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

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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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2. 李洪濤. 頸椎病X線檢查結果分析[J]. 中國民康醫學, 2010, 22(16): 2163, 2169.
3. 孫文超, 史秀明. 頸椎病的X線表現及其分型[J]. 醫療裝備, 2010, 23(10):29-30.
4. 于杰, 朱立國, 秦杰, 等. 神經根型頸椎病復發標準的真實性與可靠性評價[J]. 頸腰痛雜志, 2011, 32(6):433-437.
5. 杜國君, 殷瀟凡, 張越, 等. 兩種牽引方法治療神經根型頸椎病的效果評價[J]. 中華物理醫學與康復雜志, 2015, 37(5):385-387.
6. 宣蟄人. 宣蟄人軟組織外科學[M]. 上海:文匯出版社, 2009:419.
7. 中華醫學會. 臨床診療指南-疼痛學分冊[M]. 北京:人民衛生出版社, 2007:96-100.
8. 張鳴生, 許偉成, 林仲民, 等. 頸椎病臨床評價量表的信度與效度研究[J]. 中華物理醫學與康復雜志, 2003, 25(3):151-154.
9. Ludin HP. 實用肌電圖學[M]. 湯曉芙, 南登昆, 譯. 天津:天津科學技術出版社, 1987:80.
10. 龔炎培, 高井宏明, 阿達啟介, 等. 周圍神經雙卡綜合征動物模型的實驗研究[J]. 中華手外科雜志, 2003, 19(2):127-128.
11. 顏質燦. 慢性疼痛癥的顏氏治療法[M]. 林志彪, 譯. 北京:學苑出版社, 2002:6-7.
12. 吳毅文. 交感型頸椎病非手術治療附50例臨床資料分析[J] 頸腰痛雜志, 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. 以夾脊穴為主辨經施治治療神經根型頸椎病臨床研究[J]. 中醫外治雜志, 2015, 24(4):43-44.
15. 田洪昭, 孫忠人, 張秦宏, 等. 頸夾脊電針治療神經根型頸椎病臨床觀察[J]. 中國中醫急癥, 2015, 24(6):1050-1052.
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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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