| ObjectiveTo observe and compare the amelioration of pain,function,clinical symptoms and signs and long-term effect of different frequency FSN in the treatment of chronic lumbar muscle strain,in order to explore the dissimilarity of overall clinical curative effect and the maintenance of curative effect between the two FSN group with different frequency for treatment in patients with chronic lumbar muscle strain,and preliminarily explore the best choice of therapeutic effect of frequency of FSN therapy.This study would provide the reference for the clinical treatment plan and further research of therapy.This study would provide the reference for the clinical treatment plan and further research of FSN.MethodsIn the study,60 patients with chronic lumbar muscle strain were recruited from the acupuncture clinic and inpatient department of the Second Hospital of Traditional Chinese Medicine of Guangdong Province and from the Surrounding area of the Guangzhou University of Chinese Medicine.In this study,60 patients with lumbar muscle strain were randomly divided into two groups:Group A whose treatment frequency was twice a week and Group B whose treatment frequency was three times a week.During the treatment,both sides of Chengshan acupoint were selected.As the needle was rapidly inserted subcutaneous,then swept,and patients were instructed to perform "flying swallow" for 10 seconds three times.The course of treatment would be 2 weeks.The improvement of symptom and function was evaluated by the clinical symptom score scale,the clinical sign score scale,the VAS score and the simplified ODI scale before and after treatment.And 2 weeks after the end of the trial,the patients were followed up and the VAS scores and the simplified ODI scale were recorded again.After the experiment,the data would be entered into excel to build up a database,then it would be analyzed and processed with the statistical software SPSS22.0.In the statistical data,the gender and so on count data are expressed as the composition ratio(%),and the measurement data are expressed as the mean standard deviation(x±s).Chi-square test was used for the comparison among groups of classified counting data,and rank sum test was used for the comparison among groups of rank data such as age.T test was used for the comparison among the groups of measurement data,and paired t test or Wilcoxon Paired rank sum test was used for self-comparison of each group.To evaluate the therapeutic effect of different frequency floating acupuncture on lumbar muscle strain,and to provide reference for the selection of clinical floating acupuncture treatment.Result1.Before treatment,60 eligible cases were included in this study.No cases of abscission or exclusion were found in the experiment.Among them,14 male patients,16 female patients in Group A(2 times/Week),13 male patients and 17 female patients in Group B(3 times/Week)were observed.The sex,age composition,course of disease and observation indexes before treatment were compared between the two groups(P<0.05),which showed that there was no significant difference between the two groups.2.After two weeks of treatment,the improvement degree of pain,function,symptoms and signs of the two groups were compared within the group.The results showed that the overall VAS score,simplified ODI scale score and the scores of symptoms and signs of the two groups were significantly improved compared with those before treatment,P<0.01,which means that both groups have good clinical effect on chronic lumbar muscle strain.3.After two weeks of treatment,patients in the two groups were compared in terms of pain,function,and improvement of symptoms and signs,the Vas score,simplified ODI score and symptom score in Group B were significantly improved than those in Group A(P<0.05),compared with twice a week,3 times of FSN treatment a week has a better effect on sensory organ,function and symptoms in patients with chronic lumbar muscle strain.However,the probability of difference of physical improvement between the two groups was close to 0.05(P=0.049),suggesting that the dissimilarity between the two groups might not be obvious.In combination with clinical analysis,it might be related to the less change of tongue and pulse in the score and the lower lumbar activity of some patients.4.The total curative effect of the two groups was calculated.The cure rate was 3.3%,the effective rate was 83.3%,and the total effective rate was 86.6%in Group A,while the cure rate was 56.7%,the effective rate was 40.0%,the total effective rate was 96.7%in Group B.And after that the total effective rate of the two groups was tested by rank sum,we got z=-4.328,P<0.05,which means the total effective rate of the two groups was statistically significant,showed that the Group B with FSN three times a week had better overall curative effect Than Group A with FSN twice a week.5.The patients were followed up in 2 weeks after the treatment,and the VAS score and simplified ODI scale were recorded to investigate the changes of symptoms and functions.It showed that 2 weeks after the treatment,there was no significant difference in VAS(P<0.01)and ODI scores(P<0.05),compared with VAS and ODI scores at the end of treatment.6.The Vas and ODI scores of the two groups follow up in 2 weeks after the treatment were compared,P<0.05,the average number of FSN Group B was smaller than that of FSN Group A,which showed that the treatment frequency of FSN 3 times a week was better than that of FSN 2 times a week.ConclusionFSN has a good effect in improving pain,function,symptom and sign of patients with chronic lumbar muscle strain,and the long-term effect is maintained well.Treatment Frequency of 3 times per week was better than treatment frequency of 2 times per week,indicating that more FSN treatment frequency of one week could offer better clinical efficacy. |
PDF Full Text Request