Clinical Investigation of Non-heated Silver Needle Decompression under the Guidance of Pathogenic Principle of Muscle Shortening on Patients with Nerve Root-type Cervical Vertebra Disease_West China Medical Journal

Authors：

 LIXin-ming , LIUChun-mei , RENZheng-qiang , FENGQing-kui ,  XIONGGao-hua

Department of Pain Clinic, Suining Central Hospital, Suining, Sichuan 629000, P. R. China;

Corresponding author：

XIONGGao-hua, Email: 13568704617@163.com

Keywords：

Pathogenic principle of muscle shortening; Non-heated silver needle; Decompression; Cervical vertebra disease

DOI：

10.7507/1002-0179.20150547

Video：

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Objective To investigate the effect of non-heated silver needle decompression under the guidance of pathogenic principle of muscle shortening on patients with cervical vertebra disease of the nerve root type. Methods Sixty patients diagnosed with cervical vertebra disease of the nerve root type between April 2007 and June 2009 were divided randomly into therapy group (n=30), treated with non-heated silver needle decompression, and control group (n=30), treated with physical therapy. Then, we observed the total effective rate, positive physical signs and electrophysiological indexes of the patients 3, 6, 12, and 24 months after treatment. Results The total effective rate was 96.7%, 93.3%, 93.3% and 86.7% in the therapy group 3, 6, 12, and 24 months after treatment, while it was 80.0%, 63.3%, 60.0%, and 50.0% in the control group, and the diTherence between the two groups in each time point was significant (P<0.05). The rate of positive sign in the top pressure test and Brachial plexus traction test lowered significantly 3, 6, and 12 months after treatment in both the two groups (P<0.05), while the rate lowered significantly only in the therapy group 2 years after treatment (P<0.05). Paraspinal tenderness lowered significantly at each time point in the therapy group after treatment (P<0.05), while the decrease in the control group had no significance (P<0.05). The interpeak latency of somatosensory evoked potential N9-N13 got significantly shorter at each time point after treatment in the therapy group (P<0.05), while this only happened at the time points of 3 and 6 months after treatment in the control group (P<0.05). The latency of wave F got significantly shorter at each time point after treatment in the therapy group (P<0.05), while the shortening only occurred 6 months after treatment in the control group (P<0.05). Conclusion Non-heated silver needle decompression under the guidance of pathogenic principle of muscle shortening is an effective treatment for patients with cervical vertebra disease of the nerve root type.

Citation： LIXin-ming, LIUChun-mei, RENZheng-qiang, FENGQing-kui, XIONGGao-hua. Clinical Investigation of Non-heated Silver Needle Decompression under the Guidance of Pathogenic Principle of Muscle Shortening on Patients with Nerve Root-type Cervical Vertebra Disease. West China Medical Journal, 2015, 30(10): 1914-1918. doi: 10.7507/1002-0179.20150547 Copy

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1. 谭冠先. 疼痛诊疗学[M]. 北京:人民卫生出版社, 2001:85-88.
2. 李洪涛. 颈椎病X线检查结果分析[J]. 中国民康医学, 2010, 22(16): 2163, 2169.
3. 孙文超, 史秀明. 颈椎病的X线表现及其分型[J]. 医疗装备, 2010, 23(10):29-30.
4. 于杰, 朱立国, 秦杰, 等. 神经根型颈椎病复发标准的真实性与可靠性评价[J]. 颈腰痛杂志, 2011, 32(6):433-437.
5. 杜国君, 殷潇凡, 张越, 等. 两种牵引方法治疗神经根型颈椎病的效果评价[J]. 中华物理医学与康复杂志, 2015, 37(5):385-387.
6. 宣蛰人. 宣蛰人软组织外科学[M]. 上海:文汇出版社, 2009:419.
7. 中华医学会. 临床诊疗指南-疼痛学分册[M]. 北京:人民卫生出版社, 2007:96-100.
8. 张鸣生, 许伟成, 林仲民, 等. 颈椎病临床评价量表的信度与效度研究[J]. 中华物理医学与康复杂志, 2003, 25(3):151-154.
9. Ludin HP. 实用肌电图学[M]. 汤晓芙, 南登昆, 译. 天津:天津科学技术出版社, 1987:80.
10. 龚炎培, 高井宏明, 阿达启介, 等. 周围神经双卡综合征动物模型的实验研究[J]. 中华手外科杂志, 2003, 19(2):127-128.
11. 颜质灿. 慢性疼痛症的颜氏治疗法[M]. 林志彪, 译. 北京:学苑出版社, 2002:6-7.
12. 吴毅文. 交感型颈椎病非手术治疗附50例临床资料分析[J] 颈腰痛杂志, 2005, 26(4):251-253.
13. Borman P, Keskin D, Ekici B, et al. The efficacy of intermittent cervical traction in patents with chronic neck pain[J]. Clin Rheumatol, 2008, 27(10):1249-1253.
14. 曾立志. 以夹脊穴为主辨经施治治疗神经根型颈椎病临床研究[J]. 中医外治杂志, 2015, 24(4):43-44.
15. 田洪昭, 孙忠人, 张秦宏, 等. 颈夹脊电针治疗神经根型颈椎病临床观察[J]. 中国中医急症, 2015, 24(6):1050-1052.
16. 周毅. 针刺华佗夹脊穴治疗神经根型颈椎病临床研究[J]. 亚太传统医药, 2015, 11(14):66-67.

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West China Medical Journal

Clinical Investigation of Non-heated Silver Needle Decompression under the Guidance of Pathogenic Principle of Muscle Shortening on Patients with Nerve Root-type Cervical Vertebra Disease

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