The Observation Of Clinical Evaluation On Treating Lumbar Disc Herniation By Needle Knife From The Perspective Of Abdomen

Objective:In this study,by observing the clinical efficacy of treating lumbar intervertebral disc herniation(LDH)with acupuncture from the abdomen,and comparing the effect of ordinary acupuncture group,evaluate the clinical therapeutic effect and safety of treating lumbar intervertebral disc herniation with acupuncture from the abdomen,Discuss the theoretical basis and look forward to becoming a more optimized treatment method.Methods:In this study,a clinical randomized control method was used to divide the 60 patients with lumbar disc herniation who met the inclusion criteria in this project into a control group and a treatment group,with 30 cases in each group.The acupoints selected by the control group were Shenshu,Dachangshu,Weizhong(both acupoints were taken on both sides),and Ashi.After the needles were pierced into the skin,the acupuncture points were used to invigorate and relieve the pain.When the patient suffered from soreness,numbness and pain After the needle feel,keep the needle for 30 minutes.The treatment group adopted the treatment idea of treating from the abdomen.On the basis of the control group,acupotomy was used to loosen the Liangmen,Huaroumen,Wailing,Daheng,and abdominal knots(all bilateral).,Huaroumen,Wailing,Daheng,and abdominal knot are performed in sequence,one acupoint each time.The two groups were treated twice a week for a total of four weeks,and rest as much as possible when not acupuncture.Follow up after the treatment,during which a special person will record the research data,and use the Japanese Orthopaedic Association(JOA)Low Back Pain Score Scale,Visual Analogue Score(VAS Score),Abdominal Wall Tension Measurement Score,Lumbar Spine Curvature Measurement to determine the curative effect,and use statistical software Perform statistical analysis to evaluate and compare the efficacy of the two treatment methods.Results:1.There was no significant difference in age,sex,course of disease,VAS score,JOA comprehensive score,lumbar curvature and abdominal wall tension between the two groups(p > 0.05),indicating that the general data and condition of the two groups were balanced and comparable.2.VAS score: after all the treatment was completed,the total VAS scores of the treatment group and the control group were 3.73 ±0.90,4.72 ±0.67 respectively.The data were analyzed by statistical software p < 0.05,indicating that the curative effect of the treatment group was better than that of the control group in relieving the symptoms of low back pain.3.The total JOA scores of the patients in the treatment group and the control group were 22.50±3.81,20.43±3.81,and the data was analyzed by statistical software p<0.05,indicating that the treatment group was better than the control group in alleviating the overall functional impairment of the patients;JOA subjective symptoms Score,after treatment,comparison between the two groups,z=1.031,p=0.302>0.05,there is no statistical difference,the two groups have the same curative effect in improving subjective symptoms;JOA clinical sign score and daily activity score,compare and analyze the data The p values obtained were all <0.05,which was statistically different,indicating that the treatment group was better than the control group in improving the clinical signs of patients and improving the quality of daily life.4.A comparative analysis of the abdominal wall tension measurement scores and lumbar curvature changes before and after treatment in the treatment group and the control group: After the two groups of patients completed all the treatments required for the study,the lumbar curvature measurement results did not change significantly,which was not statistically significant(P>0.05);After treatment,the abdominal wall tension of the patients in the control group did not improve significantly,and the abdominal wall tension of the patients in the treatment group could be better improved,and the tenderness points were reduced.5.The total effective rate of the treatment group and the control group was analyzed:4cases were cured in the treatment group,12 cases were markedly effective,12 cases were effective,and 2 cases were ineffective.The total effective rate was 94.4%;in the control group,2 cases were cured,6 cases were markedly effective,and 18 cases were effective.,4 cases were ineffective,and the total effective rate was 88.9%.The number of cured and markedly effective numbers in the treatment group were higher than those in the control group,and the number of ineffective numbers was lower than that of the control group.The total effective rate of the treatment group was better than that of the control group.Conclusion:In terms of improving lumbar spine pain and JOA comprehensive score,the abdominal treatment group is better than the ordinary acupuncture group;in terms of improving the subjective symptoms of the JOA score,the two groups have the same effect,but in terms of clinical signs and daily activities,the abdominal treatment group It is better than the ordinary acupuncture group,and the recurrence rate is lower;there is no statistical difference between the two groups in improving waist curvature.In terms of improving the tension of the abdominal wall,the improvement of the treatment group was better than that of the control group.