Long Circular Needle Treatment Of Non-specific Low Back Pain For Evaluating

Object:To observe clinical curative effects of long-round needle for nonspecific low back pain (NLBP), evaluate economic index and compliance index.Methods:All of60NLBP patients were selected from department of acupuncture, Guang’anmen Hospital, China Academy of Chinese Medical Sciences. By using the method of prospective and cohort of control group,40cases in the treatment group were treated with long-round needle for once a week,20cases were given acupuncture treatment for3times a week. The two groups were treated for3weeks; the therapeutic effect was evaluated before treatment, after treatment, and follow-up3months after treatment. Observed change of VAS score and Oswestry disability index (ODI) before treatment, after treatment and at follow-up3months. Measured content of creatine kinase and lactate dehydrogenase in20patients treated with long-round needle before and after treatment. Compared related cost, time-consuming, the needle pain disappearing time, the fear degree before and after treatment and patient satisfaction between the two groups.Result:1. Clinical index:The main outcome:VAS score has significant difference (P<0.01) before and after treatment in the two groups, and the comparison between the two groups shows no significant difference (P>0.05). VAS score has significant difference (P<0.05) at follow-up and after treatment in long-round needle group, which shows no significant difference (P>0.05) in control group; the comparison between the two groups at follow-up shows no significant difference (P>0.05). VAS score difference before and after treatment between the two groups is statistically significant (P<0.05), VAS score difference after treatment and at follow-up between the two groups has no statistical significance (P>0.05). The secondary outcome:ODI score has significant difference (P<0.01) before and after treatment in the two groups, and the comparison between the two groups shows no significant difference (P>0.05). ODI score has significant difference (P<0.05) at follow-up and after treatment in long-round needle group, which shows no significant difference (P>0.05) in control group; the comparison between the two groups at follow-up shows no significant difference (P>0.05). ODI score difference before and after treatment and ODI score difference after treatment and at follow-up between the two groups have no statistical significance (P>0.05). The laboratory outcome: There is statistical significance (P<0.01) in comparison of creatine kinase and lactate dehydrogenase in long-round needle before and after treatment.2. Economic index:It takes less related cost when patients choose long-round needle. Long-round needle group takes less time than control group, and the difference is statistically significant (P<0.01).3. Compliance index:The needle pain disappearing time in long-round needle group is longer than control group, and the difference is statistically significant (P<0.01). The fear degree before treatment is higher than after treatment in long-round needle group, and the difference is statistically significant (P<0.01), which shows no significant difference (P>0.05) in control group. The fear degree in long-round needle group is higher than control group before treatment, and the difference is statistically significant (P<0.01), which shows no significant difference (P>0.05) after treatment. No significant difference exists between the two groups (P>0.05) in patient satisfaction.Conclusion:Long-round needle has good clinical effect and later effect in the treatment of NLBP. It can reduce back pain, at the same time; it can also improve the function of lumbar vertebrae. What’s more, it has the effect of improving the laboratory index. On the other hand, long-round needle costs little money and time, has high patient satisfaction and safety. It’s suitable for clinical application.