Treatment of burying drifting Clinical observation of cervical disease 

 

Chinese medicine hospital in Banan District, Chongqing Liu Li Wen Mu-sheng Zhou Dingwei 

  

    Abstract Objective To observe the ups and downs embedding method with the clinical efficacy of the treatment of cervical disease. Methods 100 patients were randomly divided into treatment group and control group, 50 patients, the treatment group treated with the ups and downs embedding the control group, conventional electric needle therapy. The treatment group significantly better than the control group (P <0.05). Conclusion: The treatment of drifting embedding effective treatment for cervical spondylosis.
 
    Key words cervical disease; embedding; clinical observation

    Cervical disease is clinically common disease, with modern diagnostic imaging technology, rapid development, the diagnosis more clear, more and more treatments, our hospital since 2008, embedding technology in the traditional basis, to carry out the use of floating and sinking burying the treatment of cervical disease, to achieve the desired effect, and accumulated some experience and satisfactory results, the final report is as follows.
    1 Clinical data
    1.1 General information on selected cases of 100 patients, all of the out-patient cases, the treatment group, 24 males and 26 females, aged 30 to 75 years, mean 45 years. Dialectical type: wind cold type in 12 cases, 18 cases of qi stagnation, phlegm stasis in 5 cases, 8 cases of liver and kidney deficiency, blood deficiency in 7 cases; clinical types: the neck in 8 cases, 18 cases of nerve root type , 6 cases of spinal cord, vertebral artery in 12 cases, sympathetic in 6 cases. Course of 1 month to 2 years, an average of 5 months. Control group, 22 males and 28 females, aged from 31 to 83 years, mean 48 years, duration of 3 months to 3 years, an average of 8 months, the dialectical type: wind cold type in 9 cases, 16 cases of qi stagnation, phlegm Wet resistance network in 8 cases, 8 cases of liver and kidney deficiency, blood deficiency 9; Clinical classification: neck type in 10 cases, 20 cases of radiculopathy, spinal cord in 4 cases, 11 cases of vertebral artery, 5 cases of sympathetic. The sex ratio of two groups of patients, age distribution, disease duration and other comparable. All cases were diagnosed by CT or CR.
    1.2. Diagnostic criteria
    Selected cases are the "State Administration of Traditional Chinese Medicine. TCM Syndrome diagnosis and efficacy of the standard" diagnosis of cervical disease based on [1]: (1) history of chronic fatigue or injury. Congenital malformations or cervical spine, cervical degenerative disease. (2) was the most over the age of 40 middle-aged, long-term workers or used for a long time down to watch TV, videos are often presented with chronic disease. (3) neck, shoulder pain, headache, dizziness, neck plate hard, upper limb numbness. (4) neck dysfunction, cervical spine disease, the affected side within the upper corner of the scapula often tenderness, palpable cord-like induration, may have upper limb muscle weakness and muscle atrophy, brachial plexus traction test positive. Pressure head test positive. (5) X ray anteroposterior radiography showed proliferation of Luschka joints, mouth opening position may have skew chisel-like protrusion, lateral cervical spine radiograph shows the curvature of straight, disc space narrowing, with bone growth or calcification of ligaments, oblique radiograph shows smaller foramina. CT and MRI diagnosis of meaningful qualitative.
    1.3 Exclusion criteria
    (1) combined spinal tumor, tuberculosis, fracture; (2) other causes of neck arm pain; (3) severe cervical disc prolapse are central; (4) severe heart, lung and kidney dysfunction. (5) cervical spine with spondylolisthesis were.
    2 treatment
    2.1 treatment group
    2.1.1 equipment: Trading Company Luoyang Allen Health burying disposable sterile needles 9 (one-time injection line pin), will be 00 medical catgut (Shanghai medical suture needle plant) cut into sections about 2 cm long , soaked in 75% alcohol use.
    2.1.2 Point Selection: Jiaji vertebra next to the open.
    2.1.3 Method for the treatment group: according to the patient CT, MRI, or CR check out the sick vertebrae, or neck tender points in patients identified as deep puncture points, with 9 deep puncture needle injection line to the nerve roots near the lesion site or , buried catgut. Again in 5 cm away from the trigger point needle, piercing the skin to the pain point along, buried in the subcutaneous catgut. Then the condition of patients with cervical traction. 1 every 10 days of treatment, 1 for a course of treatment. 2 treatment effects were observed.
    2.2 in control group
    EA operating the Act with reference to "Acupuncture Moxibustion Law" [2] method, acupoints with the treatment group, the conventional gas needle was followed by Hua brand electronic acupuncture treatment instrument, continuous wave stimulation 20 min, while the condition of patients with cervical traction. Treatment of 1 day, 10 times as a course of treatment. 2 months after treatment statistical effect.
    Observation 3
    3.1 Clinical Standards
Issued by the State Administration of Traditional Chinese Medicine "TCM Syndrome diagnosis and efficacy standards" for the therapeutic evaluation of cervical disease efficacy standards [3]: (1) cure: disappearance of the original symptoms of various types, normal muscle strength, neck, limb function returned to normal can participate in normal labor and work. (2) improved: the original of each type of symptom relief, neck, shoulder and back pain relief, neck, limb function improved. (3) healed: no improvement of symptoms.
    3.2 The two groups compared treatment results in Table 1


