The Study Of Acupuncture Nerve Root And Shen Mai Injection In The Treatment Of Lumbar Disc Herniation

ObjectiveLumbar disc herniation, also known as lumbar intervertebral disc rupture disease, lumbar disc herniation, lumbar disc hernia between the cartilage, the lumbar cartilage rupture disease is a common and frequently-occurring disease, one of our orthopedics. The extent of China’s aging population continues to deepen, along with the growing tension in the social work pressure and work intensity,patients with lumbar disc herniation will increase even more to alleviate the patient’s illness seems to have been not meet the patient pursuit of high-quality life needs. In order to improve the clinical treatment of lumbar disc herniation level, to improve the clinical efficacy for the purpose of, this issue through study of90cases of lumbar disc herniation, and randomly divided into three groups (experimental group one, experimental group two, and contrast group).Under the guidance of instructors, trinity orthopedic-spinal manipulation as a basis for treatment.The experimental group one was treated with acupuncture nerve root touch thorn with Shenmai injection foraminal injections. Experimental group two with simple Shenmai injection foraminal injections.The contrast group were treated with triamcinolone acetonide and lidocaine injection mixture foraminal injections, and systematic observation and study of its clinical efficacy, scientific statistical analysis. Argues that the acupuncture nerve root touch thorn with Shenmai injection transforaminal injection for treatment of lumbar disc herniation, new treatment ideas for the clinical treatment of lumbar disc herniation.Methods90example patients according to integrate the standard and the elimination standard strictly, uses the simple random device, divides into the experimental group one, experiment group two and the contrast group, each30example patient. Experimental group one using acupuncture on nerve root touch needling combined with Shenmai injection intervertebral foramen injection,and trinity orthopedic-spinal manipulation therapy, weekly for1times,4times in a row of1treatment courses. Experimental group two using simple Shenmai injection intervertebral foramen injection and trinity orthopedic-spinal manipulation therapy, experimental group two weekly treatments1times,4times in a row of1treatment courses. Contrast group using triamcinolone acetonide, injection of lidocaine mixture transforaminal injection and trinity orthopedic-spinal manipulation treatment, the contrast group1treatments per week for2courses,2times in a row. According to the Japanese Orthopaedic Association for "low back pain score standard" JOA score were observed, respectively, were investigated before and after treatment and after treatment for3months, and6months after treatment and compared and the comparison group,the data using the SPSS15.0for Windows software to carry on statistical analysis.ResultsAfter a course of treatment, the contrast group and the experimental group one,experiment group two,the contrast group treatment was better than the experimental group one and experiment group two.Experimental group one with a significant different campare to contrast group(P<0.05) in the6months after treatment, Acupuncture nerve root touch thorn with Shenmai injection Transforaminal injection and trinity orthopedic-spinal manipulation treatment of lumbar disc herniation in the6months after treatment is better than that of triamcinolone acetonide and lidocaine injection mixture foraminal injections, and trinity orthopedic-spinal manipulation. Experimental group one with a significant different campare to experimental group two(P<0.05)in the6months after treatment, note acupuncture nerve root touch thorn with Shenmai injection Transforaminal injection, and trinity orthopedic-spinal manipulation treatment of lumbar disc herniation in the6months after treatment is better than that of simple Shenmai injection foraminal injections, and trinity orthopedic-spinal manipulation.ConclusionUsing acupuncture nerve root touch thorn with Shenmai injection Transforaminal injection, and trinity orthopedic-spinal manipulation for lumbar disc herniation good clinical synergistic effect.That the mechanism is the trinity orthopedic-spinal manipulation can improve nerve root and disc position,dry compression of nerve root or nerve stimulation can contribute to nerve root inflammation, edema subsided, the relative position of minor changes between the nerve root and the nucleus pulposus, nerve root retraction of oppression nucleus pulposus to make a slight avoidance, which can reduce the oppressed, and alleviate and improve symptoms of sciatica. Local injection of Shen Mai injection on the one hand the direct role of compression of the nerve,the nerve of the pressure release of certain neurotransmitters, reduce spinal nerve stress the role of neurotransmitters, which play the role of analgesic. By improving local blood circulation, reducing the inflammatory response caused by nerve compression, reducing the edema of the nerve roots, to improve the nutrition of the local nerve roots promote the recovery of nerve structure and function.The clinical study found that acupuncture corresponding nerve root touch thorn, the Shenmai injection Transforaminal injection trinity orthopedic-spinal manipulation with treatment of lumbar disc herniation is a safe, effective therapy with Chinese characteristics, and short-term and long-term observation efficacy, it is worth further research. Can be used as the treatment of lumbar disc herniation clinical one.