Observation on the clinical efficacy of the combined treatment of Hexue Chubi Ointment massage and elongated needle therapy at Huantiao(GB 30)on patients with lower limb sensory disorders after lumbar disc herniation surgery
Objective To explore the clinical effects of Hexue Chubi Ointment massage combined with elongated needle therapy at Huantiao(GB 30)on patients with lower limb sensory disorders after lumbar disc herniation(LDH)surgery.Methods A total of 84 patients with lower limb sensory disorders after LDH surgery,admitted to the Second Hospital of Tangshan,Hebei Province from January 2021 to June 2023,were randomized into a control group(n=42)and an observation group(n=42).Both groups of patients were treated with routine mecobalamin tablets.On this basis,the control group was treated with elongated needle therapy at Huantiao(GB 30),and the observation group was treated with the same therapy combined with Hexue Chubi Ointment massage additionally.Both groups were treated continuously for four weeks.The visual analogue scale(VAS)score for numbness,cotton swab test score,pinprick test score,sensory conduction velocity of the lower limbs,and inflammatory response before and after treatment,as well as the clinical efficacy after treatment were compared between the two groups,and the safety of the treatment in the two groups was evaluated.Results After treatment,the scores of numbness VAS,and the serum levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),and interleukin-6(IL-6)were all reduced in both groups(P＜0.05),the scores of cotton swab test and pinprick test were elevated(P＜0.05).Additionally,the score of numbness VAS and the serum levels of CRP,TNF-α,and IL-6 in observation group were lower than those in control group(P＜0.05),while the scores of cotton swab test and pinprick test were higher than those in control group(P＜0.05).After treatment,the conduction velocities and F-wave occurrence rates of both the common tibial nerve and the common peroneal nerve increased in both groups(P＜0.05).Additionally,these nerves in observation group had higher conduction velocities and F-wave occurrence rates than those in control group(P＜0.05).The cure-markedly effective rate in observation group was 83.33％and the total effective rate was 97.62％,both of which were higher than those in control group(59.52％and 83.33％,respectively)(P＜0.05).No adverse reactions such as needle breakage or unbearable pain occurred during the treatment of the two groups.Conclusion Hexue Chubi Ointment massage combined with elongated needle therapy at Huantiao(GB 30)can significantly alleviate postoperative lower limb sensory disorders in patients with LDH,improve nerve conduction velocity,reduce inflammation,and enhance the clinical efficacy,which is safe and feasible.
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