Objective To evaluate the clinical effectiveness of professor WU Lian-zhong's "resuscitation and regulating muscle" acupuncture method for spasmodic torticollis(ST) based on syndrome differentiation,and to compar...Objective To evaluate the clinical effectiveness of professor WU Lian-zhong's "resuscitation and regulating muscle" acupuncture method for spasmodic torticollis(ST) based on syndrome differentiation,and to compare the efficacy of acupuncture treatment between the patients with spasmodic torticollis who were not given botulinum toxin A by injection and the patients given botulinum toxin A by injection.Methods Forty patients were divided into treatment group(not given botulinum toxin A by injection) and control group(given botulinum toxin A by injection),with 20 patients in each group."Resuscitation and regulating muscle" acupuncture method was adopted in both two groups,and the treatment lasted for 6 months.The clinical efficacy in both two groups was compared after treatment.Tsui's Scale was applied to evaluate the overall effect,the abnormal posture of cervical spine and dystonic tremor.Toronto Western Spasmodic Torticollis Rating Scale(TWSTRS) was used for scoring the severity of torticollis,quality of life and pain.Results After treatment,the markedly effective rate and the total effective rate in treatment group were 35.0% and 90.0%,respectively,which were superior to those in control group,namely 20.0% and 75.0%,and the efficacy difference was statistically significant for the total effective rate(P0.05).It was shown according to the Tsui's Scale and TWSTRS that the differences were statistically significant when compared the two groups before and after treatment(all P0.01);the difference of intergroup comparison after treatment was statistically significant(P0.05).No adverse effect was found in both two groups during acupuncture treatment.Conclusion "Resuscitation and regulating muscle" acupuncture method can effectively improve the clinical symptoms of ST patients,and better efficacy is found in the patients not given botulinum toxin A by injection.The course of treatment of acupuncture treatment for torticollis patients is longer,and the patients should insist on treatment,and keep a good attitude.展开更多
基金Supported by WU Lian-zhong Inheritance Studio of National Famous and Veteran TCM Experts
文摘Objective To evaluate the clinical effectiveness of professor WU Lian-zhong's "resuscitation and regulating muscle" acupuncture method for spasmodic torticollis(ST) based on syndrome differentiation,and to compare the efficacy of acupuncture treatment between the patients with spasmodic torticollis who were not given botulinum toxin A by injection and the patients given botulinum toxin A by injection.Methods Forty patients were divided into treatment group(not given botulinum toxin A by injection) and control group(given botulinum toxin A by injection),with 20 patients in each group."Resuscitation and regulating muscle" acupuncture method was adopted in both two groups,and the treatment lasted for 6 months.The clinical efficacy in both two groups was compared after treatment.Tsui's Scale was applied to evaluate the overall effect,the abnormal posture of cervical spine and dystonic tremor.Toronto Western Spasmodic Torticollis Rating Scale(TWSTRS) was used for scoring the severity of torticollis,quality of life and pain.Results After treatment,the markedly effective rate and the total effective rate in treatment group were 35.0% and 90.0%,respectively,which were superior to those in control group,namely 20.0% and 75.0%,and the efficacy difference was statistically significant for the total effective rate(P0.05).It was shown according to the Tsui's Scale and TWSTRS that the differences were statistically significant when compared the two groups before and after treatment(all P0.01);the difference of intergroup comparison after treatment was statistically significant(P0.05).No adverse effect was found in both two groups during acupuncture treatment.Conclusion "Resuscitation and regulating muscle" acupuncture method can effectively improve the clinical symptoms of ST patients,and better efficacy is found in the patients not given botulinum toxin A by injection.The course of treatment of acupuncture treatment for torticollis patients is longer,and the patients should insist on treatment,and keep a good attitude.