| Objective: To observe the curative effect and safety of the combination of acupuncture technique of "shaking and pushing",acupoint theory and thread embedding technique in the treatment of lumbar intervertebral disc herniation,and to create a treatment method with high safety factor,accurate curative effect and popularization.Methods: a total of 60 patients who met the inclusion criteria and visited the third department of acupuncture outpatient department of Heilongjiang Hospital of Traditional Chinese Medicine from May 2021 to January 2022 were enrolled into the project.The patients were divided into experimental group and control group with 30 patients in each group by random number table method.Points were selected for the experimental group:bilateral Guan Yuanshu,bilateral Shenshu,bilateral Qi Haishu,bilateral Dandong Shu and bilateral Zhibian points.Hand washing,the healer wear sterile gloves and patients take the prone position,three times in embedded wire disinfection,advised patients’ physical and mental relaxation,will absorb feeds into the one-time embedded wire needle used to knead into stitch into the needle to subcutaneous,carrying a needle handle in acupuncture points up and down quickly,small amplitude,evenly vibrate with local appear acid bilges feeling for about one minute,The needle hand with force to push the needle to the inner edge of the flutter,the edge of the straight acupuncture pushed into about 2 inches,the other acupoints to the direction of the spine oblique acupuncture pushed into about 1.5 inches,push the needle to the muscle layer to continue the flutter method so that there is a strong sense of acid swelling in the waist diffusion on the basis of heat.The occurrence of acupuncture induction can reach the patient’s tolerance limit,gas to the back of the disease to push the needle core edge back embedded needle,the absorbable line buried in the muscle layer of the acupoint,buried needle after the withdrawal of sterile application to prevent bleeding.Embedding once a week,a month for a course of treatment.The control group used the traditional acupuncture method,the same as the experimental group.Patients according to their own situation using prone or lateral decubitus position,the selected acupoints for disinfection,zhibian point straight stab,the rest of the acupoints to the direction of the spine oblique stab,acupuncture appeared acupuncture induction after 40 minutes.Treatment once a day,rest one day a week,a month as a course of treatment.At the end of the treatment course,VAS score,ODI dysfunction score,JOA low back pain score and overall efficacy assessment were compared between the two groups before and after treatment and during follow-up for three months to evaluate the clinical efficacy of the two treatment methods.Results: The 60 cases included in this study according to the inclusion criteria did not shed during the experiment,and there was no significant difference in gender,age and course of disease between the two groups.Data analysis reports of patients in the two groups before and after diagnosis and treatment and follow-up for three months are as follows:(1)In terms of visual analogue scale(VAS)score: the scores of patients in the two groups after diagnosis and treatment,and the scores of patients in the follow-up period of three months compared with the scores before diagnosis and treatment in the matched group were significantly reduced,and the data differences were statistically significant(P< 0.05),indicating that both of these two diagnosis and treatment methods can relieve pain symptoms and have long-term efficacy for the disease.The scores of patients in the two groups after diagnosis and treatment and the scores of patients followed up for three months were compared between the two groups,and the data differences were statistically significant(P <0.05),indicating that the fibrillation thrust embedding method can relieve pain symptoms more effectively than traditional acupuncture,and has better long-term efficacy.(2)In terms of ODI score: the scores of patients in the two groups after diagnosis and treatment and the scores of patients followed up for three months before diagnosis and treatment were compared within the matched group,and the scores were significantly reduced,with statistically significant differences(P< 0.05),suggesting that the two diagnosis and treatment methods can effectively improve the function of lumbar spine and have long-term efficacy for this disease.The scores of patients in the two groups after diagnosis and treatment and the scores of patients followed up for three months were compared between the two groups,and the data differences were statistically significant(P< 0.05),indicating that the fibrillation thrust embedding method can improve the lumbar dysfunction more effectively than traditional acupuncture,and has better long-term efficacy.(3)In lumbar pain JOA rating scale: the two groups of patients after treatment of evaluation and follow-up of 3 months prior to the diagnosis and treatment of score compared with matched group,scores were improved significantly,the data statistically significant difference(P< 0.05),suggesting that both diagnosis and treatment way can effectively alleviate the pain caused by lumbar disc,to improve the waist function active,To reduce the adverse effects of lumbar disc herniation on human body,the two diagnosis and treatment methods have obvious long-term effects on this disease;Comparing the scores of the two groups of patients after diagnosis and treatment and the follow-up for three months,the score difference was statistically significant(P < 0.05),indicating that the fibrillation pushing and burying thread method had more obvious analgesic effect than traditional acupuncture,and could improve the symptoms and signs of waist and daily living conditions more effectively,and had better long-term efficacy.(4)After the end of the experiment,9 cases were cured,11 cases were effective,8 cases were effective and 2 cases were ineffective,the total effective rate was 93.3%;In the control group,3 cases were cured,6 cases were effective,13 cases were effective,and 8 cases were ineffective.The total effective rate was 73.3%,and the difference was statistically significant(P < 0.05)after Chi-square tests,suggesting that the overall efficacy of the method was better than the traditional acupuncture method.(5)In the experimental group,7 cases were cured,8 cases were effective,9 cases were effective,6 cases were ineffective,and 4 cases were relapse,with a total effective rate of80.0%.In the control group,there were 2 cases of recovery,4 cases of marked effect,8 cases of effective,16 cases of ineffective,and 8 cases of relapse.The total effective rate was46.7%,and the difference was statistically significant after Chi-square test(P< 0.05),indicating that the long-term clinical efficacy of fibrillation push and bury thread method was superior to traditional acupuncture.Conclusion:1.Both fibrillation and traditional acupuncture can significantly improve the symptoms and signs of patients with lumbar disc herniation,and improve the activities of the lumbar spine and the ability to live and work.Both methods are feasible for the treatment of lumbar disc herniation.2.Compared with traditional acupuncture,the clinical symptoms of patients can be alleviated more effectively and the lumbar function can be helped to recover,and the clinical short-term and long-term effects of the fibrillation threading method are more significant.3.With strong operability,safety,simplicity and definite curative effect,this method is a new TCM treatment method worthy of further study. |
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