Clinical Study Of Lumbar Herniation Of Acupuncture And Manipulation Therapy

Lumbar Disc Herniation (LDH) is a kind of clinical common orthopedic chronic diseases.After the main performance for lower back pain, accompanied by more hip, lower limb pain and numbness and a series of clinical symptoms.The Chinese medicine without the disease, but according to its clinical symptoms classified this type of "back pain","lumbocrural pain","back pain even knees" category. The disease incidence is higher and mostly in young adults.lt seriously affects the patient’s daily life and becomes one of the diseases which cause serious damage to human health.In the modern medicine,the disease is due to lumbar disc degeneration and damage, clinical treatment includes for etiological treatment of surgical treatment and the clinical symptoms of drug therapy, such as anti-inflammatory analgesic nonsteroidal anti-inflammatory drugs, alleviate nerve root edema of mannitol, nutrient nerve of B vitamins, etc. Patients choose to bear the risk of surgery, after surgery and choose oral western medicine after liver damage and there are a lot of the side effects of renal damage.Traditional conservative therapy in the Chinese medicine with its simple, cheap, simple operation, no side effect of features, in clinical treatment of lumbocrural pain has been widely accepted by patients. Especially to massage and acupuncture, in line with the Chinese medicine dialectical thinking in disease, the etiology and pathogenesis of overall view, meridians theory to treat the disease has a lot of features, such as clinical curative effect is distinct, avoid the medicine for the treatment of high risk and drug dependence and side effects. However, a single treatment can not meet the needs of patients, a variety of effective single therapy are more likely to be accepted by the patients after the combination, this topic is used in acupuncture combined with massage in treatment of lumbar disease in the clinical application effect is remarkable. This paper about the concept of waist suddenly sickness, epidemiological characteristics, etiology and pathogenesis, pathogenic factors and pathogenesis and clinical applications in the literature review, respectively, from the perspective of western and Chinese medicine are expounded and discussed, this study acupuncture combined with massage therapy to treat lumbar disease patients, clinical compared with simple acupuncture and massage therapy in patients with pure, and its own before-and-after study, can objectively evaluate the clinical curative effect.ObjectiveObjective to observe and evaluate whether massage combined with acupuncture therapy is superior to pure therapy. MethodsAccording to medical order, choreography in patients with Lumbar disc herniation outpatient number respectively, by using random table into the case, a total of66cases.Acupuncture:The patient prone position,75%alcohol and local disinfection, select Mingmen, Xiajishu, Yaoyangguan, Shiqizhui, Jiaji, Huantiao, Weizhong, Yanglingquan, Xuanzhong, Kunlun.Massage:The patient prone position. In patients with hip and leg along the damaged nerve root and its distribution area with rolling and press, point, kneading, method of treatment, again with rhythm, the pressure around the waist with both hands, make the waist, then fixed on the affected part, with double lower limbs after stretch pull method, make the waist stretched out, in the supine position, use forced the straight leg-raising use both hands to the lateral pressure in the pelvis.Every time30min, treatment of5consecutive days, Monday to Friday, two days to rest. Two weeks for a period of treatment, treatment2course of treatment. Cases of screening treatment before1day, after2weeks,4weeks after treatment;2weeks after completion of treatment,1month follow-up to observe a total of five time points, in order to understand the patient’s work time, efficacy, safety, the occurrence of adverse events, such as using JOA assessment score and record data, with SPSS20.0statistical data before and after treatment.ResultsThree groups before and after treatment in self-reflection has significant difference (P<0.05), the three groups are effective treatment, but acupuncture massage combined with the treatment is effective in the treatment of2weeks, and the simple acupuncture group and simple after2weeks with the control group did not work, and after2weeks and4weeks after treatment of acupuncture massage group with simple acupuncture massage group there were significant differences (P<0.05), said the efficiency of acupuncture efficacy with the control group obviously better than the pure acupuncture group and simple massage, effective acupuncture massage treatment group is higher than the pure acupuncture group and simple massage; Within2weeks after completion of treatment, three way and4weeks after treatment curative effect were no significant difference of self-reflection, two on Wednesday after the end of the course of the groups did not relapse. Treatments after1month,3way and within4weeks after treatment efficacy of self-reflection, acupuncture control group there was no significant difference (P>0.05), and the simple acupuncture group and simple massage group had significant difference (P<0.05), the comparison between the three way, the simple acupuncture group and simple acupuncture massage group was extremely significant difference with the control group (P<0.01), the comparison between the two way, the simple acupuncture group and simple there was no significant difference with the control group (P>0.05), suggesting acupuncture massage, no recurrence, and simple acupuncture group and simple recurrence with the control group and the recurrence rate.Three ways to treat lumbar disease are effective, but show the efficiency of acupuncture massage treatment group is superior to the simple acupuncture group and simple massage, effective acupuncture massage treatment group is higher than the pure acupuncture group and simple massage group, the recurrence rate of acupuncture massage group is lower than the pure acupuncture group and simple, with the control group shows that combination of massage treatment of the disease than simple acupuncture therapy quick effect, good curative effect, low recurrence rate, the effect is better. Gender, age, patient treatment had no obvious effect on the disease. Patients had significant effect on the course of the disease treatment, shorter course of treatment the faster working time also.ConclusionKeyl, Acupuncture, massage combined therapy for Lumbar disc herniation is pure acupuncture and pure massage therapy quick effect, high curative effect, low recurrence rate. Key2, Patients with gender, age, treatment had no obvious effect on the disease. Course of the disease, the patient had significant effect on the treatment of the disease, condition the lighter, shorter course of treatment, the faster the working time, treatment effect is better. Key3, Acupuncture massage combined therapy to treat lumbar disease has good security, more easily accepted by patients.