Effect of Chinese medicine hot compress therapy combined with intradermal needling on patients with lumbar disc herniation of the qi stagnation-blood stasis type
Objective To observe the short-term and long-term effects of Chinese medicine hot compress therapy combined with intradermal needling on patients with lumbar disc herniation(LDH)of the qi stagnation-blood stasis type.Methods A total of 70 patients with LDH of the qi stagnation-blood stasis type admitted to the department of orthopedics,Guangdong Second Hospital of Traditional Chinese Medicine from March 2021 to March 2023 were selected and were divided into an observation group and a control group by the random number table method,with 35 cases in each group.There were 17 males and 18 females in the control group,aged 45-60(68.20±11.54)years,and the course of disease was 1-3(2.51±0.94)years.There were 19 males and 16 females in the observation group,aged 45-60(69.69±3.54)years,and the course of disease was 1-3(2.54±1.06)years.Both groups were given orthopedic nursing care,the control group was given celecoxib,and the observation group was treated with Chinese medicine hot compress therapy combined with intradermal needling on the basis of the control group.Both groups were treated continuously for 14 days,and a telephone follow-up was conducted 3 months after treatment.The Visual Analogue Scale(VAS)scores and Japanese Orthopedic Association Lumbar Function Scale(JOA)scores were compared before treatment,after 3 days of treatment,after 14 days of treatment,and 3 months after treatment.The improvement of clinical performance before and after treatment was observed and the curative effect was evaluated.Independent sample t test,paired t test,and x2 test were used.Results The VAS scores of the observation group after 3 days of treatment,after 14 days of treatment,and 3 months after treatment[(3.97±0.95)points,(3.91±0.89)points,and(3.74±0.74)points]were lower than those of the control group[(6.46±1.15)points,(6.23±0.94)points,and(6.29±1.15)points],with statistically significant differences(all P＜0.05).The JOA scores of the observation group after 3 days of treatment,after 14 days of treatment,and 3 months after treatment were(21.74±1.52)points,(22.03±1.38)points,(22.51±1.20)points,respectively,which were higher than those of the control group[(18.83±1.51)points,(19.49±1.34)points,and(20.26±1.07)points],with statistically significant differences(all P＜0.05).The total effective rate of the observation group was 94.29％(33/35),which was higher than that of the control group[65.71％(23/35)],with a statistically significant difference(P＜0.05).Conclusion Combination of Chinese medicine hot compress therapy and intradermal needling for LDH patients with the qi stagnation-blood stasis type not only can relieve the pain and improve the lumbar spine function in the short term,but also has better overall efficacy than using celecoxib alone.
Lumbar disc herniationQi stagnation-blood stasis typeIntradermal needlingChinese medicine hot compress therapy
万方数据
维普
