The Observation On The Clinical Effect Of Du Moxibustion For The Treatment Of Cold And Wet Type Chronic Lumbar Muscle Strain

ObjectiveTo observe the clinical effect of Du moxibustion therapy on cold and wet type chronic lumbar muscle strain.MethodsPatients with cold and wet type chronic lumbar muscle strain were selected from January 2019 to December 2019 and were treated at the outpatient department of rehabilitation department of Sanming Integrated Traditional Chinese and Western Medicine Hospital,Fujian University of Traditional Chinese Medicine.According to the random grouping method,the 78 patients with cold and wet type chronic lumbar muscle strain included in the standard were divided into the treatment group(n=39)and the control group(n=39).The treatment group carried out the Du moxibustion treatment,Du moxibustion site: from the point of the neck to the sacrum.Operation method: The patient exposes the back in the prone position and relaxes the posture.Sterilize the Du moxibustion site with 75% medical alcohol,apply the prepared ginger juice and wipe on the veins and adjacent bladder meridian,cover a long medical gauze,put the Du moxibustion box into the moxibustion site.The ground ginger prepared in advance is evenly spread in the Du moxibustion box,with a thickness of about 2.5 cm.Finally,spread old moxa velvet into long strips(width about 2cm,height about 1.5cm)and ignite all them.When it burns to ashes naturally as a treatment,3 treatments in total.During the treatment,doctor measures the waist temperature every 10 minutes.After the treatment,the long gauze,ginger powder and moxibustion box were removed and wiped clean with sterile cotton balls.Pay attention to temperature changes during treatment to prevent burns or colds.The control group was given fake Du moxibustion treatment,the operation method: Sterilized water for injection is used to replace ginger juice during treatment.Two long medical gauze are used for covering,and Miaojie PE plastic wrap is placed between the two medical gauze.Objective to make the control group feel only warmth during the treatment and avoid the therapeutic effects of ginger and moxa.Treatment course: 2 treatments per week,6 consecutive treatments as 1 treatment course,1 treatment course in total.Observe and record the VAS,JOA,PPT,SEMG indicators of the two groups of patients before treatment and after 1 course of treatment.Observe and record the VAS and JOA scores of the two groups of patients were followed up 1 month after the treatment.ResultsIn the end,70 patients completed the study,including 36 in the treatment group and 34 in the control group.Before treatment,there was no significant difference in gender,age and course of disease between the two groups(P>0.05).In terms of VAS scores,there was no statistically significant difference between the two groups before treatment(P>0.05),and there was a statistically significant difference between the groups within 1 and 2 weeks after treatment(P<0.05).In terms of JOA scores,there was no statistically significant difference between the two groups before treatment(P>0.05),and there was a statistically significant difference between the groups within 1 and 2 weeks after treatment(P <0.05).In terms of PPT scores,there was no statistically significant difference between the two groups before treatment(P>0.05),and there was a statistically significant difference between the groups within 1 and 2 weeks after treatment(P<0.05).In terms of SEMG scores,there was no statistically significant difference between the two groups before treatment(P>0.05),and there was a statistically significant difference between the groups within 1 and 2 weeks after treatment(P<0.05).At 1-month follow-up after treatment,the VAS scores of the two groups were higher than after 1 course of treatment,lower than before treatment,and the treatment group was lower than the control group,the differences were statistically significant(P<0.05);the JOA score was lower than after 1 course of treatment,higher than before treatment,and the treatment group was higher than the control group,the differences were statistically significant(P<0.05).In terms of total clinical effectiveness,the treatment group was 77.78% and the control group was 47.06%,the difference was statistically significant(P<0.05).ConclusionDu moxibustion therapy for treating cold and wet type chronic lumbar muscle strain can reduce patients' waist pain,raise pain threshold,improve waist activity,relieve waist muscle fatigue,no adverse reactions,and good safety.However,the long-term efficacy is not good,and there is room for further improvement.