Clinical Observation Of Local Acupuncture And Exercise Therapy In The Treatment Of Lumbar Disc Herniation

Objective:to evaluate the efficacy and safety of local acupuncture and exercise therapy in the treatment of lumbar disc herniation,and to optimize the treatment of lumbar disc herniation.Methods:Selection during March 2019-December 2019 in the Qingdao Hai Ci medical group acupuncture clinic conforms to the diagnosis of 72 cases of lumbar disc prolapse patients,randomly divided into observation group and control group,the observation group received local acupuncture and exercise therapy followed by electroacupuncture treatment,control group given pure electroacupuncture treatment,treatment once a day,treatment of six times a week,a total of treatment for 20 times,Before and after the course of treatment we use lumbar JOA assessment,visual analogue scale(VAS)to record the symptoms,signs,daily activities,and associated with the degree of pain score record.The surface electromyogram was used to measure the surface electromyogram of the lumbar muscles before and after treatment.SPSS20.0 software was used for statistical analysis of the obtained data,and a conclusion was drawn.Results:(1)VAS score: VAS score of the two groups decreased after treatment compared with before treatment,and the difference was statistically significant(P < 0.05).(2)JOA score: JOA score in both groups increased after treatment compared with before treatment,and the difference was statistically significant(P < 0.05).In comparison between groups,JOA score in the observation group increased more,and the difference was statistically significant(P < 0.05).(3)surface emg RMS and MF values: the surface emg RMS and MF values of the affected side of the lumbar muscles in the two groups increased after treatment compared with before treatment,and the difference was statistically significant(P < 0.05).(4)comparison of clinical efficacy: the total effective rate of the control group was 94%,with a markedly effective rate of 61%;the total effective rate of the observation group was 100%,with a markedly effective rate of 88%;there was a statistically significant difference in the clinical efficacy between the two groups(P < 0.05).Conclusion : local acupuncture and exercise therapy can effectively relieve the pain symptoms of patients with lumbar disc herniation,improve the lumbar function,increase the lumbar muscle strength of patients,and improve the state of lumbar muscle fatigue,which is worthy of clinical application.