| Purpose:By comparing the traditional medical treatment methods of China and Thailand,analyzing the differences in the effectiveness of traditional Chinese medicine massage and Thai massage,comparing the differences in operation and advantages and disadvantages of the two,and using clinical trials to observe the differences in the effectiveness of the two and optimize the injuries of tendons Manipulative treatment prescription.Material and method:100 patients with lumbar disc herniation manifested as lumbar disc herniation in the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine and Traditional Thai Medicine Hospital of Prince of Songkla University,Thailand from January2019 to January 2020 were selected,and informed consent was given to the patients and written agree.Random number table method was used to randomly divide patients with lumbar disc herniation into TCM meridian massage group(50 cases)and Thai massage group(50 cases),and the basic conditions of the subjects in the two groups were comparable.TCM meridian massage group: according to the different meridian types diagnosed,corresponding treatment is performed.Foot Sun Meridian Type: The patient takes the prone position,and the surgeon uses the elbow to start pressing from the foot and gradually treats the direction of the head.The treatment is performed by using comb therapy such as point,press,knead,pluck,etc.There are cords,stiff knots,and posterior iliac knots,etc.,focusing on eliminating the tendon lesions between the lumbar trilateral process,the fourth lumbar vertebra,and the fifth lumbar vertebra to relax the entire meridian Tense muscles.Foot Shaoyang meridian type: the patient is placed on the side and the affected side is on the top.The doctor uses the elbow,palm and other parts to eliminate the focus of the patient’s foot toe tendon,external knee,and upper tendon Treatment.Foot-yangming meridian type: The patient takes the supine position,and the surgeon uses the thumb or the circumference to follow the shape of the foot-yangming meridian tocompletely loosen this meridian,and the knots in the hair and the knots Intensive treatment is performed at the lesion to achieve a better treatment.Thai massage group: Thai massage is mainly divided into six methods: point method,kneading method,split method,step method,push method,exercise joint method.Operated by hands,elbows,knees,feet,etc.,Thai massage is gentle,moderate,and gradual.Place the patient in the supine position,the doctor presses the palm of the groin to complete the air opening technique,and then place the patient in the prone position,apply the technique to the lower back,focus on rubbing the tight muscles on both sides,and relax after a period of time.The patient returned to the supine position,and the doctor made the patient bend the hip joint for shaking treatment and cooperated with stretching.Finally,the patient was placed in the supine position again,the doctor fixed the hips and pulled the ankles backwards,and repeated several times.The patients in the two groups were treated once,7 times / course,and the interval between the courses was 1 day,for a total of 4 weeks.Observation indicators:(1)Visual Analog Scales(VAS);(2)Efficacy score for JOA low back pain;(3)Quality of life(WHOQOL)score;(4)Evaluation of curative effect: The curative effect score is evaluated by referring to the "Therapeutic Effectiveness Standards of TCM Diseases and Syndromes of the Chinese People’s Republic of Traditional Chinese Medicine Industry Standards"(published by the State Administration of Traditional Chinese Medicine in 1995).The above can restore the original work;improvement: the waist and leg pain are reduced,and the waist activity can be improved;Results:1.Comparison of the VAS scores of the two groups of patients before treatment(P<0.05),indicating that they are comparable.At the end of the course of treatment,analysis of variance was used for comparison between the two groups(P <0.05),indicating a significant difference between the two groups.It is concluded that in terms of reducing the VAS painscore of LDH patients,the meridian massage group is better than the Thai massage group.2.Comparison of JOA scores before treatment between the two groups(P <0.05),indicating that they are comparable.At the end of the treatment period,ANOVA was used to compare the two groups(P <0.05),which showed that there was a significant difference between the two groups.The scoring results indicated that the meridian massage group was better than the Thai massage group in improving the JOA score of LDH patients.3.Comparison of the pre-treatment(WHOQOL)scores of the two groups of patients(P<0.05),indicating that they are comparable.At the end of the course of treatment,analysis of variance was used for comparison between the two groups(P <0.05),proving that there was a significant difference between the two groups and that there was a therapeutic effect.4.Evaluate the curative effect after the course of treatment: 10 cases were cured in Jingjin group,7 cases were markedly effective,27 cases were effective,6 cases were invalid,and the total effective rate was 88%.In the Thai massage group,8 cases were cured,10 cases were markedly effective,24 cases were effective,8 cases were ineffective,and the total effective rate was 84%.Compared with the two groups,P <0.01.Conclusion:1.In terms of reducing pain in patients with LDH,the meridian massage group is better than the Thai massage group.2.In terms of improving dysfunction in patients with LDH,the meridian massage group is better than the Thai massage group.3.In terms of quality of life(WHOQOL)scores,the meridian massage group and the Thai massage group have significant effects.4.Efficacy evaluation Meridian massage and Thai massage can effectively treat LDH. |
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