| PURPOSE:The effect of conventional acupuncture combined with Du-moxibustion and conventional acupuncture combined with TDP irradiation on chronic non-specific low back pain(Cold-dampness type)was compared to clarify the effect of acupuncture combined with Du-moxibustion on the disease.Effective therapies improve the clinical efficacy of this disease,in order to better improve the status of patients with low back pain and dysfunction,thereby improving the quality of life of patients.METHOD:A total of 60 patients with chronic non-specific low back pain(Cold-dampness type)who were treated in the acupuncture department of Hubei Provincial Hospital of Traditional Chinese Medicine from October 2018 to September 2019 were randomly divided into acupuncture-lamp group and acupuncture group using random number table method There were 30 cases in each group.The acupuncture-lamp group was given conventional acupuncture and TDP lamp irradiation treatment at the same time,once every other day,3 times a week,6 times for a course of treatment,3 courses for a total of 18 times.The acupuncture group was given conventional acupuncture combined with Du-moxibustion.The conventional acupuncture was exactly the same as the acupuncture-lamp group,but the Du-moxibustion was performed before the first acupuncture treatment every week,that is,once a week,respectively at the first acupuncture treatment,the Du-moxibustion treatment was performed on the 1th,4th,7th,10 th,13th and 16 th times for a total of 6 times.The visual analogue scale(VAS),Oswestry disability index(ODI),TCM syndrome scores,and adverse reactions of the two groups of patients were recorded in detail before and after treatments,and the differences between the two groups were compared using statistical methods,and efficacy analysis and safety evaluation were performed.RESULT:1.Comparison of baseline data: There was no significant difference in gender,age,course of disease,VAS,ODI and TCM syndrome scores between the two groups(both P> 0.05),so the two groups were comparable.2.After the end of all courses of treatment,the VAS,ODI,and TCM symptom scores of the two groups of patients were compared before and after treatment,which were significantly lower than before treatment,and the difference was statistically significant(both P <0.01),indicating that both treatments can alleviate low back pain and improve dysfunction and cold-wet syndromes.3.After the end of all the treatments,the VAS of the two groups were compared between groups,and the difference was statistically significant(P=0.03<0.05),indicating that the acupuncture group can better reduce the pain of the patients than the acupuncture-lamp group.4.After the completion of all treatment courses,the ODI and TCM syndrome scores of the two groups were compared between groups,P=0.006 and P=0.009,respectively,both P < 0.01,suggesting that both groups can improve the patient's dysfunction and cold-dampness syndrome,and the acupuncture group is significantly better than the acupuncture-lamp group,which has a better effect on the quality of life of patients.5.After the completion of all treatment courses,the total effective rate of the acupuncture group was 86.67%,which was higher than the total effective rate of the acupuncture-lamp group by 70.00%.After the rank sum test,P=0.034<0.05,indicating that the acupuncture group was superior to the acupuncture-lamp group in terms of overall efficacy,the difference was statistically significant.CONCLUSION:For the cold-dampness type chronic non-specific low back pain,both therapies are effective,but acupuncture combined with Du-moxibustion can better alleviate low back pain in patients,and it is significantly better than acupuncture combined with TDP irradiation therapy in improving lumbar dysfunction and cold-dampness type syndrome.In addition,the Du-moxibustion therapy can regulate the spine and supervise,and has the advantages of wide indications,green,safe,efficient,painless,easy to be accepted by patients,which is worthy of clinical application. |
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