| ObjectiveThrough comparing and analyzing the effect in multiple dimensions,the purpose of this study was to observe acupuncture kinesitherapy and routine acupuncture in the treatment of patients with chronic lumbar muscle strain in short-term and medium-term clini efficacy,application value of acupuncture kinesitherapy,and to provide more objective basis.Methods60 patients with chronic lumbar muscle strains and volunteers from the acupuncture clinic of the Guangdong Provincial Hospital of TCM were collected in this study,a randomized controlled trial.The recruitment period was from January 2018 to December 2018.Method:60 patients with chronic lumbar muscle strain who met the criteria for diagnosis,inclusion and exclusion of this disease were randomly divided into two groups:treatment group(acupuncture kinesitherapy group)30 cases,control group(routine acupuncture group))30 cases.Treatment:Both groups of patients selected the same acupuncture points Shenshu(double),large intestine shu(double),Weizhong(double),and assigned points according to symptom classification:cold and wet type with Yaoyangkuan,Yinlingquan(double),blood stasis type with Geshu(double),Xuehai(double),kidney deficiency type matching Zhishi(double),Taixi(double),damp heat type with Hegu(double),Yinl ingquan(double).The treatment group was treated with acupuncture kinesitherapy,while the control group was treated with routine acupuncture.The total duration of treatment is 1 month,three times a week,and the case report form is completed.The efficacy evaluation is performed at 3 time points:before treatment,at the end of treatment,and 1 month after treatment(follow-up).The main clinical efficacy index was measured by ODI index and VAS pain scale,and the secondary index was the SF-36 scale and the number of low back pain episodes.After the treatment,the SPSS 23.0 statistical software is used for analyzing and comparing which treatment of chronic lumbar strain was better.ResultsA total of 60 cases were finally collected and completed in this study,including 30 cases in the treatment group and 30 cases in the control group,and no cases of shedding occurred during the treatment.After statistical analysis,baseline characteristics of two groups of patients,including gender,age,course of disease,ODI,VAS,SF-36 score,all P>0.05,showed no difference,The baseline level of two groups are homogeneous,comparable.At the end of treatment,the efficacy of the two groups in treating chronic lumbar muscle strain was obvious,the results and short-term efficiency of treatment group(63.33%cured and markedly effective rate,100%effective rate)are similar to the control group(33.33%cured and markedly effective rate,90%effective rate)(P>0.05).On one month follow-up visit,the results and middle-term efficiency of treatment group(66.67%cured and markedly effective rate,100%effective rate)are better than the control group(33.33%cured and markedly effective rate,93.33%effective rate)(P<0.05).Therefore,the medium term efficacy of the treatment group was better than that of the control group.In the comparison of the therapeutic effects of acupuncture kinesitherapy on different syndromes of the disease,the efficacy level at the end of treatment was compared with Z=7.549,P=0.549>0.05,and there was no statistical difference.The efficacy level of follow-up in January was Z=6.745,P=0.675>0.05,no statistical difference.Therefore,there is no difference in the efficacy level of patients with different syndromes after treatment and at the follow-up,and there is no obvious syndrome specificity.Compared within the groups,there were statistically significant differences in ODI,VAS and the number of episodes after treatment and one month follow-up(P<0.001),which showed that Explain that both groups are effective in relieving low back pain,improving waist function and reducing recurrence.Compared between the groups in ODI,VAS and attack times,there were statistical differences(P<0.05)between two groups before and after treatment,and the effect of the treatment group was better than that of the control group.In terms of SF-36 score,there were statistically different within the groups before and after treatment(P<0.05),which showed that both groups of treatment could improve the quality of life of patients.While the comparison between the groups suggested that the treatment group had statistically significant differences with the control group in improving Physical Functioning(PF),Vitality(VT)(P<0.05),which shows that the treatment group was better than the control group in these aspects.ConclusionsThe results suggest that both acupuncture kinesitherapy and routine acupuncture can significantly alleviate the waist pain of patients in different degrees.But through Comprehensive analysis,in improving the patient' s waist function,quality of life,reducing the number of episodes,the effect of acupuncture kinesitherapy is better than the routine needle.And acupuncture kinesitherapy is more advantageous for improving middle-term efficacy. |
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