| Objective:To observe the clinical effect of local shallow needling combined with active exercise on acute lumbar sprain,and to seek a new and effective treatment for acute lumbar sprain.Methods:All cases were acute lumbar sprain patients in the Canadian LifeLongHealth clinic from May 2016 to November 2017.Of these 63 patients,32 men and 31 women ranged from 19 to 35 years of age and ranged from 1 hours to 24 hours course of disease.In this study,the patients were randomly divided into treatment group(shallow needling + active exercise group)and control group(normal acupuncture group)by random number method,with 32 patients in treatment group,31 patients in control group.The two groups were taken Shenshu,ZhiShi,YaoYangGuan and local Ahshi-point.Treatment group took shallow puncture into the subcutaneous,the needle body lied down and stabbed toward the spinal middle line with the depth of needling of about 1.5 inches.Keeping the needle body was all located in the subcutaneous.Twisting it for 1 minutes and leave the needle for 15 minutes.During the period of retaining the needle,the patient was asked to bend forward and backward,turn left and right,whose movement,speed from small to large,from slow to fast,which lasting for 15 minutes.The treatment was 1 course a day,and the total treatment was 3 courses.In the control group,the 1.5-2 inch was stabbed directly at the Shenshu,ZhiShi and YaoYangGuan and local Ahshi-point.The needle had been twisted for 1 minutes,and was left for 15 minutes.The treatment was 1 course a day,and the total treatment was 3 courses.The VAS score,ROM score,ODI index,the first cure rate and the total cure rate of the two groups of patients with acute lumbar sprain after the first and 3 courses were compared.Results:All 63 patients completed the treatment of this study.No case of abscission or discontinuation occurred.No adverse reactions occurred.1.clinical efficacy evaluationAfter the first treatment,23 cases were cured,6 cases with marked effect,3 cases were not healed,and the cure rate was 71.88%in the treatment group.15 cases were cured,11 cases with marked effect,5 cases were not healed,the cure rate was 48.29%in the control group.After the rank sum test,P<0.05,the difference are statistically significant.After 3 courses of treatment,25 cases were cured(78.13%),5 cases(15.63%)were improved,2 cases(6.25%)were not healed,the cure rate was 78.13%and the effective rate was 93.75%in the treatment group.19 cases(61.29%)were cured,8 cases(25.80%)were improved,and 4 cases(12.90%)was not healed,the cure rate was 61.29%and the effective rate was 87.10%in the control group.After rank sum test,P<0.05,the difference was statistically significant.2.VAS scoresThe average VAS score of treatment group after the first treatment was 3.85 + 1,41.The average VAS score of the control group was 5.32 + 1.03.Using paired sample t test,the VAS scores of treatment group and control group were significantly lower than those before the first treatment.P<0.05,the difference was statistically significant.The VAS scores of the treatment group and the control group were compared by independent sample t test after the first treatment and P<0.05,the difference was statistically significant.This shows that the treatment group is better than the control group in relieving pain after the first treatment.The average VAS score of the treatment group was 1.64±1.32 after the 3 courses.The average VAS score of the control group was 2.47±1.17 after the 3 courses.Using paired sample t test,the VAS scores of treatment group and control group after 3 coursess were significantly lower than those before 3 courses.P<0.05,the difference was statistically significant.The VAS score was compared between the treatment group and the control group after 3 coursess.After the independent sample t test,P<0.05,the difference was statistically significant,which showed that the treatment group was better than the control group in alleviating pain.3.ROM scoresThe average ROM score of treatment group after the first treatment was 2.17±1.31.The average ROM score of the control group was 2.87±1.32.Using paired sample t test,the ROM scores of treatment group and control group were significantly lower than those before the first treatment.P<0.05,the difference was statistically significant.The ROM scores of the treatment group and the control group were compared by independent sample t test after the first treatment and P<0.05,the difference was statistically significant.This shows that the treatment group is better than the control group in improving waist activity after the first treatment.The average ROM score of the treatment group was 1.21 ± 1.43 after the 3 courses.The average ROM score of the control acupuncture group was 2.18± 1.60 after the 3 courses.Using paired sample t test,the ROM scores of treatment group and control group after 3 courses were significantly lower than those before 3 courses.P<0.05,the difference was statistically significant.The ROM score was compared between the treatment group and the control group after 3 courses.After the independent sample t test,P<0.05,the difference was statistically significant,which showed that the treatment group was better than the control group in improving waist activity.4.ODI indexThe average ODI index of treatment group after the first treatment was 31.21 ±4.58.The average ODI index of the control group was 37.43±6.36.Using paired sample t test,the ODI index of treatment group and control group were significantly lower than those before the first treatment.P<0.05,the difference was statistically significant.The ODI index of the treatment group and the control group were compared by independent sample t test after the first treatment and P<0.05,the difference was statistically significant.This shows that the treatment group is better than the control group in improving life ability after the first treatment.The average ODI index of the treatment group was 14.21 ±2.76 after the 3 courses.The average ODI index of the control group was 22.90±3.15 after the 3courses.Using paired sample t test,the ODI index of treatment group and control group after 3courses were significantly lower than those before 3courses.P<0.05,the difference was statistically significant.The ODI index was compared between the treatment group and the control group after 3 coursess.After the independent sample t test,P<0.05,the difference was statistically significant,which showed that the treatment group was better than the control group in improving life ability.Conclusion:1.The two therapies have good effects in the treatment of acute lumbar sprain,while treatment group is better than control group in effective rate and cure rate;2.After the first course,the VAS score,the ROM score and the ODI index of the two groups were improved,while treatment group was better than the control group in improving the pain,activity and dysfunction of the waist;3.After 3 courses,the VAS score,the ROM score and the ODI index of the two groups were significantly improved,while treatment group was better than the control group in improving the pain,activity and dysfunction of the waist. |
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