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Abstract：
OBJECTIVE: To observe the clinical efficacy of modified cervical Jiaji acupuncture in the treatment of mixed cervical spondylosis (MCS).
METHODS: In this retrospective study, 120 patients with MCS who were treated in Yongchuan Hospital, Affiliated with Chongqing Medical University, from May 2020 to May 2023, were selected as the study subjects. According to the treatment methods, 52 patients who were treated with ordinary seat traction, tendon manipulation and ironing from January 2020 to December 2021 were grouped as the traditional treatment group. From January 2022 to December 2023, 68 patients who were treated with acupuncture at cervical Jiaji points formed the acupuncture group. Cervical Jiaji points (EX-B2) are located on both sides of the spinous process from the first to the seventh cervical vertebra, 0.5 inch lateral to the posterior median line, with 7 points on one side, and a total of 14 points. The patients were in a prone position and the points were treated using direct needling with filiform needle and reinforcing-reducing manipulation. Both groups were treated for 2 weeks. The pain, pain intensity, pain improvement quality, blood flow improvement, cervical spine mobility, cervical spine function and clinical efficacy of the two groups before and after treatment were compared.
RESULTS: After treatment, the pain rating index (PRI) score, present pain intensity (PPI) score and visual analogue scale (VAS) score of the two groups all decreased, with those in the acupuncture group decreasing more substantially than that in the traditional treatment group (all P < 0.05). The mean blood flow velocity (Vm) in the right vertebral artery, left vertebral artery and basilar artery in the acupuncture group were significantly higher than in the traditional treatment group (all P < 0.05). The right-handed, left-handed, posterior, anteflexion, left-flexion and right-flexion activities of the acupuncture group were better than in the traditional treatment group (all P < 0.05), and the neck disability index (NDI) score and clinical assessment scale for cervical spondylosis (CASCS) scores of in the acupuncture group were better than the traditional treatment group (all P < 0.05). After therapy, the total effective rate of the acupuncture group was 86.67%, which was significantly higher than 71.67% in the traditional treatment group (P < 0.05).
CONCLUSIONS: Modified cervical Jiaji acupuncture is effective in treating MCS. It can improve the clinical symptoms, cervical spine function and cervical spine mobility, and reduce the intensity of pain.
METHODS: In this retrospective study, 120 patients with MCS who were treated in Yongchuan Hospital, Affiliated with Chongqing Medical University, from May 2020 to May 2023, were selected as the study subjects. According to the treatment methods, 52 patients who were treated with ordinary seat traction, tendon manipulation and ironing from January 2020 to December 2021 were grouped as the traditional treatment group. From January 2022 to December 2023, 68 patients who were treated with acupuncture at cervical Jiaji points formed the acupuncture group. Cervical Jiaji points (EX-B2) are located on both sides of the spinous process from the first to the seventh cervical vertebra, 0.5 inch lateral to the posterior median line, with 7 points on one side, and a total of 14 points. The patients were in a prone position and the points were treated using direct needling with filiform needle and reinforcing-reducing manipulation. Both groups were treated for 2 weeks. The pain, pain intensity, pain improvement quality, blood flow improvement, cervical spine mobility, cervical spine function and clinical efficacy of the two groups before and after treatment were compared.
RESULTS: After treatment, the pain rating index (PRI) score, present pain intensity (PPI) score and visual analogue scale (VAS) score of the two groups all decreased, with those in the acupuncture group decreasing more substantially than that in the traditional treatment group (all P < 0.05). The mean blood flow velocity (Vm) in the right vertebral artery, left vertebral artery and basilar artery in the acupuncture group were significantly higher than in the traditional treatment group (all P < 0.05). The right-handed, left-handed, posterior, anteflexion, left-flexion and right-flexion activities of the acupuncture group were better than in the traditional treatment group (all P < 0.05), and the neck disability index (NDI) score and clinical assessment scale for cervical spondylosis (CASCS) scores of in the acupuncture group were better than the traditional treatment group (all P < 0.05). After therapy, the total effective rate of the acupuncture group was 86.67%, which was significantly higher than 71.67% in the traditional treatment group (P < 0.05).
