| Background:Chronic lumbar muscle strain is the clinical common and frequently occurring disease, It is one of the main pathogenic factor of chronic low back pain. The lumbar muscle is belong to nonspecific low back pain category (NLBP),NLBP accounted for above 85% of low back pain (LBP).In recent years, China’s LBP prevalence rate of 13.6%, and was gradually increased, About 80% of people will experience pain in the life of torture, the peak incidence is 41 to 55 years old, The incidence rate of young people is also more and more high.There are many treatment methods of modern medicine to lumbar muscle strain, Including rehabilitation exercise, physical therapy, blocking therapy and drug treatment. Rehabilitation exercise although can obtain certain curative effect, but patients are not easy to adhere to, and in pain onset and symptoms heavier patients, no better therapeutic effect; therapy is commonly used in western medicine in the treatment of lumbar muscle strain, with no wound, pain, side effects of small, but the slow onset of therapy, treatment cycle is long, symptoms easily repeated. Oral administration of Western medicine, often accompanied by gastrointestinal adverse reactions, and liver and kidney toxicity and side effect, also it can alleviate the symptoms of back pain, but this can not solve the problem from the underlying cause, so usually oral western medicine also known as symptomatic therapy; Blocking therapy although rapid onset, but side effects of large, long term curative effect is not ideal, treatment after recurrence and recurrence after symptom will aggravate. The patient is not easy to accept.Chinese medicine treatment of chronic lumbar muscle strain has accumulated rich clinical experience, numerous treatments. Clinical often use traditional Chinese medicine topical, acupuncture, massage, cupping, scraping therapy in the treatment of chronic lumbar muscle strain and can obtain significant curative effect. Acupuncture and moxibustion therapy is clinical and commonly used method, and has the effect of a reliable, safe, non-toxic side effects, easy to operate, low price, and is easily accepted by patients and characteristics. It is Loved by the majority of chronic lumbar muscle strain patients.My mentor in clinic is good at using Jiaji points for the treatment of various diseases, and the use of electroacupuncture Jiaji points for treatment on chronic lumbar muscle strain were achieved good effect, has accumulated rich clinical experience..Through literature study that commonly used Jiaji points and bladder meridian points combined use of acupuncture in the treatment of lumbar muscle strain. There are single use Jiaji points, the treatment effect is also conspicuous. In the acupuncture textbook, recommended treatment of lumbago points, most is the first line of bladder points.But the research on Jiaji points for the treatment of chronic lumbar muscle strain was very little. There were no controlled study on chronic lumbar muscle strain differences in efficacy of Jiaji points and the first line of the points of bladder. This study used the random control method, the curative effect difference is observed in the two groups of points, Clear clinical effect of electro acupuncture Jiaji points in treatment of chronic lumbar muscle strain.and provides an objective basis for its popularization and application in clinic.Objective:1. Clear clinical effect of electro acupuncture Jiaji points in treatment of chronic lumbar muscle strain;2. Preliminary study on the therapeutic effects of different point in treating chronic lumbar muscle strain, provides a more effective method for the treatment of lumbar muscle strain.Method:1. Case source:This study observed in all cases, are derived from the China Academy of traditional Chinese medicine hospital acupuncture and the capital airport hospital. Time is May to December in 2014.2. Experimental design:the meet the inclusion criteria of 66 cases of chronic lumbar muscle strain were, divided into the treatment group and control group according to a random grouping method, each with 33 cases in each, All patients were using the method of acupuncture treatment.(1) Operation:Group 1-treatment group:Electroacupuncture Jiaji points. Patients take supine or prone position, in the pain the most obvious parts of the corresponding Jiaji points on the folder, after routine disinfection, the selection of one-time acupuncture needles, vertical needling, needling depth is 1-1.5 inch, down to the tip has blocked sense is appropriate, the reinforcing reducing technique, gas after electroacupuncture instrument, use density wave, frequency:2-50Hz, strength to patients can tolerate and treatment time for 20 minutes.Group Ⅱ-control group:Electroacupuncture points of group waist bladder through the first line. According to the specific parts of the low back pain, bladder meridian points corresponding to the first line. In the first lumbar vertebra to the lumbar spinous process, is lateral to the midline opening 1.5 inch, SanJiaoshu, Shenshu, Qihaishu, Dachangshu and Guanyuanshu were taken. All the points are punctured 1-1.2 inches, the use of reinforcing reducing techniques. Remaining are the same as treatment group.