| Lumbar muscle strain is one of the clinical chronic low back pain in a common disease,mainly refers to the back lumbosacral muscles,fascia,ligaments and other soft tissue of chronic injury,resulting in local aseptic inflammation,causing lumbosacral side or both sides Diffuse pain clinical manifestations,which belongs to the category of "lumbago" and"waist impediment" and other areas in Chinese medicine.The disease can be seen in all stages of age,but the athletes more common,in addition to affecting the quality of life,but also greatly affected the athletes of the game results,therefore,to seek a simple and inexpensive treatment program,it is of great significance.Purpose:The purpose of this study is to observe and compare the clinical effect of the treatment of lumbar muscle strain of acupoint Application Group,acupuncture group and combined treatment group,to do clinical study by randomized controlled trials and objective to explore the characteristics and advantages of the combined therapy group,to provide reliable evidence of evidence-based medicine for the clinical promotion of the treatment plan.Methods:The research object of this subject is from the Guangzhou University of Chinese Medicine,Guangzhou University,Guangzhou Sports University School of sports and health,South China Normal University sports education professional athletes,with 90 cases of lumbar muscle strain athletes into standard,randomized methods,divided into the Shuangbai powder treatment group,acupuncture treatment group and Shuangbai powder combined with acupuncture group,the number of the three groups there were 30 cases.Acupuncture treatment group selected lumbar muscle strain by the common pain points and the location of the tendon node selection(such as acupoint Shenshu,Dachangyu points,Weizhong,Hua Tuo Jiaji points and Ashi points were taken from bilateral to the acupoints),The 1 inch and 1.5 inch disposable sterile acupuncture needles produced by the SuzhouAssociation of acupuncture and moxibustion equipment Co,unified with traditional acupuncture therapy,patients in prone position,acupoints,after routine disinfection,single hand puncture needle rapidly,after getting the gas,reinforcing reducing method,the local strong needling sensation after stop needle,the needle for 30 minutes,every 10 minutes a time line.Shuangbai San treatment group adopted by the unified configuration of the First Affiliated Hospital of Guangzhou University of Chinese Medicine Shuangbai five flavor powder,lot number Z20070835,the main ingredients of rhubarb,phellodendron,Adenophora,arborvitae leaf,mint,usage:add honey and a little boiled into a paste can be made into ointment,pay attention to paste paste viscosity and the thickness control in 1.5cm,and the plaster temperature should not be too high,about 40 DEG,avoid scalding the skin,the diameter of the waist injury site and tenderness point making ointment for external application treatment,and fixed with medical tape,keep 3-4 hours,all ointment should be made on that day.The combined treatment group was treated with the first two options.Course of treatment:1 times a day,10 times for 1 courses,a total of 3 courses,each course between the interval of 2 days,before and after treatment were observed and measured with visual analogue scale(VAS),present pain intensity score(PPI),clinical symptom scores,lumbar rating scale clever and Oswestry disability index(ODI)scale score changes after 3 courses to collect relevant data,using the SPSS23.0 statistics software package for data entry and analysis,detailed records of each patient’s condition changes,such as the onset time,the cure time and adverse events,to determine the safety and efficacy of the treatment plan.Results:1.There were no significant differences in age,sex,course of disease,VAS,PPI,ODI,clinical signs and lumbar vertebral activity score between the three groups(P>0.05),there was comparability.2.VAS score comparison:There were significant differences in VAS scores between the three groups(P = 0.000<0.01)in the three groups of patients treated with Shuangbai Powder,Acupuncture Treatment and Shuangbai Powder.After inspection and Shuangbai powder group,acupuncture treatment group was significantly improved than patients with VAS score(P=0.023<0.05),Shuangbai powder + acupuncture group was significantly improved than the treatment of patients with VAS score(P =0.000<0.01),compared with acupuncture treatment,Shuangbai powder + acupuncture group treatment the constituent ratio was significantly improved in patients with VAS score(P=0.014<0.05);compared with before treatment,the three groups after treatment VAS score proportion was significantly improved(P=0.000<0.01).3.PPI score comparison:Shuangbai scattered external treatment group,acupuncture treatment group,Shuangbai powder external application combined with acupuncture treatment group PPI score of the three groups were significantly different(P=0.016<0.05);The results showed