| ObjectiveThis clinical study through the observation of the VAS visual analogue scales before and after treatment of chronic lumbar muscle strains treated with acupuncture combined with local acupuncture and acupuncture therapy,and the functional score index of SC-FRI Simplified Chinese version and clinical symptoms of lumbar muscle strain.The integral table and the clinical signs of lumbar muscle strain is used to compare the clinical efficacy and recent recurrence rate of chronic lumbar muscle strains between the two groups of treatment methods to objectively and truly evaluate the clinical application value of ginger moxibustion combined with local acupuncture.To better promote the clinical application of ginger moxibustion therapy,enrich clinical treatment methods,and make better treatment methods better guide clinical work.MethodsSixty patients with chronic lumbar muscle strains meeting the inclusion criteria in the Department of Acupuncture and Moxibustion Clinics and Inpatient Departments of Hubei Provincial Traditional Chinese Medicine Hospital from October 2015 to October 2017 are randomly divide into treatment groups according to the order of visits and random number tables.In the control group,there were 30 patients in each group.The treatment group was ginger moxibustion combined with local acupuncture group,and the control group was pure acupuncture group.The treatment group used ginger silk moxibustion plus local acupuncture,shop moxibustion acupoints:(to acupoints lumbosacral mainly).On the Governor’s Line,acupuncture points: from the lumbar 1 to the 4th line of the Guanxi line,the suspension axis,the life portal,the lumbar yang junction,the lumbar shu,the upper pimple,the second iliac crest,the middle iliac crest,the lower iliac crest,and the lumbar jiaji cave and other points About 6cm wide area;bladder by the upper point area: by San Jiao Yu,Shen Yu,Qi Hai Yu,Dachang Yu,Guan Yuan Yu,small intestine Yu,bladder Yu where the width of about 6cm wide area.Local acupuncture acupoints: The main point: Shenshu,large intestine Yu A is a point in the distribution of points: cold dampness plus lumbar yang clearance,phlegm and blood stasis plus Yu Yu,kidney deficiency plus large bell.Each time the moxibustion is about 30 to 40 minutes,the acupuncture needles are left for about 30 minutes and 1 day.Treatment once every other day,7 times as a course of treatment,continuous treatment of two courses;control group used simple acupuncture,acupoints and acupuncture methods,needle retention time,frequency and duration of treatment with the treatment group.Record VAS visual analog scales,SC-FRI Simplified Chinese version of functional scores,clinical symptom scores,and clinical signs before and after treatment,and perform statistical analysis to compare the overall clinical efficacy and recent recurrence rates of the two groups.Result:1.Improvement in Pain: From the results of VAS pain scores,the difference between the two groups before and after treatment was P<0.01,indicating that both treatments have therapeutic effects on chronic lumbar muscle strain.After treatment,there was a statistically significant difference between the two groups(P<0.01),indicating that ginger moxibustion combined with local acupuncture has more advantages than simple acupuncture in improving pain symptoms.2.Improvement in SC-FRI scores: From the results of SC-FRI scores,the comparison between the two groups before and after treatment was P<0.01,indicating that the two treatment methods improve the sleep,life,and work quality of patients with chronic lumbar muscle strain.In terms of efficacy.After treatment,there was a statistically significant difference between the two groups(P<0.01).This shows that ginger moxibustion combined with local acupuncture has more advantages than simple acupuncture in terms of improved sleep,life,and work quality.3.Improvement in clinical symptoms: From the results of clinical symptom scores,the comparison between the two groups before and after treatment was P<0.01,indicating that both treatment methods are effective for improving the TCM symptoms of patients with chronic lumbar muscle strain.After treatment,there was a statistically significant difference between the two groups(P<0.01),indicating that ginger moxibustion combined with local acupuncture has more advantages in improving TCM symptoms than simple acupuncture.4.Improvement of clinical signs: From the score of clinical signs,the difference between the two groups before and after treatment was P<0.01,indicating that both therapies were effective in improving lumbar activity,tenderness,and tenderness points..After treatment,there was a statistically significant difference between the two groups(P<0.01),indicating that ginger moxibustion combined with local acupuncture has more advantages than simple acupuncture in improving clinical signs.5.Overall clinical efficacy: According to clinical efficacy evaluation criteria,the total effective rate of ginger moxibustion combined with local acupuncture group was 93.33%,and the total effective rate of simple acupuncture group was 70.00%.After chi-square test,P<0.05,The results of the two groups were comparable.The total clinical efficacy of ginger moxibustion combined with local acupuncture group was significantly better than that of acupuncture group alone.6.Recurrence rate of disease within half an year(recent): According to the assessment and comparison of clinical symptom scores of patients after treatment and one year after treatment,the number of recurrence cases after treatment for half an year is observed,and the ginger moxibustion combined with local needles was obtained.The recurrence rate in the thorn group was 6.67%,and the recurrence rate in the simple acupuncture group was 40.00%.After chi-square test,P<0.05,the results of the two groups were comparable,indicating the recent(within half an year)relapse rate in the ginger moxibustion combined with local acupuncture group.Obviously better than simple acupuncture group.conclusion1.Ginger moxibustion combined with local acupuncture is more advantageous than acupuncture in the improvement of pain,sleep,quality of life,and clinical signs and symptoms in patients with chronic lumbar muscle strain.2.The use of ginger moxibustion combined with local acupuncture and acupuncture is effective for the treatment of patients with chronic lumbar muscle strain.However,the clinical efficacy of ginger moxibustion combined with local acupuncture group is better than that of acupuncture group and is controlled within half an year(Recently,the rate of recurrence with ginger moxibustion combined with local acupuncture group is better,so moxibustion combined with local acupuncture group can more effectively control the recurrence of patients with chronic lumbar muscle strain,reduce the recurrence rate of patients with chronic lumbar muscle strain,and improve patients.The quality of life. |
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