CONCLUSIONS: Modified cervical Jiaji acupuncture is effective in treating MCS. It can improve the clinical symptoms, cervical spine function and cervical spine mobility, and reduce the intensity of pain.
摘要：
目的：观察改良颈椎夹脊针治疗混合性颈椎病的临床疗效。
方法：在这项回顾性研究中，在永川医院接受治疗的120例MCS患者，重庆医科大学附属,从2020年5月至2023年5月，被选为研究对象。根据治疗方法,52例接受普通座椅牵引治疗的患者，将2020年1月至2021年12月的肌腱手法和熨烫方法分组为传统治疗组。自2022年1月至2023年12月，以68例采用颈夹脊穴针刺治疗的患者组成针刺组。颈椎夹脊穴（EX-B2）位于第一至第七颈椎的棘突两侧，后中线外侧0.5英寸,一边有7点，共14分。患者处于俯卧位，并使用丝状针直接针刺和加固复位操作对穴位进行治疗。两组均治疗2周。疼痛，疼痛强度，疼痛改善质量，血流改善，颈椎活动度，比较两组患者治疗前后颈椎功能及临床疗效。
结果：治疗后，疼痛等级指数（PRI）评分，疼痛强度(PPI)评分和视觉模拟评分(VAS)评分均下降,与传统治疗组相比，针刺组下降幅度更大（均P<0.05）。右椎动脉的平均血流速度(Vm),针刺组的左椎动脉和基底动脉明显高于传统治疗组（均P<0.05）。右撇子,左撇子,后部,前屈,针刺组的左屈和右屈活动均优于传统治疗组（均P<0.05），针刺组颈部残疾指数(NDI)评分和颈椎病临床评定量表(CASCS)评分均优于传统治疗组(均P<0.05)。治疗后,针刺组总有效率为86.67%,显著高于传统治疗组的71.67%(P<0.05)。
结论：加味宫颈夹脊针法治疗MCS有效。它可以改善临床症状，颈椎功能和颈椎活动度，减轻疼痛的强度。
方法：在这项回顾性研究中，在永川医院接受治疗的120例MCS患者，重庆医科大学附属,从2020年5月至2023年5月，被选为研究对象。根据治疗方法,52例接受普通座椅牵引治疗的患者，将2020年1月至2021年12月的肌腱手法和熨烫方法分组为传统治疗组。自2022年1月至2023年12月，以68例采用颈夹脊穴针刺治疗的患者组成针刺组。颈椎夹脊穴（EX-B2）位于第一至第七颈椎的棘突两侧，后中线外侧0.5英寸,一边有7点，共14分。患者处于俯卧位，并使用丝状针直接针刺和加固复位操作对穴位进行治疗。两组均治疗2周。疼痛，疼痛强度，疼痛改善质量，血流改善，颈椎活动度，比较两组患者治疗前后颈椎功能及临床疗效。
结果：治疗后，疼痛等级指数（PRI）评分，疼痛强度(PPI)评分和视觉模拟评分(VAS)评分均下降,与传统治疗组相比，针刺组下降幅度更大（均P<0.05）。右椎动脉的平均血流速度(Vm),针刺组的左椎动脉和基底动脉明显高于传统治疗组（均P<0.05）。右撇子,左撇子,后部,前屈,针刺组的左屈和右屈活动均优于传统治疗组（均P<0.05），针刺组颈部残疾指数(NDI)评分和颈椎病临床评定量表(CASCS)评分均优于传统治疗组(均P<0.05)。治疗后,针刺组总有效率为86.67%,显著高于传统治疗组的71.67%(P<0.05)。
结论：加味宫颈夹脊针法治疗MCS有效。它可以改善临床症状，颈椎功能和颈椎活动度，减轻疼痛的强度。
