Clinical Study on Acupuncture Combined with TCM Directional Drug Permeation in the Treatment of Lumbar Disc Herniation
Objective:To observe the clinical efficacy of acupuncture combined with TCM directional drug permeation therapy on lumbar disc herniation(LDH).Methods:A total of 90 LDH patients who visited the outpatient department of the Department of Traditional Chi-nese Medicine of Chengqiao Town Community Health Service Center in Chongming District of Shanghai from August 2020 to December 2021 were selected and divided into the acupuncture-drug permeation group,the simple acupuncture group,and the simple drug perme-ation group according to the random number table method,with 30 cases in each group.The simple acupuncture group was given acu-puncture therapy,the simple drug permeation group was given TCM directional drug permeation therapy,and the acupuncture-drug per-meation group was given acupuncture therapy combined with TCM directional drug permeation therapy.The changes in the visual ana-logue score(VAS),the oswestry disability index(ODI),the Japanese orthopaedic association waist disorders(JOA),serum metabo-lites(including β-cryptoxanthin,citric acid,pyruvic acid,and lysine),the clinical efficacy,and the occurrence of adverse reactions were observed in the three groups before and after treatment.Results:The VAS score and ODI score of the acupuncture-drug permeation group were lower than those of the simple acupuncture group and the simple drug permeation group after 2 weeks' treatment,4 weeks'treatment,and 2 weeks after treatment respectively,with statistically significant differences(P<0.05).The JOA score of the acupunc-ture-drug permeation group was higher than that of the simple acupuncture group and that of the simple drug permeation group after 2 weeks'treatment,4 weeks'treatment,and 2 weeks after treatment respectively,with statistically significant differences(P<0.05).The effective rate of the simple acupuncture group was73.33%,that of the simple drug permeation group was76.67%,and that of the acu-puncture-drug permeation group was 96.67%,with statistically significant differences(P<0.05).The levels of β-cryptoxanthin,citric acid,pyruvic acid,and lysine in the acupuncture-drug permeation group were higher than those of the simple acupuncture group and the simple drug permeation group after treatment,with statistically significant differences(P<0.05).Conclusion:Acupuncture combined with TCM directional drug permeation therapy for LDH can relieve the patients'pain and improve lumbar function.
lumbar disc herniation(LDH)acupuncture therapyTCM directional drug permeation