Clinical Observation Of Warming Needle Moxibustion Combined With Lumbar And Abdominal Muscle Functional Exercise In Treating Degenarative Lumbar Spondylolisthesis Low Back Pain

Objective: This study observed the clinical effect of warming needle moxibustion combined with lumbar and abdominal muscle functional exercise and oral celecoxib capsule in the treatment of early degenerative lumbar spondylolisthesis.Method: A total of 60 patients diagnosed with degenerative lumbar spondylolisthesis were selected from the orthopedics department of xx Hospital from December,2019 to December,2020,and suffered from lower back pain,were enrolled and randomly divided into the experimental group(n=30)and the control group(n=30).The control group were treated with oral celecoxib capsules combined with lumbar and abdominal muscle functional exercise,while the experimental group was treated with additional warming needle moxibustion(2treatment courses *14 days /treatment course).The VAS scores and JOA scores of the two patient groups were compared before and after the treatments,and the therapeutic effects were evaluated in accordance with Evaluation Criteria for Orthopedic Clinical Efficacy.All the data were analyzed by spss25.0.Results:1.Comparison of General Data: After the test,the comparison of the general information(gender,age,slip segment,spondylolisthesis grading,etc.)between the two groups showed no statistically significant difference(P > 0.05).2.Comparison of VAS Scores: After 2 weeks and 4 weeks of treatment,VAS scores in 2groups were lower than those before treatment,with statistical significance(P < 0.05).After 2weeks of treatment and 4 weeks of treatment,the mean VAS score of experimental group was lower than control group,the difference was statistically significant(P < 0.05).3.Comparison of JOA Indexes: After 2 weeks and 4 weeks of treatment,JOA scores in 2groups were higher than those before treatment,with statistical significance(P < 0.05).After2 weeks and 4 weeks of treatment,the median comparison of JOA score in experimental group was higher than that in control group,with statistical significance(P < 0.05).After 4weeks of treatment,the JOA score between the two groups was compared in terms of conscious symptoms,clinical signs and the degree of limitation of daily activities.The improvement of conscious symptoms and the degree of limitation of daily activities in the experimental group was significantly greater than that in the control group,with statistical significance(P < 0.05).There was no statistical significance in clinical signs(P > 0.05).4.Comparison of overall efficacy evaluation:The total effective rate of the experimental group was 96.7%,and that of the control group was 86.7%.The total effective rate of the experimental group was better than that of the control group,the difference was statistically significant(P < 0.05).Conclusion: This study observed that warming needle moxibustion combined with lumbar and abdominal muscle functional exercise and celecoxib capsule could effectively relieve the symptoms of low back pain and radiation pain in patients with degenerative lumbar spondylolisthesis,improve the clinical symptoms and daily living function of patients,and the efficacy is better than lumbar and abdominal muscle functional exercise with celecoxib capsule.