The effect of Shufengzhitong decoction combined with four cervical needles on cervical spondylotic radiculopathy and leukotriene and inflammatory factors

• Main Authors: Biao Wang, Liu-Gang Tang
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2021-02-01
• Series: Journal of Hainan Medical University
• Subjects: radicular cervical spondylosis'; shufeng zhitong decoction; cervical four needle; leukotriene; inflammatory factor
• Online Access: http://www.hnykdxxb.com/PDF/202104/08.pdf

Objective: To investigate the effect of shufengzhitong decoction combined with four cervical needles on cervical spondylotic radiculopathy (CSR) and leukotriene and inflammatory factors. Methods: 110 patients with CSR were randomly divided into two groups, with 55 in each group. There was no significant difference in baseline data between the two groups (P > 0.05). The control group were treated with Shufeng Zhitong decoction orally, and the treatment group were treated with four neck acupuncture on the basis of the control group. Neck pain scale score(NPQ), Cervical spondylosis clinical evaluation scale score (CASCS) Cervical range of motion score (CROM), Emg surface signal and serum Levels of leukotriene B4 (LTB4),leukotrieneC4 (LTC4), leukotrieneD4(LTD4), interleukin(IL) -1β , tumor necrosis factor-alpha (TNF-α),IL-6,IL-8 and IL-18 were compared before and after treatment. The clinical effect of the two groups was compared. Results: NPQ of the treatment group was lower than that of the control groupafter treatment (P < 0.01), the scores of CASCS and CROM were higher than those of the control group (P < 0.01), the median frequency of surface EMG signal of biceps brachii and superior trapezius muscle were higher than those of the control group (P < 0.01), the levels of serum LTB4, LTC4, LTD4, IL-1 β,TNF -α,IL-6,IL-8 and IL- 18 were lower than those of the control group (P < 0.01), the clinical effect was better than that of the control group (P < 0.05), and the differences were statistically significant. Conclusion: Shufengzhitong decoction combined with cervical four acupuncture can effectively alleviate the symptoms of cervical spondylosis, regulate the myoelectric signal of muscle surface, reduce the content of leukotriene in serum, reduce the expression of inflammatory factors, and it has a significant effect on the treatment of CSR.