Observation on the Effect of Warming acupuncture and moxibustion and Moxibustion and Three Step Seven Method Massage on Patients with Lumbar Intervertebral Disc Herniation
Objective:To explore the clinical efficacy of warming acupuncture and moxibustion and three-step seven method massage alone or in combination for patients with lumbar disc herniation.Methods:90 patients with lumbar disc herniation admitted to our hospital from August 2022 to January 2023 were randomly divided into warm acupuncture and moxibustion group,three-step seven method massage group and combined group,with 30 cases in each group.The warm acupuncture and moxibustion group was treated with warm acupuncture and moxibustion,the three-step seven method massage group was treated with three-step seven method massage,and the combined group was treated with warm acupuncture and moxibustion and three-step seven method massage.Compare the clinical efficacy of the three groups,and evaluate their TCM syndrome scores.In addition,evaluate the three groups of Visual Analogue Pain Scale(VAS),Modified Japanese Orthopaedic Society Lumbar Pain Scoring Method(M-JOA),Oswestry Dysfunction Index(ODI)scores,and determine laboratory indicators[Causes of Tumor Death]-α(TNF-α)、Interleukin-1β(IL-1β)、,Interleukin-6(IL-6),thromboxane(TXB2)]levels.Finally,a follow-up survey was conducted to investigate the recurrence of the disease in the three groups 6 months after treatment.Results:The total effective rate of(96.67％,29/30)in the combined group was significantly higher than that of(73.33％,22/30)in the warm acupuncture and moxibustion group and(76.67％,23/30)in the three-step seven method massage group(P＜0.05);After treatment,the scores of waist and knee tenderness,chilliness and cold limbs,mental depression,less qi and lazy speech,white tongue coating,and fine pulse sinking in the three groups were significantly lower than those before treatment,with a statistically significant difference(P＜0.05).The scores of waist and knee tenderness,chilliness and cold limbs,mental depression,less qi and lazy speech,white tongue coating,and fine pulse sinking in the warm acupuncture and moxibustion group and the three-step seven method massage group were significantly higher than those in the combined group,with a statistically significant difference(P＜0.05);The M-JOA,ODI and VAS scores of the three groups after treatment were significantly lower than those before treatment,with a statistically significant difference(P＜0.05).The M-JOA,ODI and VAS scores of the warm acupuncture and moxibustion group and the three-step seven method massage group were significantly higher than those of the combined group,with a statistically significant difference(P＜0.05);TNF after treatment in three groups-α、IL-1β、The levels of IL-6 and TXB2 were significantly lower than those before treatment,with a statistically significant difference(P＜0.05).TNF in the warm acupuncture and moxibustion group and the three-step seven method massage group-α、IL-1 β、The levels of IL-6 and TXB2 in the combined group were significantly higher than those in the combined group(P＜0.05);The recurrence rate was 31.03％(9/29)in the warm acupuncture and moxibustion group,27.59％(8/29)in the three-step seven method massage group,and 3.45％(1/29)in the combined group.There was a statistically significant difference among the three groups(x2=7.986,P=0.018).Conclusion:Warm acupuncture and moxibustion combined with three-step seven method massage has better clinical efficacy in the treatment of lumbar disc herniation,which can effectively relieve the pain symptoms of patients and improve lumbar function,with a low recurrence rate and high safety,and is worthy of clinical promotion and application.
Warming acupuncture and moxibustionThree steps and seven methods of massageLumbar disc herniationcurative effect
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