| ObjectiveLow Back Pain(LBP)is a syndrome characterized by pain in the lower back,lumbosacral and buttocks.It is often accompanied by a series of symptoms such as tense and stiff waist muscles and limited movement.Non-specific low back pain(NLBP)refers to the exclusion of low back pain with obvious pathological changes,such as inflammation,tumor,osteoporosis,fracture,lumbar deformity,cauda equina symptoms,etal.based on the diagnosis of low back pain.Chronic non-specific low back pain(CNLBP)is a disease with a course of more than 12 weeks.Lumbago leg pain is very common clinically and occurs repeatedly,which seriously affects people's work and life.Due to the lack of a clear etiology,the current targeted treatment goal is to reduce pain,maintain physical activity continuously,prevent permanent disability and restore working ability.CNLBP has a variety of treatment methods,many clinical reports,and different short-term and long-term effect evaluations.the effectiveness and superiority of various treatment methods are difficult to evaluate.For example,exercise therapy is effective in relieving pain and preventing recurrence,but it is difficult for patients to persist.Drugs,physical therapy,massage and acupuncture bring relatively large economic burden to patients.Therefore,we need an economic,effective and easy-to-operate treatment method for clinical application.Sleeve-type long needle is a new type of needle developed from "long needle".The stimulation amount of needle is larger than that of ordinary needle,and the clinical therapeutic effect is more lasting.The purpose of this experiment is to scientifically evaluate the effectiveness and safety of long sleeve needle soft tissue release for CNLBP,and to discuss the intervention characteristics of long sleeve needle.MethodsThis study collected in Beijing university of Chinese medicine dongzhimen hospital massage or recruiting patients in 2019.2-2019.10,included in the standard CNLBP patients,with long sleeve needle treatment,once a week,3 weeks in a row,respectively in patients before treatment after 1 month,3 months of treatment pain Scale-Visual Analogue Scale(VAS)and Roland Morris dysfunction rate,using statistical software SPSS20.0 collected data for statistical analysisResults1.General data and results:60 patients were included in the study.60 cases of complete subject tests were completed,and the subject was statistically analyzed through the clinical data of these 60 cases.Of the 60 patients,24 were male and 36 were female.The minimum age is 21 years(female)and the maximum is 68 years(female).The total average age is 38.98 13.75 years.2.Curative effect evaluation:control group:the average VAS score before treatment was 4.73,and the average VAS score after 3 weeks of treatment,1 week of follow-up and 9 weeks of follow-up decreased by 1.63,-0.21,-0.07,respectively.compared before and after treatment,the approximate probability value P=0.001<0.05,and the pain was obviously improved before and after treatment.Compared with before treatment,the approximate probability values of follow-up for 1 week and 9 weeks are respectively P=0.71 and P=0.651>0.05,and the pain improvement is not obvious.It can be considered that acupuncture has basically disappeared.The average Roland-Morris dysfunction score before treatment was 6.13.after treatment,the Roland-Morris dysfunction score decreased by 1.10,0.20,-0.20 respectively after 1 week and 9 weeks of follow-up.compared before and after treatment,the approximate probability value P=0.001<0.05.the Roland-Morris dysfunction score improved significantly before and after treatment.After 1 week and 9 weeks of follow-up as compared with before treatment,the approximate probability values P are P=0.987 and P=0.539 respectively,all of which are>0.05.Roland-Morris dysfunction score has no obvious improvement and has a tendency of relapse.In the experimental group,the average VAS score before treatment was 5.13.After 3 weeks of treatment,the average VAS score after 1 week of follow-up and 9 weeks of follow-up decreased by 0.70,0.60 and 0.30 respectively.Compared with the difference of symptom improvement before and after treatment and 1 week of follow-up,the approximate probability values P were P=0.001,P=0.023,P values were all<0.05.The pain symptoms before and after treatment and 1 week of follow-up improved obviously.After a follow-up of 9 weeks,the approximate probability value P=0.140>0.05 was compared with that before treatment.The pain was not significantly improved and the acupuncture effect basically disappeared.Before treatment,the mean Roland-Morris dysfunction score was 6.73.after treatment,the mean Roland-Morris dysfunction score decreased by 2.37,2.17 and 1.10 after one week of follow-up and 9 weeks of follow-up.compared with before and after treatment and after one week of follow-up,the approximate probability value P=0.001<0.05.the Roland-Morris dysfunction score improved significantly before and after treatment.After 9 weeks of follow-up,compared with before treatment,the approximate probability value P=0.076>0.05,with no obvious improvement and a tendency of recurrence.Compared with VAS score and Roland-Morris dysfunction score of patients in different time periods between the same group,the two acupuncture effects decreased with time.There was no significant difference in symptom improvement between the two groups.The treatment effective rate results of the two groups of patients show that:the control group:clinically cured in 0 cases,markedly effective in 7 cases,effective in 20 cases,ineffective in 3 cases,the clinical effective rate is 87.1%;In the experimental group,0 cases were clinically cured,1 case was markedly effective,21 cases were effective,8 cases were ineffective,and the clinical effective rate was 73.3%.There was no significant difference between the two groups(P>0.05).3.Safety evaluation:long sleeve needle deep soft tissue lysis for CNLBP has high safety and no serious adverse reactions.Conclusion1.Long sleeve needle is effective and safe in improving pain and functional activity limitation of CNLBP patients.2.Compared with common acupuncture,long sleeve needle has a more lasting effect on CNLBP and can delay the recurrence of lumbago.3.The lower needling frequency of long sleeve needle deep soft tissue lysis can achieve the same therapeutic effect as common needling,and the patient's time cost is reduced and the patient's acceptance is higher. |
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