Efficacy Of Duzhong Buyao Heji Combined With Arcoxia In Treating Chronic Non-specific Low Back Pain(kidney Deficiency Syndrome)

Objectives: To analyze and compare the efficacies between the efficacy of Duzhong Buyao Heji combined with Arcoxia(Eloricoxib Tablets)and non-drugs Arcoxia treatment only in treating non-specific low back pain(NSLBP).Methods: A total of 80 NSLBP Patients from Wuhan integrated TCM & western medicine Hospital of Orthopedics form January 2016 to January 2017 were collected.All patients were examined to exclude the clear pathological changes that may cause low back pain,such as fractures,infections,rheumatoid arthritis,spinal tumors,disc herniation,cauda equina syndrome(CES)and so on.The main symptoms of the patients were waist pain,lumbar flexion and stretch uncomfortable,and sacral spinal muscles tenderness on one or both sides.Patients with NSLBP were randomly divided into two groups.Patients in treatment group(group A)were treated with Duzhong Buyao Heji combined with Arcoxia,whose average age was(74.78+3.96)years old.Patients in control group(group B)were treated with Arcoxia alone,whose average age was(75.03+4.29)years old.Related examinations of two groups of patients was perfected to exclude the factors that may cause specific low back pain.Patients were instructed to rest in bed,received related health education and performed functional exercises under the guidance.Including: abdominal support training(training abdominal muscles 5 times a day 7 days a week for 3-4 weeks)Take a supine position,put your hands on both sides of your body,bend your knees,and place your feet flat on the ground.Contract the abdominal muscles and separate the abdomen from the belt.Keep this position for 15 seconds while maintaining normal breathing.Be careful not to breathe.Practice 5 times a day and concentrate on one session for 3-4 weeks.Side-bridge training(training the lumbar muscles 5 times a day for 7 days a week for 3-4 weeks)Take the lateral position(beginner knee flexion 90 degrees)Elbow 90 degrees,to the feet and side of the elbow and forearm The way to focus is to hold the body up and the body needs to stay straight.This posture is maintained for 15 s,and the opposite side repeats this motion,and the training target can maintain this posture for 150 s on each side.Practice 5 times a day and concentrate on one session for 3-4 weeks.],With the beginning of clinical observation,lasted 14 days,functional exercise lasted 3-4 weeks.With the beginning of clinical observation,lasted 14 days,functional exercise lasted 3-4 weeks.Analyze and compare the age,sex,course,Visual Analogue Score(VAS)and Oswestry Disability Index(ODI)of two groups of patients,and the clinical effect of traditional Chinese medicine before treatment,3 days after treatment,7 days after treatment and 14 days after treatment.The data of treatment group and control group were analyzed statistically.Results: Patients in the control group and treatment group completed the course of treatment,and all received the follow-up during 14 days after discharge.No significant difference in sex,age,course of disease,VAS and ODI in group A and group B before treatment(P>0.05).Compared with VAS score before and after treatment between the two groups,the difference was statistically significant(P <0.05).There was no significant difference in all the time points after treatment(P> 0.05).Compared with the ODI after treatment,there were statistically significant differences between the patients in group A and group B(p>0.05),while after 3 days of treatment to 7 days of treatment,group A was better than group B,the difference was statistically significant(P <0.05).After 14 days of treatment,there was no significant difference in ODI between the two groups(P> 0.05).Compared with the clinical curative effect of TCM,group A was better than the group B at all time points after operation,the difference was statistically significant(P <0.05).Conclusions: Duzhong Buyao Heji combined with Arcoxia treatment were expected to receive an obvious clinical effect in the treatment of non-specific low back pain.This method is convenient for clinical use,less adverse reactions,and can improve the quality of life of patients faster and better by combining functional exercises,which is a kind of treatment method worth recommending.