Clinical Observation On The Effects Of Acupuncture Point Thread Buried Combined With Thunder-Fire Moxibustion In The Treatment Of Brachial Plexus Neuralgia

Objective: This research mainly observes the patients with Brachial plexus neuralgia(BPN),and gives Ashi acupoint catgut embedding combined with thunder-fire moxibustion treatment,compared with oral pregabalin with oral pregabalin capsule.An objective evaluation was conducted to assess the clinical efficacy of these Two approaches Furthermore,Improving the condition of patients was also discussed.Find a kind of adverse reaction in order to reduce the pain sensation of the patient and Increase in quality of life of the patient.Methods: A total of seventy two patients with BPN were enrolled in this clinical study.They were all from the Affiliated Hospital of Changchun University of Traditional Chinese Medicine.They were all registered in the Department of Acupuncture and Pain,and they all met the strict diagnostic inclusion criteria of BPN before treatment.and the enrollment time was from January to December 2022.The Seventy Two people were divided into two groups according to the Table of random numbers,36 people per group,and thirty six of them were treated with acupoint catgut embedding and thunder fire moxibustion at Ashi point.Thunder-fire moxibustion was applied to A shi point,Jianyu,Jianliao,Jianzhen,neck and arm,Quchi,sparrow pecking nine times,and then moxibustion with mild manipulation for twenty minutes,Sparrow pecking 9 times,warm moxibustion for 20 minutes,about 3minutes for each acupuncture point,six times a week,once a day,rest on the seventh day.Three weeks for a course of treatment.The general pain points choose 5,On the 6th day,the acupuncture point thread was first carried out after thunder fire moxibustion,and the thread was buried once a week,and the 7th day was rested.Complete treatment with a course of treatment.The thirty six subjects were treated with oral pregabalin capsules of western medicine.The control group was treated with oral western drug pregabalin capsules,taking this product 300 mg/day,2 times a day,150 mg each time,patients whose pain was not significantly relieved after 2 weeks,and developed drug resistance,can be increased to300 mg each time,2 times a day,or 200 mg each time,3 times a day(600 mg/day).Due to the dose-dependent nature of adverse effects and the fact that adverse effects can lead to higher discontinuation rates,doses above 300 mg/day should only be used in patients with persistent pain who tolerate a dose of 300 mg/day.Three weeks is a course of treatment.After the doctor gave the patient a course of treatment,that is,three weeks later,the doctor applied an intuitive way to simulate the evaluation scale VAS,and the patient ’s language expression to describe the degree of pain VRS scale,and the patient ’s quality of life assessment scale SF-36 were used to evaluate the comprehensive treatment status of all subjects.The data were analyzed by SPSS 22.0 software.Results:(1)Baseline levels of both groups were standardized and compared prior to treatment.From the data results,The results were as follows: Based on the results of the two sets of data,there is no obvious difference(P > 0.05).Inclusive of Sex distinction,age distribution,and disease progression.It can be seen that the two groups of patients can be compared.(2)There was no obvious difference in the evaluation scale VAS,and the patient ’s language expression to describe the degree of pain VRS scale,and the patient ’s quality of life assessment scale SF-36 between the two groups before treatment(P value is greater than 0.05),It can be seen that the 2 groups of patients can be compared.(3)Comparison after treatment :(1)VAS score : Based on current Clinical examination,the treatment group compared with the control group,two groups of patients before and after treatment in the treatment effect after professional software analysis,there are visible differences.(P < 0.01).There are visible differences between treatment and oral drugs.we can also see quite different.(P< 0.01).Through the score and patient feedback,we can easily see that the treatment group is more favored by patients.(2)VRS score :The results of the two groups of patients before and after treatment can be seen,there are differences and it is easy to see(P < 0.01).The results between the two groups were different than those of the treatment(P < 0.01).We can see from the results that the patients in the treatment group had better feedback.(3)SF-36 score :We can see a lot of differences between the two groups(P < 0.01).The comparison between the two groups can also be seen very different(P < 0.01),indicating that the conclusion is meaningful,Through the score and patient feedback,we can easily see that the treatment group is more favored by patients.(4)Overall,the effectiveness of the two groups assessed in a database: Two groups of post-treatment patients feedback useful ratio were respectively,it was 94.12 % and 72.73 %respectively.We used professional rank sum test method to test the treatment results of the two groups of patients.We can see that the results are different and easy to see(P < 0.01).That means the treatment group patients react better.Conclusion:(1)Ashi point is buried in several fibrin thread and thunder fire moxibustion combined use to treat patients with oral western medicine in patients with clinical feedback has a certain effect.(2)The clinical feedback effect of Ashi acupoint embedding into several fibrin threads combined with thunder-fire acupuncture moxibustion on patients ’ pain relief is better than that of pregabalin,and the effect lasts for a long time.(3)Ashi point,the indefinite point,was embedded with fibrin thread combined with the therapy of thunder-fire moxibustion greater than ordinary moxa stick,Moreover,the amount of stimulation is moderate,and it is easy for patients to accept.In real life,we should encourage the hospital clinical promotion.