Study On Mechanism Of The "Four-points And Three-meridian Tendons" Extracorporeal Shock Wave Therapy In The Treatment Of Lumbar Disc Herniation (Blood Stasis Type)

Objective: To observe the clinical efficacy of extracorporeal shock wave "four-points and three-meridian tendons" therapy in the treatment of lumbar disc herniation(blood stasis type),and to provide a safe and effective treatment program for the clinical treatment of lumbar disc herniation(blood stasis type).Methods: 80 patients with lumbar disc herniation(blood stasis type)were recruited in this study,all of them met the inclusion criteria of lumbar disc herniation(blood stasis type).They were randomly divided into two groups,the treatment group was treated with extracorporeal shock wave "four-points and three-meridian tendons" therapy,and the control group was treated with extracorporeal shock wave pain point therapy.The treatment group and the control group were treated once every 3 days for a total of 5 times for a treatment course.By collecting VAS scores and JOA scores including before treatment,one week after the end of the treatment course,one month after the end of the treatment course and three months after the end of the treatment course,the difference between VAS scores before treatment,treatment improvement rate,effective rate and excellent rate were calculated,and SPSS 23.0 was used for statistical data analysis.According to the analysis results,the efficacy of the two treatment methods,extracorporeal shock wave pain point therapy and extracorporeal shock wave "four-points and three-meridian tendons" therapy,for lumbar disc herniation(blood stasis type)was assessed,the mechanism was tentatively probe into from clinical angle on the basis of the data.Results: During the trial,there were 3 shedding cases in the treatment group,37 actually completed,4 shedding cases in the control group,36 actually completed,and 73 actually completed in the two groups.By comparison and analysis in baseline data of the two groups,there came the conclusion: no significant difference between them.(p >0.05).The VAS score and JOA score of the two groups were significantly improved before treatment and one week after the end of treatment course(p < 0.05),and there was no significant difference in VAS score and JOA score between the two groups(p >0.05).However,the VAS difference between the two groups before treatment and one week after the end of treatment was higher in the treatment group than in the control group(p<0.05).The VAS and JOA scores of the treatment group one month after the end of the course were significantly better than those of the control group(p < 0.05),and the VAS score difference before treatment were significantly higher than those of the control group(p < 0.05);three months after the end of the course,the VAS and JOA scores of the treatment group were significantly better than those of the control group(p < 0.05),and the VAS score difference before treatment were significantly higher than those of the control group(p < 0.05).The total effective rate was 89.2% in the extracorporeal shock wave "four-points and three-meridian tendons" therapy group and 86.1% in the extracorporeal shock wave pain point therapy control group,there was a significant difference in treatment improvement rate between the two groups(p < 0.05).Conclusion: Extracorporeal shock wave pain point therapy and extracorporeal shock wave "four-points and three-meridian tendons" therapy have good therapeutic effects in lumbar disc herniation(blood stasis type),the short-term pain relief effect of extracorporeal shock wave "four-points and three-meridian tendons" therapy is more reliable by comparison,and extracorporeal shock wave "four-points and three-meridian tendons" therapy has more significant in mid-long term pain relief effect and overall symptom improvement in patients with blood stasis type LDH,which is worthy of study and promotion.