(2)Acupuncture apparatuses:0.30×40mm,0.30×50mm, Hua Tuo brand disposable sterile acupuncture needles (Suzhou Medical Supplies Factory Co., Ltd.).(3)Electroacupuncture apparatus:KWD-8081 the Great Wall electro acupuncture apparatus (Changzhou city Wujin the Great Wall Medical Equipment Co., Ltd.).(4)The treatment:treatment 3 times a week,10 times for a course of treatment, the curative effect was evaluated after the end of treatment.3. Effect evaluation:The symptom score, signs score, VAS score and ODI score were recorded before and after treatment and follow-up. Then before and after treatment were compared and analyzed the influence of integral difference, comprehensive efficacy and safety.4. Statistical methods:Each data collection was completed by the third party personnel for processing and statistics. The data was processed by SPSS 17 software. The measurement data was using x±s to descripe. t test to compare within and between groups; count data was compared using the 2 test. P< 0.05, the difference was statistically significant.Results:The two group completed a total of 60 cases, including 30 cases of treatment group,30 cases in the control group, treatment and follow-up were completed according to the requirements, and complete the case report form, without the occurrence of adverse events.1.Within group comparison:The two groups of patients after treatment compared with before treatment, symptom score, sign score, VAS score and ODI score, were improved significantly, P< 0.01, the difference was very significant.This means that the two groups of patients had good clinical efficacy.2. Comparison between groups:2.1 Comparison the difference of the two groups before and after treatment, the symptom score, sign score, VAS score and ODI score, the treatment group were higher than those in the control group, P< 0.05, the difference was statistically significant.2.2 Comparison of symptom score, VAS score and ODI score were two groups of patients after treatment, the treatment group was lower than that of the control group, P< 0.05, the difference was statistically significant; compared with sign score after treatment in two groups, Although the treatment group were lower than those of control group, but P=0.135> 0.05, the difference was not statistically significant.This shows that the treatment group is better than the control group.3. Follow up analysis:3.1 Two groups of patients at the follow-up, comparison the score at the end of treatment, the symptom score, sign score, VAS score and ODI score, there was no statistically significant difference (P> 0.05).3.2 At the follow-up, treatment group, the symptom score, sign score, VAS and ODI score were lower than the control group, P< 0.05, the difference was statistically significant.This shows that the efficacy of the treatment group and the control group after 1 month of treatment remained stable, the treatment group remained curative effect.4. Comprehensive evaluation of curative effect:the markedly effective rate of the treatment group was 86.7%, The markedly effective rate of the control group was 63.3%, by X2test,X2=4.356, P=0.037< 0.05, the difference was statistically significant.This shows that the clinical effect of the treatment group is better than the control group.5. Safety assessment:In the clinical course of treatment, the basic vital signs of 60 patients in two groups were stable, without the occurrence of syncope, needle broken, bleeding, infection and other adverse incidents, the safety was very good.These results suggest that:treatment group and control group had good clinical efficacy and at the end of treatment within a month remained stable; treatment group curative effect surpasses the control group, this advantage can be sustained in the long time.Conclusion:l.EA of Jiaji points and the bladder meridian through the first line was effective in the treatment of chronic lumbar muscle strain, integral, the symptom score, sign score, VAS score and ODI score were significantly improved,this improvement can continue in a long time.2.At the end of the course of treatment and 1 months follow-up,on the improvement of symptoms, signs and dysfunction of patients with chronic lumbar muscle strain, electro acupuncture Jiaji points is better than that of electro acupuncture at points of bladder meridian through the first line.Conclusion:the electric acupuncture Jiaji points may bring greater benefits to patients with chronic lumbar muscle strain.3.EA Jiaji points treatment of chronic lumbar muscle strain is safe. |
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