Table 1 Comparison of two groups (cases)

Group
    Number of cases
 Cure
 Improve
 Healed
 The total effective rate (%)
 
Treatment group
 50
 31
 16
 3
 94.0
 
The control group
 50
 16
 21
 12
 76.0
 


 

    Table 1 shows that the efficiency of the treatment group was 94.0%, 76.0% in control group, the two groups, the x2 test, x2 = 6.35, P <0.05, significant difference, indicating efficacy of the treatment group than the control group.
     4 typical cases
    Patients, female, 52 years old, 6 April 2009 to seek treatment. Chief complaint: pain in the neck and right upper limb recurrent in March, increased in January, right upper extremity numbness, cold, pain, unable to sleep at night, drooping upper limb pain increased, on the move reduced. The CT examination revealed: C5 / 6 disc. Had internal medicine, traction, massage, physical therapy, acupuncture, no significant improvement in symptoms. Now come to my clinic seeking treatment, check C5 / 6 spinous process tenderness and right upper extremity radiation, traction test was positive. According to the method catgut embedding points. After the 1st treatment of right upper limb numbness, cold, pain reduced, but still slightly numb; the first 2 treatment upon the original method of treatment. Secondary symptoms disappear after 3 months follow-up without recurrence.
    5 Discussion
    Current clinical treatment of this disease are surgery and non-surgical treatment of two ways. Large trauma due to surgery, treatment costs and other factors are relatively expensive. Thus, whether international and domestic for most patients still tend to use non-surgical treatment. Acupuncture treatment of disease, low cost, good efficacy, safety, high, fewer side effects and other characteristics, of which one of catgut embedding therapy as effective a treatment is unique. Cervical spondylosis with catgut embedding therapy is effective, short course, a more effective consolidation and low cost advantages, particularly less patient time, intermittent long period, greatly facilitate the patients. But the statistics found in the literature [1], the embedding position, the neck Jiaji take more than a single, a single treatment, the lack of specific, affecting the treatment and the promotion of catgut embedding therapy.
The researchers in the long-term clinical practice, according to "hypodermic needle" theory, advocated by burying in the subcutaneous treatment of neck, shoulder, waist and leg pain [2], others [3] should this method to achieve better results. The research group also found together with the exploration of deep stab to the appropriate local nerve root lesions, will be available with a short-term subcutaneous needle puncture of the long-continued effect of deep combine to form a "drifting embedding method", has become a new of burying the treatment options that can make up for the shortcomings of previous embedding methods, play better results. To further systematic clinical observation, burying the formation of a new therapeutic approach to improve the treatment of cervical spondylosis burying the clinical efficacy, so that better services to patients with catgut embedding therapy.
    Observation showed that: After two courses of treatment, the treatment group, the total efficiency of 94.0% and 76.0% in control group, the two groups, the x2 test, x2 = 6.35, P <0.05, significant difference, indicating efficacy of the treatment group better than the control group. Type of wind cold dampness, qi stagnation type more effective than phlegm obstruction syndrome, liver and kidney insufficiency and blood deficiency type. The x2 test, X2 = 29.266, P <0.01. Neck type, nerve root, vertebral artery more effective than the spinal cord, sympathetic. The x2 test, X2 = 30.496, P <0.01. Thus, drifting embedding method better treatment of cervical disease treatment, treatment, number of small, economic and simple, is a worthy treatment.

References
[1] He Li Lei. Catgut implantation treatment of cervical disease research progress, Modern Medicine, 2006,2 (3): 200
[2] Wen Mu-sheng. Hypodermic needle therapy cure all diseases, Beijing, People's Medical Publishing House, 2001:52
[3] Ye Lihan. Acupoint catgut embedding subcutaneous treatment of cervical disease clinical research, Guangzhou University of TCM, 2005,22 (4): 279.


 
About the author:
Wen Mu-sheng, M March 1956, tertiary education, director of Chinese medicine practitioners, unit: Traditional Chinese Medicine Hospital, Banan District, Chongqing