Clinical Study Of Needle Knife,Moxibustion And Xiaobi Ointment In The Treatment Of Thoracic And Dorsal Myofascitis

Objective This topic mainly observes the clinical efficacy of needle knife,moxibustion and Xiaobi ointment in the treatment of thoracic and dorsal myofascitis.This study evaluates and records the short-form of Mc Gill pain questionnaire before and after treatment for all enrolled patients.(SF-MPQ),Oswestry disability index(ODI),Beck Anxiety Inventory(BAI)score changes and curative effect,in order to comprehensively evaluate the pain,functional activity,mental anxiety and other aspects of the improvement of thoracic and dorsal myofascitis.In order to provide new ideas for the clinical comprehensive treatment of thoracic and dorsal myofascitis.Methods From January 2020 to November 2020,60 patients with thoracic and dorsal myofascitis in the*** Hospital were selected and randomly divided into 3 groups,with a ratio of 1:1:1 Treatment group A(needle knife group only),treatment group B(moxibustion combined with Xiaobi ointment group)and treatment group C(needle knife,moxibustion combined with Xiaobi ointment group),20 cases in each group,and before and at the end of treatment After recording the SF-MPQ,ODI,BAI scores,and observe the clinical efficacy of the three groups after treatment.Import the above data into SPSS 25.0 software and analyze it.Results 1.Before treatment,the three groups of patients had no statistical difference in gender,age,course of disease,SF-MPQ,ODI,BAI scores(P>0.05),and they were comparable.2.After treatment,the total score of SF-MPQ and 3 sub-scores: The total score of SF-MPQ and the 3 sub-scores of treatment group A,B and C treatment group were all lower than before treatment(P<0.05)treatment The comparison between the last three groups of SF-MPQ total scores and three sub-scores showed that: after treatment,the SF-MPQ total scores and three sub-scores of the C treatment group were different from those of the A and B treatment groups(P<0.05),in terms of PPI score,the results of treatment group A and treatment group B are different(P<0.05),and treatment group A is better than treatment group B.In terms of the total scores of VAS,PRI,and SF-MPQ,treatment group A There was no difference in the results from the B treatment group(P>0.05).3.ODI scores after treatment: treatment group A,treatment group B and treatment group C(the ODI scores were all lower than before treatment(P<0.05);the comparison of the ODI scores of the three groups after treatment showed: after treatment C The ODI scores of the treatment group were different from those of the A and B treatment groups(P<0.05),and the results of the comparison between the A treatment group and the B treatment group were also different(P<0.05).4.BAI score after treatment: The BAI scores of treatment group B and C were lower than before treatment(P<0.05),while the difference between treatment group A before and after treatment was not statistically significant(P=0.051);The comparison of the BAI scores of the three groups after treatment showed that the BAI scores of the C treatment group were different from the A and B treatment groups after treatment(P<0.05),the result of the comparison between the A treatment group and the B treatment group There are also differences(P<0.05).5.Evaluation of clinical efficacy after treatment: 2 cases in treatment group A were cured(10%),8 cases were markedly effective(40%),8 cases were effective(40%),and2 cases were ineffective(10%);treatment group B was cured in 1 case(5%),5 cases were markedly effective(25%),11 cases were effective(55%),3 cases were ineffective(15%);C treatment group cured 6 cases(30%),markedly effective 12 cases(60%),and effective 1 case(5%),1 case was invalid(5%).The therapeutic effects of the three groups of patients were different or not completely the same.The difference between A treatment group and B treatment group was not statistically significant(P>0.05);A treatment group was statistically significant compared with C treatment group(P <0.05);B treatment group was statistically significant compared with C treatment group(P<0.05).Conclusion 1.Three different treatment programs can all improve the problems of pain,dysfunction and anxiety of thoracic and dorsal myofascitis.2.The effect of needle knife,moxibustion combined with Xiaobi ointment on improving the symptoms of thoracic and dorsal myofascitis is better than that of needle knife group and moxibustion combined with Xiaobi ointment group.3.The combined use of moxibustion and Xiaobi ointment has a certain positive effect on improving the anxiety of patients with chronic pain of thoracic and dorsal myofascitis.