| [Objective]Under the guidance of the meridian flow theory,this study compared the effect difference of applying moxibustion combined with acupoint massage at selected time and conventional treatment time in patients with cold-dampness type nonspecific low back pain,seeking the best treatment time and intervention methods,so as to achieve good therapeutic effect,and providing new ideas for the application of traditional Chinese medicine nursing technology in patients with cold-dampness type nonspecific low back pain.[Methods]According to the principle of randomized control,123 patients with cold-dampness nonspecific low back pain who were treated in the outpatient department of orthopedics and traumatology of our hospital from December 2021 to December 2022 and met the inclusion criteria were randomly divided into control group,experimental group 1 and experimental group 2,with 41 cases in each group.On the basis of routine nursing,the control group was treated with moxibustion,and the experimental group 1 was treated with moxibustion combined with acupoint massage.The control group and the experimental group 1 were treated at the clinical routine treatment time(8:00～12:00).The experimental group 2 was selected according to the meridian flow theory(15:00～17:00)to give time-selected moxibustion combined with acupoint massage.The three groups of patients were the same in acupoint selection,massage manipulation and moxibustion.One week was a course of treatment,and a total of 4 courses of treatment were intervened.One day before the intervention and after 4 courses of treatment,the patients in each group were evaluated by Oswestry disability index(ODI),visual analogue scale(VAS),and cold and dampness symptoms and signs.The effective rate of the three groups after 4 courses of treatment was recorded.The above data were entered into SPSS25.0 for data analysis.[Results]1.Baseline data evaluation:Before the intervention,there was no significant difference in general data(age,course of disease,body mass index,work pressure,marital quality,gender,etc)among the three groups(P>0.05).There was no significant difference in ODI score,VAS score,cold and dampness symptoms and signs conversion score among the three groups(P>0.05),and the baseline balance was comparable.2.ODI score:After 4 weeks of intervention,intra-group comparison,the ODI scores of the three groups were statistically different(P<0.001).Intergroup comparison,there were statistical differences between the experimental group 2 and the experimental group 1 and the control group(P<0.001).Multiple comparison,there were statistical differences between the experimental group 2 and the experimental group 1(P<0.05),between the experimental group 2 and the control group(P<0.001),and there was no significant difference between the experimental group 1 and the control group(P>0.05).3.VAS score:After 4 weeks of intervention,intra-group comparison,the VAS scores of the three groups were statistically different(P<0.001).Intergroup comparison,there were statistical differences between the experimental group 2 and the experimental group 1 and the control group(P<0.001).Multiple comparison,there was a statistically significant difference between the experimental group 2 and the experimental group 1(P<0.05),between the experimental group 2 and the control group(P<0.001),and between the experimental group 1 and the control group(P<0.05).4.Cold dampness symptoms and signs conversion score:After 4 weeks of intervention,intra-group comparison,there was a statistically significant difference in the transformation scores of Cold dampness symptoms and signs conversion score among the three groups(P<0.001).Intergroup comparison,there was a statistically significant difference between the experimental group 2 and the experimental group 1 and the control group(P<0.001).Multiple comparison,there was a statistically significant difference between the experimental group 2 and the experimental group 1(P<0.05),there was a statistically significant difference between the experimental group 2 and the control group(P<0.05),and there was a statistically significant difference between the experimental group 1 and the control group(P<0.05).5.Efficacy evaluation:After 4 weeks of intervention,the total effective rate of the experimental group 2 was 97.50%,the total effective rate of the experimental group 1 was 76.92%,and the total effective rate of the control group was 61.54%.The efficacy of the three groups was statistically different(P<0.001),and there was a statistical difference between the experimental group 2 and the control group(P<0.05),there was a statistical difference between the experimental group 1and the control group(P<0.05),and there wasn’t a statistical difference between the experimental group 2 and the experimental group 1(P>0.05).[Conclusion]1.Moxibustion combined with acupoint massage can more effectively promote the improvement of symptoms in patients with nonspecific low back pain of cold-dampness type than simple moxibustion.2.Meridian flow timing(15:00～17:00)moxibustion combined with acupoint massage can effectively improve the clinical symptoms of patients with nonspecific low back pain of cold-dampness type,and its clinical intervention effect is better than that of conventional treatment time moxibustion combined with acupoint massage. |
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