined with dialectical traction, while the control group was treated with conventional acupuncture combined with dialectical traction. The treatment course was two weeks. The cervical curvature of the two groups was compared (cervical curvature Bordens method, cervical curvature index (CCI) method, and cervical vertebra centroid line (CCL) method measurement). The levels of interleukin (IL)-6, IL-8, tumor necrosis factor-α (TNF-α) inflammatory response factors and hemorheological factors such as whole blood viscosity low cut, whole blood viscosity high cut, plasma viscosity, and fibrinogen were detected. Results After two weeks of treatment, the clinical efficacy of the observation group was better than that of the control group, the difference was statistically significant (P＜0.05). After two weeks of treatment, the physiological curvature of the cervical spine between the two groups was lower than before treatment, and the measurement result of CCI method in the observation group was lower than that of the control group, and the differences were statistically significant (P＜0.05). There were no significant differences in the measurement results of cervical curvature between the two groups by Bordens method and CCL method (P＞0.05). After two weeks of treatment, the expression level of inflammatory factors in two groups was lower than that before treatment, and the difference was statistically significant (P＜0.05). After two weeks of treatment, there was no statistically significant difference in the expression level of inflammatory factors between two groups (P＞0.05). After two weeks of treatment, the levels of hemorheological related factors in the two groups were lower than before treatment, and the whole blood viscosity, plasma viscosity, and fibrinogen in the observation group were lower than those in the control group, the differences were statistically significant (P＜0.05). There was no significant difference in whole blood viscosity between the two groups (P＞0.05). Conclusion Floating acupuncture combined with dialectical traction can obviously alleviate the symptoms of cervical radiculopathy patients, restore the physiological curvature of cervical spine, reduce the serum inflammatory factors and hemorheological related indexes, which is worth popularizing.
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