Evaluation of the clinical effect of acupuncture in treatment of neck pain in cervical spondylosis based on propensity score matching.
10.13703/j.0255-2930.20220621-k0002
- Author:
Yin-Juan ZHANG
1
;
Jia-Qi YANG
2
;
Jie WU
1
;
Jian-En GUO
1
;
Zhi-Xin YANG
1
;
Jin-Ying LIU
1
;
Yu-Man WANG
1
Author Information
1. Department of Chinese Medicine, Chengde Medical College, Chengde 067000, Hebei Province, China.
2. School of Basic Medicine, Chengde Medical College, Chengde 067000, Hebei Province, China.
- Publication Type:Journal Article
- Keywords:
acupuncture;
cervical spondylosis;
neck pain;
propensity score matching;
real-world research
- MeSH:
Humans;
Neck Pain/therapy*;
Propensity Score;
Quality of Life;
Acupuncture Points;
Acupuncture Therapy;
Spondylosis/therapy*;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2023;43(8):907-910
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the clinical effect and safety of acupuncture in treatment of neck pain due to cervical spondylosis.
METHODS:According to the patients' preference and acceptance for the interventions of neck pain induced by cervical spondylosis, an acupuncture group (221 cases) and a non-acupuncture group (251 cases) were divided. After the control of confounding factors with propensity score matching, 218 cases were included in either acupuncture group or non-acupuncture group. In the acupuncture group, acupuncture was applied to Dazhui (GV 14), Baihui (GV 20), ashi points, bilateral neck-Jiaji (EX-B 2), Fengchi (GB 20), Houxi (SI 3), Shenmai (BL 62), etc. The treatment was given once daily, one course of intervention was composed of 5 treatments and 3 courses were included. In the non-acupuncture group, the oral administration of imrecoxib tablets and cobalt tablets was prescribed for 2 weeks. Before and after treatment, the scores of Northwick Park questionnaire (NPQ) and the simplified McGill pain questionnaire (SF-MPQ) were observed, and the safety was assessed in patients of the two groups.
RESULTS:After treatment completion, the scores of NPQ and SF-MPQ were all reduced when compared with those before treatment in each group (P<0.001), and the scores of NPQ and SF-MPQ in the acupuncture group were lower than those of the non-acupuncture group (P<0.001). The incidence of adverse reactions was 6.0% (13/218) in the acupuncture group and was 10.1% (22/218) in the non-acupuncture group, without statistical significance in comparison (P>0.05).
CONCLUSION:Acupuncture is effective and safe in the relief of neck pain and the improvement of comprehensive quality of life in the patients with cervical spondylosis.
