Clinical Study On The Treatment Of Cold And Wet Strain Of Lumbar Muscle By Burning Mountain Fire With Three Needles

Objective : In this study,three lumbar needles heat-producing needling(treatment group)and Imrecoxib Tablets(control group)were used to treat Lumber Intervertebral lumbar muscle strain.By comparing the clinical efficacy of the two therapies after treatment and follow-up,the clinical efficacy and safety of three lumbar needles burning mountain fire in the treatment of cold and wet type lumbar muscle strain were objectively evaluated,so as to provide a basis for the promotion and application of the treatment.Methods:60 patients who met the diagnostic criteria of traditional Chinese and Western medicine and inclusion criteria were collected and randomly divided into treatment group and control group by random number table method,with 30 patients in each group.Patients in the treatment group were treated with three lumbar acupuncture needles and heat-producing needling.Patients were in prone position and sterile disposable acupuncture needles were selected after disinfection of acupoints in strict accordance with routine acupuncture operations:(1)Shenshu and Dachangshu into the needle to get qi,with the local sense of acid swelling as the best,the practice of heat-producing needling: according to the acupoint depth can be divided into shallow,middle and deep three layers(namely,the three parts of the day,people and the ground),the needle back to the day,the line tightly according to the slow lifting technique nine times,and according to the above method in turn into the people and the ground,this is once.If heat sensation occurs during operation,press the needle to the deep and then stop the operation.It is not necessary to complete the whole process.If there is no heat sensation,press the needle to the deep and then stop after three degrees.(2)Direct acupuncture in the weizhong,injection into the deep depth after obtaining qi,nine times of twisting and twisting method after the needle,in the process of operation,thermal sensation or local acid swelling and hemp sensation is obvious,stop the operation,no thermal sensation or local acid swelling and hemp sensation is not obvious,three times of manipulation after the needle.(3)Direct acupuncture of Mingmen and Yaoyangguan,flat replenishing and purging after obtaining qi and leaving needles.Treatment was performed once a day,6 times a course,and the next course was conducted after 2 days of rest.Treatment lasted for 2 courses.Control group: Imericoxib Tablets,0.1g a time,orally,twice a day after meals,for 14 days.Visual Analogue Scale(VAS),Oswestry dysfunction index(ODI),clinical symptom score and clinical signs score were included as observation indexes.The data collected after the end of treatment and 3 months after the end of treatment were analyzed by statistical software SPSS25.0,and the short-term and long-term clinical efficacy of the two groups were objectively evaluated.Results:(1)Before treatment,the gender,age,course of disease,VAS score,ODI score,clinical sign score and symptom score of the two groups were statistically analyzed and compared,and the differences were not statistically significant(P>0.05),which was comparable.(2)After treatment:the total effective rate was 93.3% in the treatment group and 80.0% in the control group,and the difference was not statistically significant(P>0.05).VAS scores,scores of clinical symptoms and signs and ODI scores of the two groups were lower than before,and the differences were statistically significant(P<0.05).there were no significant differences in scores of clinical symptoms and signs between the two groups(P>0.05),butthere were significant differences in VAS score and ODI score between the two groups(P<0.05).(3)Follow-up:the total effective rate was 93.3% in the treatment group and 63.3% in the control group,and the difference was significant(P<0.05).In terms of clinical symptoms and signs scores,VAS scores and ODI scores,the scores of the two groups were lower than before treatment,and the difference was statistically significant(P < 0.05).the difference between groups was statistically significant(P<0.05).Compared with post-treatment,there was no significant difference in the follow-up scores of the treatment group(P>0.05),butthere was significant difference in the follow-up scores of the control group(P<0.05).Conclusion:(1)the two groups of treatment methods can reduce the patients’ waist Pain,but also improve the clinical symptoms,signs and waist dysfunction,both are effective Programs for the treatment of chronic lumbar muscle strain.(2)the short-term efficacy of the two groups was similar,butthe long-term efficacy of the treatment group was significantly better than that of the control group.(3)the treatment group was superior to the control group in reducing the waistpain of patients with lumbar muscle strain,improving the waist dysfunction and reducing the recurrence rate,and the operation was simple and the curative effect was exact,which was suitable for clinical application.