that compared with the Shuangbai group,which was no significant improvement in the PPI score of the patients treated with acupuncture in the treatment group(P=0.723>0.05),and which was a significant improvement in PPI score of patients treated with Shuangbai powder and acupuncture group(P=0.008<0.01).Compared with the acupuncture treatment group,the score of PPI score in the treatment group(Shuangbai)was significantly improved(P=0.022<0.05);Compared with before treatment,Shuangbai powder group after treatment PPI score proportion was significantly improved(P=0.011<0.01),acupuncture treatment group was significantly improved after the constituent ratio of PPI score(P=0.000<0.01),Shuangbai powder +acupuncture group after treatment PPI score significantly improved the constituent ratio(P=0.000<0.01).4.Clinical signs integral comparison:three groups of patients after treatment of clinical signs scores have significant difference(F=6.136,P=0.003<0.01).The SNK test:compared with the Shuangbai group,acupuncture treatment group after treatment,clinical signs score no significant difference(P>0.05),Shuangbai powder + acupuncture group was significantly decreased(P<0.05),compared with acupuncture treatment,Shuangbai powder + acupuncture group than in the acupuncture treatment group was significantly reduced(P<0.01);compared with before treatment,clinical symptom score significantly decreased in Shuangbai powder group,acupuncture treatment group,Shuangbai powder +acupuncture group after treatment(t=23.405,P=0.000,27.577,51.592,0,0<0.01).5.Comparative analysis of lumbar spine activity score scale:Shuangbai powder treatment group,acupuncture treatment group,Shuangbai powder in the treatment of three groups of patients with lumbar activity scale which there were significant differences in scores of acupuncture(P=0.041<0.05).The results showed that compared with the Shuangbai group,acupuncture treatment group after treatment of patients with lumbar activity scale score no significant difference(P=0.574>0.05),Shuangbai powder +acupuncture group after treatment of patients with lumbar activity scale score was significantly improved(P=0.021<0.05),Compared with the acupuncture treatment group,the scores of the lumbar spine activity score of Shuangbai powder group and acupuncture group were significantly improved(P=0.048<0.05);Compared with before treatment,Shuangbai powder group after treatment of lumbar activity scale score was significantly improved(P=0.000<0.01),acupuncture treatment group after treatment of lumbar activity scale score was significantly improved(P=0.002<0.01),Shuangbai powder + acupuncture group after treatment of lumbar activity scale score was significantly improved(P=0.000<0.01).6.ODI score comparison:three groups of patients after treatment ODI scale scores were significantly different(F=3.648,P=0.030<0.05),The SNK test:compared with the Shuangbai group,acupuncture treatment group after treatment ODI score scale without significant difference(P>0.05),Shuangbai powder + acupuncture group was significantly decreased(P<0.05),Shuangbai powder + acupuncture group than in the acupuncture treatment group were significantly reduced(P<0.01).Compared with before treatment,Shuangbai powder group,acupuncture treatment group,Shuangbai powder + acupuncture group after treatment ODI score table has significantly decreased(t= 38.186,36.101,40.940,P=0.000,0,0<0.01).7.Comparison of clinical efficacy:rank sum test,the total effective rates of Shuangbai scattered external application group,Acupuncture group,Shuangbai powder external application and acupuncture group,which were 89.99%,93.34%,and 96.67%,respectively;and the smaller the rank average value was,the better the effect,which was 51.60,48.45,36.45,respectively.Therefore,the results showed that the clinical effect of Shuangbai powder external application and acupuncture treatment group was more significant than that of Shuangbai powder external application group and acupuncture treatment group.8.There were no adverse reactions and unexpected events in the three groups patients.Conclusion:1.The three groups of treatment programs are on the pain symptoms of exercise-induced lumbar muscle strain,the activity of lumbar vertebrae and the indexes of functional activity have a better clinical efficacy.2.The total effective rate of treatment of lumbar muscle strain by external application of Shuangbai powder and acupuncture was obviously better than acupoint application group and acupuncture group,which shows that single traditional Chinese medicine therapy has a slow onset,long treatment time,and acupuncture combined with external application of drugs can significantly improve the limitations of other treatment options,and easy to operate,low cost,curative effect and other advantages,for athletes in the field of sports to provide better new integrated Chinese medicine therapy,it is worth promoting. |
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