Observation Of Therapeutic Effect Of Brace Correction Combined With Acupuncture On Adolescent Idiopathic Scoliosis With Deficiency Of Spleen-yang And Kidney-yang

With the development of the current era,the proportion of adolescents in scoliosis patients is increasing year by year,which has aroused widespread concern and attention from parents and society.Although the disease has no obvious characteristic clinical symptoms,it also brings unbearable pain and pressure to young people in the rapid growth period.At present,the causes of the disease are complex and diverse,and the pathogenesis is also very complex.The diagnostic criteria are extremely clear.The treatment methods of this disease are mainly divided into surgical treatment and conservative treatment.Surgical treatment is suitable for patients with serious illness,although it can correct scoliosis,but the economic burden is heavy and the postoperative effect can not be guaranteed;Therefore,it is particularly urgent to explore more effective treatment methods from conservative therapy.Objective:This article compares the clinical effects of brace correction combined with acupuncture therapy and simple brace correction in the treatment of Adolescent idiopathic scoliosis,and provides reference ideas for the clinical treatment of AIS.Method:80 patients with AIS of spleen-yang and kidney-yang deficiency type who met the inclusion criteria were divided into the test group and the control group according to the principle of random control.The test group was treated with brace correction combined with acupuncture,while the control group was treated with brace correction for 3 months.Cobb angle was used as the evaluation index of efficacy in this trial.Collect,record and sort out the VAS score,TCM syndrome score and corresponding Cobb angle data of patients before and after treatment.SPSS26.0 statistical software was used to analyze the measurement data.The measurement data were in line with normal distribution,represented by mean±standard deviation,and were tested by t or t’test.The measurement data were not in line with normal distribution,represented by median and quad,and tested by rank sum.Counting data were compared by X~2test.Rank sum test was used to compare rank data,and the difference was statistically significant with P<0.05.Result:1.In this trial,10 cases were dropped out and 70 cases were followed up.No adverse events occurred in the process.2.Before treatment,the gender,scoliosis site,age,VAS score,TCM symptom score and Cobb angle of the two groups were compared,with no statistical significance(P>0.05),and the baseline was consistent and comparable.3.After treatment,the observation indexes of the two groups were improved compared with those before treatment.The VAS score,TCM symptom score and Cobb angle of the patients in the treatment group were better than those in the control group(P<0.05),and the difference was statistically significant.The effective rate of the experimental group was94.11%,and that of the control group was 88.89%,P<0.05,and the difference was statistically significant.The effective rate of improving TCM symptom score in the experimental group was 94.11%,while that in the control group was 83.33%,P<0.05,with statistical significance.Conclusion:1.For AIS patients with spleen-yang and kidney-yang deficiency,both brace correction combined with acupuncture and moxibustion therapy and simple brace correction therapy have therapeutic effects on this disease.Among them,brace correction combined with acupuncture and moxibustion therapy has more obvious therapeutic effects,which can better alleviate the patient’s pain and correct the scoliotic spinal column.2.Finally,it can be considered that brace correction combined with acupuncture and moxibustion is a more effective treatment scheme for AIS of spleen-yang and kidney-yang deficiency type,with more obvious clinical treatment effect,less economic burden for the patient’s family,good safety,and worth clinical application and promotion.