Objective: This clinical trial was based on a randomized controlled study to explore the clinical efficacy of massage combined with thunder fire moxibustion in the treatment of lumbar disc herniation with cold and dampness obstruction.Methods: Eighty patients with lumbar intervertebral disc herniation were randomly divided into two groups: routine massage plus lightning fire moxibustion group and routine massage group,with a course of treatment every 6 days and 2 courses of treatment.Basic information,VAS index,JOA score and ODI score before and after each treatment and during follow-up were collected,and the clinical efficacy was evaluated for patients’ waist pain,range of motion and quality of life.Results: The results of clinical observation indicators showed that the lumbar pain index and quality of life of the two groups were significantly improved after treatment and follow-up(P<0.05).The pain index of the group of conventional massage plus thunder fire moxibustion and the patients with conventional massage was significantly improved after each treatment compared with that before treatment(P<0.05).The difference of pain score before and after treatment in the group of conventional massage and lightning moxibustion was greater than that in the group of conventional massage and lightning moxibustion(P<0.05).There was no significant difference in the improvement of lumbar motion in the group of conventional massage and lightning moxibustion in the first course of treatment(P > 0.05).The improvement of lumbar motion was more obvious in the group of routine massage and thunder fire moxibustion(P<0.05).The ODI score of the group of conventional massage and lightning moxibustion after treatment was smaller than that before treatment(P<0.05).Conclusion: Both thunder and fire moxibustion therapy and conventional massage can relieve the pain in the waist,and the analgesic effect of conventional massage combined with thunder and fire moxibustion is better than that of conventional massage treatment.Thunder fire moxibustion therapy in the treatment before and after the improvement of patients’ lumbar motion than the simple conventional massage treatment gap is not big,but the long-term efficacy is good,can indirectly explain that massage is the main way to improve the lumbar motion in the short term,with thunder fire moxibustion for the long-term effect will be better.Thunder fire moxibustion therapy can improve the quality of life of patients,as can be seen from the comparison of ODI score,thunder fire moxibustion therapy can better improve the quality of life of patients than conventional massage,reduce the burden of life,improve the happiness index. |