Clinical Study On The Treatment Of NLBP By Tiaodu Tongjin Acupuncture

Objective The changes of VAS pain score,ODI dysfunction index,and improvement of lumbar joint mobility in NLBP patients treated with Tiaodu Tongjin acupuncture were compared with traditional acupuncture treatment to analyze the effectiveness of Tiaodu Tongjin acupuncture treatment for NLBP patients and to provide clinical basis for the treatment of NLBP with Tiaodu Tongjin acupuncture.MethodsA total of 72 patients with NLBP were included and divided into the Tiaodu Tongjin acupuncture group(n = 36)and the traditional acupuncture group(n = 36)of a random number table method.They were treated from Monday to Friday,once a day,and rested on Saturday and Sunday.A total of 10 times of treatment,5 time as a course of treatment,a total of 2 courses.The changes of VAS score,ODI score and lumbar joint mobility of the two groups before treatment,1 course of treatment and 2 courses of treatment were observed to judge the clinical efficacy and difference of efficacy.At the same time,adverse reactions and adverse events during the test were recorded,and the safety level was evaluated.SPSS26.0 software was used to process and analyze the data.Results1.The baseline data of the two groups of patients such as gender,age,BMI value,course of disease and treatment VAS score,ODI score,lumbar joint activity,etc.,after statistical analysis,there was no statistical significance between the groups(P > 0.05),comparable.2.Comparison of VAS score results: Repeated measures analysis of variance: time effect(F = 405.044),group effect(F = 28.431),interaction effect(F = 10.778),the difference was significant(P < 0.001).Comparison between groups: The VAS score of the Tiaodu Tongjin acupuncture group were significantly lower than those in the traditional acupuncture group after 1 and 2 courses of treatment(P < 0.001).Comparison within the group: VAS score of the Tiaodu Tongjin acupuncture group and the traditional acupuncture group were significantly different in each period of treatment(P < 0.05).The line chart showed that the VAS score of both groups showed a downward trend,and the VAS score of the Tiaodu Tongjin acupuncture group decreased more than that of the traditional acupuncture group after treatment.3.Comparison of ODI score: Repeated measures analysis of variance: time effect(F =241.074),group effect(F = 57.334),interaction effect(F = 21.964),the difference was significant(P < 0.001).Comparison between groups: ODI score of the Tiaodu Tongjin acupuncture group were significantly lower than those in the traditional acupuncture group after 1 and 2 courses of treatment(P < 0.001).Intra-group comparison: ODI score of the Tiaodu Tongjin acupuncture group was significantly different in each period of treatment(P < 0.001).There was no significant difference between the traditional acupuncture group before treatment and 1 course of treatment(P > 0.05).The ODI index of the two groups showed a downward trend,and the ODI score of the Tiaodu Tongjin acupuncture group decreased more than that of the traditional acupuncture group after treatment.4.Comparison of the results of lumbar joint activity: Repeated measures analysis of variance: the time effect,group effect and interaction effect of lumbar joint activity were significantly different(P < 0.001).2.Comparison between groups : after 1 course of treatment and 2 courses of treatment,the flexion,extension,left lateral flexion and right lateral flexion activities of the Tiaodu Tongjin acupuncture group were significantly higher than those of the traditional acupuncture group(P < 0.001).After 2 courses of treatment,the left rotation and right rotation activities were significantly higher than those in the traditional acupuncture group(P < 0.001).Intra-group comparison: There were significant differences in forward flexion,backward extension,left lateral flexion and right lateral flexion in the acupuncture group(P < 0.05).There was no significant difference in left rotation and right rotation between before treatment and 1 course of treatment(P > 0.05).In the traditional acupuncture group,there was no significant difference in flexion,left lateral flexion,right lateral flexion,left rotation and right rotation activity between before treatment and 1 course of treatment(P > 0.05).There was no significant difference in extension activity between 1 course of treatment and 2 courses of treatment(P > 0.05).The line chart is shown that the range of motion of the lumbar spine in all directions of the two groups showed an upward trend.The range of motion of the lumbar joints after treatment in the Tiaodu Tongjin acupuncture group was greater than that before treatment.5.Comparison of clinical efficacy: the total effective rate of the Tiaodu Tongjin acupuncture group was 94.4%,and the total effective rate of the traditional acupuncture group was 80.6%.It shows that the curative effect of Tiaodu Tongjin acupuncture group is better than that of traditional acupuncture group(P < 0.001).Conclusion1.Both Tiaodu Tongjin acupuncture and traditional acupuncture can reduce VAS score,ODI score and improve lumbar joint mobility;2.Tiaodu Tongjin acupuncture is superior to traditional acupuncture in relieving low back pain,improving lumbar dysfunction and lumbar joint mobility;3.Tiaodu Tongjin acupuncture treatment of NLBP clinical efficacy is significant,worthy of clinical application.