| ObjectiveTo based on the randomized controlled research methods with the usage of multidisciplinary synchronous observation analysis, evaluate the clinical effect and its safety on acupuncture and massage with arch orthodontic therapy on treatment of chronic strain of lumbar muscles objectively. Expect to further standardize the clinical study of chronic strain of lumbar muscles and obtain good social benefits. For prevention and control of chronic strain of lumbar muscles of traditional Chinese medicine clinical research and drug development to establish the necessary assessment system and rigorous scientific research information.MethodsThe object of study for clinics in Canada chronic strain of lumbar muscles of eligible subjects. According to the diagnostic criteria of chronic strain of lumbar muscles, altogether collected 68 cases of chronic strain of lumbar muscles. This study, by adopting the method randomized controlled trial by clinical researchers by manipulating the STATA (statistics software) software the random Numbers, and made randomly assigned card, seal the envelope, the envelope serial number is the same as the card number. Qualified cases to test, according to the order entered, open number same envelope, with 1:1 proportion as stipulated in the envelope card assigned to two groups. The treatment group with 34 cases,15 cases were male, female 19 cases; Control group of 34 cases, 16 cases of male, female 18 cases. Treatment group using acupuncture combined with massage foot arch corrective therapy for treatment. Arch correction using natural rubbing feet diagram method, choose acupuncture points on shenshu, huantiao, fengshi, yanglingquan, weizhong, chengshan, Feiyang, kunlun, Ashi points (1-2), with a 1.5-inch acupuncture needle, according to the patient’s body into a certain depth, qi to lower limb radiation with local acid bilges or advisable. Will be cut into 2 cm of qing ai moxa cone moxibustion heat source as temperature, light, at the bottom of the insert needle needle handle at the top, each moxibustion 2 strong, about 30 minutes. Massage along the sides of their jiaji points and along the gallbladder meridian and bladder meridian, key points of shenshu point, huantiao, fengshi, yanglingquan, weizhong, chengshan, feiyang, kunlun, use the methods such as pushing manipulation, grasping manipulation, point method, pressing manipulation, time is about 20 minutes. Treatment three times a week, a total of around and around for a period of treatment. The control group using acupuncture and massage therapy, the method with the former. A period of treatment, and then to clinical observation, respectively on two groups before and after treatment and after treatment were observed, and compared. Statistical processing:clinical observation data summary, input computer, set up the database, data management, EpiData software is used to analyse the data, and uses the SPSS20.0 statistical software to complete statistical analysis.ResultsBy statistical analysis, the treatment of two groups of cases before the age, sex, duration and to compare the clinical symptoms and signs, after statistical analysis, P> 0.05, no significant meaning, so you can think of two groups of comparable.Two groups after treatment, after statistics analysis, in the clinical curative effect of treatment group clinical cure rate was 52.94%, the efficiency was 29.41%, effective rate was 11.77%, total effective rate was 94.12%; Control group clinical cure rate was 32.35%, the efficiency was 20.59%, effective rate was 29.41%, total effective rate was 82.35%. The treatment group and control group total effective rate were over 80%, two groups of treatment of chronic strain of lumbar muscles are effective, the treatment group total effective rate of TCM syndrome curative effect was obviously higher than that of control group (P<0.05). Two groups before and after treatment, pain intensity, pain with or acid hemp pain, dull pain or ache, continuous fixed pain, the change of adverse events, waist tenderness significant comparative differences, believe that the treatment group after treatment the symptoms and signs of improvement is better than that of control group (P<0.05). Two groups after treatment in the main clinical symptoms and signs disappeared rate comparison, the two groups after treatment for fixed pain, heat gain pain reduction or xi WenXi, tired, morning rises, sedentary increase, pain has its place, adverse events, the waist tenderness of these symptoms and signs disappeared rate difference was statistically significant, that the treatment group after treatment to reduce the continuous joy or fixed pain, heat gain pain reduction WenXi press, tired, morning rises, sedentary aggravating, pain has its place, adverse events, the waist tenderness the occurrence of these symptoms and signs is better than that of control group (P< 0.05).Security detection:the treatment group tested the 34 cases of routine blood before treatment, treatment after review, no exception. Treatment group tested the 34 cases of routine urine before treatment, treatment after review, no exception. Treatment group tested before treatment of 34 cases of liver function (GPT), treatment after review, no exception. Treatment group tested before treatment of 34 cases of renal function (BUN), treatment after review, no exception. Treatment group tested the 34 cases of electrocardiogram (ECG) before treatment, treatment after review, no exception. Control group tested the 34 cases of routine blood before treatment, treatment after review, no exception. Control group tested the 34 cases of routine urine before treatment, treatment after review, no exception. Control group before treatment of 34 cases of liver function (GPT), treatment after review, no exception. Control group before treatment of 34 cases of renal function (BUN), treatment after review, no exception. Control group tested the 34 cases of electrocardiogram (ECG) before treatment, treatment after review, no exception.Adverse events observed:there were no adverse reactions to the two groups after treatment.ConclusionAcupuncture and Massage with Arch corrective therapy can improve the waist pain symptoms of the patients with chronic strain of lumbar muscles, and improve the life treatment, the effect is better than simple acupuncture and massage therapy. The two groups before treatment the blood, urine, stool routine, liver and kidney function, electrocardiogram (ecg) is normal, no abnormal change after treatment, acupuncture and massage combined with arch corrective therapy application security, worthy of clinical popularization and application. |
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