Study on the improvement effect of comprehensive Huolongguan moxibustion combined with meridian-based acupoint massage intervention in patients with lumbar disc herniation
Objective To explore the application effect of comprehensive Huolongguan moxibustion combined with meridian-based acupoint massage intervention in patients with lumbar disc herniation(LDH).Methods A total of 64 LDH patients admitted to the hospital from October 2021 to December 2023 were ran-domly divided into a control group(32 patients)and an observation group(32 patients)using a 1∶1 ratio based on a random number table.The control group received conventional Western medical treatment,while the observation group received additional comprehensive Huolongguan moxibustion combined with meridian-based acupoint massage intervention.Both groups were intervened for 4 weeks.Clinical efficacy,the degree of low back pain[assessed using the Visual Analog Scale(VAS)],Oswestry Disability Index(ODI)scores,lum-bar function[assessed using the Japanese Orthopaedic Association Scores(JOA)],lumbar range of motion(flexion,extension,lateral bending,and rotation),and quality of life[assessed using the World Health Organi-zation Quality of Life-BREF(WHOQOL-BREF)]were compared between the two groups.Results The total effective rate in the observation group(93.75% )was higher than that in the control group(75.00% ),with a statistically significant difference(P<0.05).After intervention,the VAS and ODI scores in the observation group were(1.53±0.23)and(12.42±1.23),respectively,which were lower than the(1.87±0.26)and(16.74±1.42)in the control group.After intervention,the JOA scores for each dimension and the total score in the observation group were(7.45±1.13),(4.94±0.52),(12.13±1.12),and(24.52±2.14),respectively,which were higher than the(6.02±1.04),(3.87±0.43),(10.41±1.05),and(20.30±2.11)in the control group.After intervention,the lumbar flexion,extension,lateral bending,and rotation range of motion in the observation group were(71.52±5.49)°,(52.14±5.32)°(42.58±4.32)°,respectively,which were higher than the(62.39±5.24)°,(46.35±4.53)°,(37.58±3.51)° in the control group.After intervention,the scores for each dimension of the WHOQOL-BREF in the observation group were(87.26±5.45),(86.17±5.35),(89.68±5.22),(90.52±4.36),respectively,which were higher than the(81.54±5.33),(80.22±5.24),(82.34±5.11),(83.64±4.32)in the control group.All differences were statistically significant(P<0.05).Conclusion Comprehensive Huolongguan moxibustion combined with meridian-based acupoint massage can better improve lumbar function,reduce the degree of low back pain,and decrease the impact of movement dis-orders on the lives of LDH patients.
Lumbar disc herniationComprehensive Huolongguan moxibustionMeridian-based acupoint massageLumbar functionDegree of low back painTraditional Chinese medicine nursing