| ObjectiveResearch "two needles and one method" clinical efficacy in Patients with lumbar disc herniation,evaluate the safety and effectiveness of the treatment regimen.MethodsThis trial adopts a prospective research method and follows the principle of randomized and controlled trials.Finally,64 patients with lumbar disc herniation who meet the criteria were enrolled.The 64 patients were numbered 1 to 64 sequentially.A simple random method was used to divide the patients into In the treatment group and the control group,the treatment group was given "two needles and one method"(abdominal acupuncture combined with balanced acupuncture)combined with lumbar traction therapy,and the control group was given western medicine combined with lumbar traction therapy.The visual analogue scale(VAS)and Oswestry dysfunction index were used to evaluate the clinical efficacy,and SF36 was used to evaluate the quality of life of patients.ResultsThere were 30 cases in the "two needles and one method" treatment group,including 16 males and 14 females,aged 26-59 years old,with an average age of(42.90±8.42)years;the average duration of the disease was(46.90±19.56)days.There were 30 cases in the control group,including 17 males and 13 females,aged 28-62 years old,with an average of(40.67±8.58)years;the average duration of the disease was(27.55±11.24)days.There was no significant difference in the number of cases,gender,age,length of disease between the two groups(P>0.05),and the baseline balance between the groups.The VAS score of the test group before treatment was(5.50±0.68),the VAS score after treatment was(1.67±0.61);the ODI score before treatment was(42.26±2.44),and the score after treatment was(20.74±3.30).The VAS score before treatment in the control group was(5.60±0.50),and the VAS score after treatment was(2.23±0.82);the ODI score before treatment in the control group was(42.06±2.06),and the ODI score after treatment was(25.34±1.92).There was no significant difference in the Pre-treatment VAS score and ODI score between the two groups(P>0.05),the baseline was balanced,and the comparison between the groups was comparable.After treatment,the scores of the two groups of Patients were significantly improved compared with those before treatment,and there was a statistically significant difference(P<0.01).According to the "Standards for Diagnosis and Efficacy of TCM Diseases" combined with ODI scores to evaluate the comprehensive efficacy,in the treatment group,there were 5 cured cases,14 markedly effective cases,9 improved cases,and 2 ineffective cases.The effective rate was 93.33%(28/30).In the control group,there were 3 cured cases,11 markedly effective cases,10 effective cases,and 6 ineffective cases.The total effective rate reached 80%(24/30).After treatment,the VAS and JOA scores and comprehensive efficacy were statistically different between the two groups(P<0.01).The scores of the eight dimensions of physiological function,physiological function,physical pain,general health,vitality,social function,emotional function,and mental health before treatment in the experimental group were(34.10±3.10),(35.13±2.86),(34.60±2.21),respectively.),(35.43±2.64),(35.33±2.41),(35.10±2.21),(35.37±1.30)and(36.67±1.47),the scores of each dimension after treatment are(70.33±2.73),(70.33±2.23),(73.80±2.01),(74.43±1.57),(75.20±1.13),(74.73±1.26),(75.17±1.26)and(76.37±1.38).The scores of the eight dimensions of physiological function,physiological function,physical pain,general health,vitality,social function,emotional function,and mental health before treatment in the control group were(34.04±2.41),(35.00±2.38),(34.87±2.10),respectively.,(35.53±1.98),(36.10±2.43),(37.60±2.85),(38.43±2.36)and(39.00±2.30),the scores of each dimension after treatment are(69.67±3.01),(71.47±2.27),(68.70±1.78),(72.93±1.84),(73.07±1.80),(72.90±1.58),(72.97±1.59)and(73.03±1.38).There was no significant difference in the SF36 scores of the two groups before treatment(P>0.05),(75.93±5.33)and(76.96±4.90).There was no significant difference in the SF-36 score before treatment between the two groups(P>0.05),the baseline was balanced,and the comparison between the groups was comparable.After treatment,the scores of SF-36 in the "two needles and one method" group and the western medicine combined lumbar traction group were significantly improved compared to before treatment,with statistically significant differences(P<0.01).There was no significant difference in the scores of SF-36 dimensions between the two groups after treatment(P>0.05).ConclusionThe "two needles and one method" treatment plan and western medicine combined with lumbar traction therapy can alleviate the pain of patients with lumbar disc herniation,improve lumbar spine dysfunction and the quality of life of patients.The clinical effect of "two needles and one method" is better than oral western medicine combined with lumbar traction,which can be used for clinical promotion. |
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