Objective To observe the clinical efficacy of acupuncture plus warming-needle moxibustion for the treatment of cervical spondylotic radiculopathy.Methods Sixty patients with cervical spondylotic radiculopathy were ran...Objective To observe the clinical efficacy of acupuncture plus warming-needle moxibustion for the treatment of cervical spondylotic radiculopathy.Methods Sixty patients with cervical spondylotic radiculopathy were randomly divided into a warming-needle moxibustion group(group A)and an acupuncture group(group B)according to random number table,with thirty cases in each group.For the patients in the group A,Fengchi(风池 GB 20),Jingjiaji(Jiaji points on the neck),Dazhui(大椎 GV 14),Dazhu(大杼 BL 11),Jugu(巨骨 LI 16),Tianzong(天宗 SI 11),Tianliao(天髎 TE 15),Jianjing(肩井 GB 21) and Hegu(合谷 LI 4) were selected for warming-needle moxibustion.In the group B,Jianliao(肩髎 TE 14),Jianyu(肩髃 LI 15),Quchi(曲池 LI 11),Tianjing(天井 TE 10),Yangchi(阳池 TE 4),and Waiguan(外关 TE 5) were selected for acupuncture.Both groups were treated once a day and ten times constituted a course of treatment.Results Compared with the group B,significant differences were observed in the group A after a course of treatment in terms of 20-score scoring for symptoms of cervical spondylotic radiculopathy,VAS scoring and clinical efficacy[16.63±2.31 vs 15.67±2.48,2.36±1.59 vs 3.98±2.32,100%(30/30) vs 86.7%,all P〈0.05].Conclusion Acupuncture plus warming-needle moxibustion can significantly reduce neck pain and improve neck function of patients with cervical spondylotic radiculopathy,which is worthy of clinical application due to its simple manipulation.展开更多
On the basis of relevant literature and evidence, Clinical Practice Guidelines of Acupuncture-moxibust^on .for Cervical 5pondyloffc Radiculopathy has been formulated according to the quality of evidences and by adopti...On the basis of relevant literature and evidence, Clinical Practice Guidelines of Acupuncture-moxibust^on .for Cervical 5pondyloffc Radiculopathy has been formulated according to the quality of evidences and by adopting the method of Grades of Recommendations Assessment, Development and Evaluation (GRADE), in which the objective of guidelines formulation, the scope of application of the guidelines, the principle of acupuncture-moxibustion treatment of cervical spondylotic radiculopathy, the time for intervention and different acupuncture-moxibustion regimens, etc. were specified.展开更多
Objective To systematically evaluate the efficacy of heat-sensitive moxibustion in treatment of cervical spondylotic radiculopathy(CSR). Methods Chinese National Knowledge Infrastructure(CNKI), China Biology Medi...Objective To systematically evaluate the efficacy of heat-sensitive moxibustion in treatment of cervical spondylotic radiculopathy(CSR). Methods Chinese National Knowledge Infrastructure(CNKI), China Biology Medical(CBM) database, Chinese Science and Technology Periodical Database(VIP), Wan Fang Data, Pubmed and Cochrane Library were retrieved to search the randomized controlled trials(RCT) on heat-sensitive moxibustion in treatment of CSR, and Meta analysis was conducted by applying Rev Man 5.3 software. Results Eventually, 10 papers were included in this study, including 1008 subjects. Meta analysis result showed: the total effective rate of treatment group was higher than that of control group, and the difference was statistically significant [RR=1.13, 95%CI(1.06, 1.21), Z=3.54, P=0.000 4]; the cure rate of treatment group was higher than that of control group, and the difference was statistically significant [RR=1.80, 95%CI(1.52, 2.13), Z=6.82, P〈0.000 01]; the improvement of short-form Mc Gill pain questionnaire(SF-MPQ) of treatment group was superior to that of control group, and the difference was statistically significant [MD=–4.44, 95%CI(–6.38,-2.50), Z=4.49, P〈0.000 01]; visual analogue scale(VAS) of treatment group was lower than that of control group, and the difference was statistically significant [MD=-0.36, 95%CI(-0.50, –0.23), Z=5.42, P〈0.00001]; and the improvement of interleukin-6(IL-6) of treatment group was superior to that of control group, and the difference was statistically significant [MD=–7.32, 95%CI(-11.49, –3.14), Z=3.44, P=0.000 6]. Conclusion It is indicated from the Meta analysis result that the clinical efficacy of heat-sensitive moxibustion or acupuncture combined with heat-sensitive moxibustion in treatment of CSR is superior to that of simple acupuncture or traditional suspended moxibustion, providing a new therapeutic method for treatment of CSR. However, the abovementioned conclusion still needs to be confirmed through randomized blind controlled trials with high quality and large sample size since the sample size of included studies was small, and the quality was low.展开更多
