| Objective:By dividing the participants into three groups(40 minutes, 50 minutes and 60 minutes), this research is designed to investigate the difference of time spent to ease the pain of those patients suffered from lumbar disc herniation, and the difference of clinical efficacy using acupuncture and diathermal moxibustion before treatment, after treatment immediately and one month later. Through observing the difference of time spent on easing the pain of patients, this article aims to discover the best quantity of acupuncture on curing the patients of lumbar disc herniation, therefore offering evidence for the expected effect of acupuncture on relieving the pain of lumbar disc herniation, and reference for the expected effect of acupuncture on other diseases.Methods:Employing the random parallel control study, this research divides 90 patients of lumbar disc herniation meeting the criteria into three categories randomly, which are 40-min group, 50-min group and 60-min group, with 30 participants in each group. In this research, four acupoints(Shen Yu, Dachang Yu, Tuchu Jieduan Jiaji Xue, and Weizhong) are chosen and the treatment is carried out once everyday. One course of treatment includes five times and three courses should be done continuously. Requests and records on how patients felt in and after the process of being treated with acupuncture are kept everyday. The symptom of the patients is kept and a comprehensive judgment is given both before and after the treatment. What’s more, a clinical interview is done one month later after the treatment, and following that, a statistical analysis is conducted to judge the efficacy of the treatment.Results: 1. Comprehensive efficacy of the treatment: in the 40-min group, 18 participants were heeled, 5 others had obvious recovery, 4 others had some recovery and 1 had none. So the recovery rate is 60% and the effective rate is 76%; in the 50-min group, 22 participants were heeled, 5 others had obvious recovery, 2 others had some recovery and 1 had none. So the recovery rate is 73% and the effective rate is 90%; in the 60-min group, 27 participants were heeled, 1 other had obvious recovery, 1 other had some recovery and 1 had none. So the recovery rate is 90% and the effective rate is 93%. After the statistical analysis, P=0.000(P<0.05). Hence the difference has statistical meaning. 2. Evaluation of the symptom and sign: either the total score of M-JOA for those three groups before and after the treatment, or the contrast of VAS within those groups, or the effectiveness of treatment for those three groups, p<0.05. So the difference also has statistical meaning. 3. Interview after one month: in the 40-min group, 12 participants recurred, and the recurrence rate is 40%; in the 50-min group, 6 participants recurred, and the recurrence rate is 40%; in the 60-min group, 0 participants recurred, and the recurrence rate is 0%. F=8.70,P=0.000<0.05, which has statistical meaning.Conclusions:1. A larger quantity of acupuncture is effective to ease the pain of patients suffered from lumbar disc herniation and can shorten the lasting time of pain and stimulate Jingqi, therefore achieving a better effect of acupuncture and diathermal moxibustion. 2. The circumstances of patients in the 60-min group is better compared with the other two groups after the treatment, which indicates that acupuncture is able to achieve the purpose of curing lumbar disc herniation and the pain will not recur easily. This research offers a reliable evidence for that a larger quantity of acupuncture is more effective. 3. The accumulation of the quantity of acupuncture is the premise of easing the pain, which improves the clinical efficiency and can be used as the main method for the clinical treatment of lumbar disc herniation. |
PDF Full Text Request