To Observe The Clical Al Effect Of Treatment Of Low Back Pain After Posterior Lumbar Interbody Fusion With Acupotomy

Objective:To compare the clinical efficacy of acupotomy therapy with Western medicine treatment of celecoxib in the treatment of posterior lumbar fusion for low back pain.Methods:There are84cases which had been chosen by the Nanjing Military Region General Hospital of Fuzhou from2011February to2012October in Department of orthopedics after posterior lumbar interbody fusion in patients with low back pain, including46males and38females; aged35to67years old, average of51.4years. The fixed segment:L3-4(5cases), L4-5(36cases), L5-S1(43cases). Duration:After3months to6years after operation, the average was2.4years. Using randomized controlled methods, were randomly divided into2groups, odd numbers in western medicine group (male22cases, female20cases), took celecoxib capsules,2times a day, a total of14days. The other patients in acupotomy treatment group,which had42cases (male26cases, female16cases), given acupuncture therapy, once a week, a total of2times. No significant differences between two groups in the age, gender, lesion segment number,course of disease. The two groups were comparable. The changes were compared between the two groups of group and group VAS score Before treatment,after treatment1week,after treatment2weeks, JOA score change, tenderness point number, the degree of improvement in lumbar activity. The overall efficacy of treatment was evaluated after treatment, and telephone follow-up after6months.Results:1,84cases of all were followed up, and there is no significant difference between the two groups in gender, age, pathological segment number, course of disease, The two groups was balance and comparable.2, two groups of VAS score, JOA score, tenderness point number, lumbar activity before treatment had no significant difference, and it was comparable.3, in the two groups before and after treatment, there was significant difference between the VAS score; the two groups after treatment VAS score had significant difference before and after the treatment of VAS; when the maximum difference of VAS score between the two groups, the difference in VAS after1weeks treatment had no significant difference between the two groups after2weeks treatment, and the VAS was significant difference between the two groups.4, in the two groups before and after treatment of tenderness point number were significantly different between the two groups after treatment; tenderness point number in the treatment of1weekends tenderness point number had no significant difference in two groups, in treatment of2weekend tenderness point number was significantly different between the two groups.5, in the two groups before and after treatment, there was significant difference between the JO A integral; between the two groups in the treatment of2weeks of JO A integral had significant difference.6, in the two groups before and after treatment of lumbar activity to improve the degree of two groups had significant differences; lumbar activity improves the degree of comparison between groups, left-hand, right-hand improvement was no significant difference, flexion, extension, left lateral flexion, right lateral flexion significantly improved.7, the total curative effect of the treatment results are shown:the control group acupuncture treatment group was significantly better than the western medicine.Conclusion:Acupuncture therapy is the treatment of posterior lumbar interbody fusion for low back pain after a simple operation, definite curative effect, less adverse reaction, it has economic, efficacy effect,is worthy of clinical application.