文摘Objective To observe the clinical efficacy of acupuncture plus warming-needle moxibustion for the treatment of cervical spondylotic radiculopathy.Methods Sixty patients with cervical spondylotic radiculopathy were randomly divided into a warming-needle moxibustion group(group A)and an acupuncture group(group B)according to random number table,with thirty cases in each group.For the patients in the group A,Fengchi(风池 GB 20),Jingjiaji(Jiaji points on the neck),Dazhui(大椎 GV 14),Dazhu(大杼 BL 11),Jugu(巨骨 LI 16),Tianzong(天宗 SI 11),Tianliao(天髎 TE 15),Jianjing(肩井 GB 21) and Hegu(合谷 LI 4) were selected for warming-needle moxibustion.In the group B,Jianliao(肩髎 TE 14),Jianyu(肩髃 LI 15),Quchi(曲池 LI 11),Tianjing(天井 TE 10),Yangchi(阳池 TE 4),and Waiguan(外关 TE 5) were selected for acupuncture.Both groups were treated once a day and ten times constituted a course of treatment.Results Compared with the group B,significant differences were observed in the group A after a course of treatment in terms of 20-score scoring for symptoms of cervical spondylotic radiculopathy,VAS scoring and clinical efficacy[16.63±2.31 vs 15.67±2.48,2.36±1.59 vs 3.98±2.32,100%(30/30) vs 86.7%,all P〈0.05].Conclusion Acupuncture plus warming-needle moxibustion can significantly reduce neck pain and improve neck function of patients with cervical spondylotic radiculopathy,which is worthy of clinical application due to its simple manipulation.
文摘On the basis of relevant literature and evidence, Clinical Practice Guidelines of Acupuncture-moxibust^on .for Cervical 5pondyloffc Radiculopathy has been formulated according to the quality of evidences and by adopting the method of Grades of Recommendations Assessment, Development and Evaluation (GRADE), in which the objective of guidelines formulation, the scope of application of the guidelines, the principle of acupuncture-moxibustion treatment of cervical spondylotic radiculopathy, the time for intervention and different acupuncture-moxibustion regimens, etc. were specified.
基金Supported by Anhui Provincial Colleges science research platform team building program:2015TD033Provincial demonstrating experiment and practice training center:20100541
文摘Objective To systematically evaluate the efficacy of heat-sensitive moxibustion in treatment of cervical spondylotic radiculopathy(CSR). Methods Chinese National Knowledge Infrastructure(CNKI), China Biology Medical(CBM) database, Chinese Science and Technology Periodical Database(VIP), Wan Fang Data, Pubmed and Cochrane Library were retrieved to search the randomized controlled trials(RCT) on heat-sensitive moxibustion in treatment of CSR, and Meta analysis was conducted by applying Rev Man 5.3 software. Results Eventually, 10 papers were included in this study, including 1008 subjects. Meta analysis result showed: the total effective rate of treatment group was higher than that of control group, and the difference was statistically significant [RR=1.13, 95%CI(1.06, 1.21), Z=3.54, P=0.000 4]; the cure rate of treatment group was higher than that of control group, and the difference was statistically significant [RR=1.80, 95%CI(1.52, 2.13), Z=6.82, P〈0.000 01]; the improvement of short-form Mc Gill pain questionnaire(SF-MPQ) of treatment group was superior to that of control group, and the difference was statistically significant [MD=–4.44, 95%CI(–6.38,-2.50), Z=4.49, P〈0.000 01]; visual analogue scale(VAS) of treatment group was lower than that of control group, and the difference was statistically significant [MD=-0.36, 95%CI(-0.50, –0.23), Z=5.42, P〈0.00001]; and the improvement of interleukin-6(IL-6) of treatment group was superior to that of control group, and the difference was statistically significant [MD=–7.32, 95%CI(-11.49, –3.14), Z=3.44, P=0.000 6]. Conclusion It is indicated from the Meta analysis result that the clinical efficacy of heat-sensitive moxibustion or acupuncture combined with heat-sensitive moxibustion in treatment of CSR is superior to that of simple acupuncture or traditional suspended moxibustion, providing a new therapeutic method for treatment of CSR. However, the abovementioned conclusion still needs to be confirmed through randomized blind controlled trials with high quality and large sample size since the sample size of included studies was small, and the quality was low.