Clinical Observation Of Extracoiporeal Shock Wave Combined With Meridians And Acupoints In The Treatment Of Limb Long Bone Nonunion

Objective:Extracorporeal shock wave was applied(Extracorporeal shock wave,ESW)combined with meridians and acupoints for the treatment of nonunion of bones,Comparing the clinical efficacy of the control group,the clinical efficacy of ESW combined with meridians and acupoints in the treatment of bone nonunion was evaluated to provide a new way of combining traditional Chinese and western medicine for the treatment of bone nonunion.Methods:The 50 patients with bone nonunion included in the diagnostic criteria were randomly divided into the treatment group and the control group in the order of visit,and the number of cases in the control group and the treatment group was 25cases each.Before the treatment,the fracture line position on the body surface was determined by X-ray in both groups.In the control group,the fracture line was the center,and 2 treatment points were taken from the top and bottom respectively.The treatment points were different each time,but they were all around the fracture line.The treatment group was treated with meridians and acupoints on the basis of the control group.The selected acupoints are bilateral big zhu,Xuan zhong,Ge shu,Gan shu,Pi shu,Shen shu,Zusanli,Yangling Quan and San Yin Jiao.Both groups used EMS Swiss Dolorclast MP100 pneumatic ballistics ESW therapeutic instrument,and used pneumatic ballistics acupuncture probe,Each treatment point and acupoint was hit 300 times,frequency 14Hz,energy range:0.32~0.55mj/mm~2,once a week,4times for a course of treatment,a total of 3 courses visual analogous scale(Visual analogous scale,VAS)scores,imaging scores,total scores of Traditional Chinese Medicine(Traditional Chinese Medicine,TCM)symptoms and other therapeutic indicators were recorded at different periods before and after treatment,and the clinical efficacy of the two groups was compared statistically.Results:1.Total efficacy:the total effective rate was 88%in the treatment group and 80%in the control group.By rank-sum test,the difference between the two groups was statistically significant,(P<0.05).2.Comparison of VAS:VAS score in the two groups after the first treatment was slightly higher than that before treatment,but the difference was not statistically significant(P>0.05).VAS score in the two groups after 4,8 and 12 weeks of treatment was significantly better than that before treatment,and the difference was statistically significant(P<0.05).3.Comparison of VAS scores between groups:after the end of the first treatment,4,8 and 12 weeks after treatment,the VAS scores of the treatment group were significantly different from those of the control group(P<0.05).4.Comparison within the imaging evaluation group:after 4 weeks of treatment,there was no statistically significant difference in the imaging scores between the two groups compared with before treatment(P>0.05).After 8 and 12 weeks of treatment,the imaging scores between the two groups were significantly improved compared with before treatment,with statistically significant difference(P<0.05).5.Comparison of imaging scores between groups:after 4 weeks of treatment,there was no statistically significant difference in imaging scores between the two groups(P>0.05);after 8 weeks of treatment,there was statistically significant difference in imaging scores between the two groups(P<0.05);after 12 weeks of treatment,there was no statistically significant difference in imaging scores between the treatment group and the control group(P>0.05).6.Comparison of total score of TCM symptoms:after the course of treatment,the total score of TCM symptoms in the treatment group was significantly different from that in the control group(P<0.05).7.Safety:safety evaluation,no adverse events occurred before and after treatment in the two groups of patients with bone nonunion,and there was no difference in safety evaluation.Conclusion:1.ESW combined with meridians and acupoints can significantly reduce pain and improve patients’quality of life.2.ESW combination of meridians and acupoints can improve the cure rate of bone nonunion.ESW combination of meridians and acupoints can not only play the role of ESW,but also reflect the efficacy of acupoints,which has the advantages of better efficacy and remarkable efficacy compared with conventional ESW treatment.