Efficacy of Small Needle-knife Combined with Thermal Moxibustion in the Treat-ment of Lumbar and Leg Pain in Psoas Injury and Its Influence on JOA Score and Serum IL-17 and IL-18 Levels
Objective To investigate the efficacy of small needle-knife combined with thermal moxibustion in treating patients with psoas injury-induced lumbar and leg pain and its effects on Japanese Orthopaedic Association(JOA)scores and serum interleukin(IL)-17 and IL-18 levels.Methods A total of 100 outpatients with psoas injury-induced lumbar and leg pain,treated at the Traditional Chinese Medicine Department of Ganzhou People's Hospital from October 2020 to October 2022,were selected and divided into a small needle-knife group and a combined group based on their admission odd and even numbers,with 50 patients in each group.The small needle-knife group received small nee-dle-knife treatment,while the combined group received small needle-knife combined with thermal moxibustion treat-ment.Both treatments were administered for one week,with a total treatment duration of two weeks.The clinical efficacy,lumbar and leg function evaluation[JOA scale and Oswestry Disability Index(ODI)questionnaire],serum inflammatory markers(IL-17,IL-18,and IL-1β),and pain mediators[serum neuropeptide Y(NPY),5-hydroxytryptamine(5-HT),and substance P(SP)]levels were observed and compared between the two groups.Results After treatment,the combined group had a significantly higher total clinical effective rate of 94.00％(47/50)than the small needle-knife group at 78.00％(39/50)(P＜0.05).Both groups showed significantly increased JOA scale scores and decreased ODI scores after treatment(P＜0.05),with the combined group showing higher JOA scale scores and lower ODI scores than the small needle-knife group(P＜0.05).Levels of IL-17,IL-18,and IL-1β significantly decreased in both groups after treatment(P＜0.05),with the combined group having lower levels than the small needle-knife group(P＜0.05).Levels of NPY,5-HT,and SP also significantly decreased in both groups after treatment(P＜0.05),with the combined group showing lower levels than the small needle-knife group(P＜0.05).Conclusion Small needle-knife combined with thermal moxibustion can significantly promote functional recovery in patients with psoas injury-induced lumbar and leg pain,reduce inflammation,and inhibit pain mediators effectively.
Small Needle-knifeThermal MoxibustionLumbar and Leg Pain in Psoas InjuryInterleukin 17In-terleukin 18
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维普
