Effects of selecting acupoint along channel combined with acupuncture on pain and function in patients with lumbar disc herniation
Objective To explore the role of selecting acupoint along channel combined with acupuncture in improving pain and function in patients with lumbar disc herniation.Methods 100 patients with lumbar disc herniation were selected and divided into a control group and a study group according to random number table,with 50 cases in each group.The control group was treated with Western medicine,and the study group was treated with selecting acupoint along channel combined with acupuncture based on the control group.The therapeutic effect,traditional Chinese medicine syndrome score,pain and function,lumbar range of motion and serum inflammatory factors were compared between the two groups.Results Compared with 80.00%in the control group,the total effective rate of 94.00%was higher in the study group(P<0.05).Compared with before treatment,the traditional Chinese medicine syndrome scores were decreased;the scores of lumbago,leg pain and heaviness,lower limb numbness and limb coldness in the study group were(1.37±0.35),(1.87±0.42),(2.07±0.43)and(1.97±0.45)points,which were lower than(2.05±0.57),(2.47±0.61),(2.99±0.65)and(2.52±0.59)points in the control group(P<0.05).Compared with before treatment,the visual analog scale(VAS)score and Oswestry dysfunction index(ODI)score were decreased,and the Japanese Orthopaedic Association(JOA)score was increased;the study group had VAS score of(3.03±0.67)points and ODI score of(27.43±2.76)points,which were lower than(4.22±0.89)and(41.76±4.03)points in the control group;JOA score of(22.68±2.17)points in the study group was higher than(16.74±1.55)points in the control group(P<0.05).Compared with before treatment,the lumbar range of motion was increased in both groups;in the study group,the flexion and extension range of motion was(70.57±7.14)°,the lateral flexion range of motion was(50.48±5.11)° and the rotation range of motion was(40.68±4.16)°,which were higher than(64.27±6.37),(46.16±4.52)and(35.63±3.39)° in the control group(P<0.05).Compared with before treatment,the levels of inflammatory factors in both groups were reduced;the levels of tumor necrosis factor-α(TNF-α),interleukin-1(IL-1)and interleukin-6(IL-6)in the study group were(1.07±0.22)ng/ml,(25.74±2.37)pg/ml and(117.48±10.16)μg/L,which were lower than(1.47±0.35)ng/ml,(36.27±3.24)pg/ml and(127.93±11.27)μg/L in the control group(P<0.05).Conclusion For patients with lumbar disc herniation,the effect of selecting acupoint along channel combined with acupuncture is ideal,which can improve the symptoms of patients,reduce the pain and inflammatory response of patients,and is conducive to the recovery of lumbar spine function.It is worthy of promotion.
Lumbar disc herniationSelecting acupoint along channelAcupuncturePainLumbar spine functionInflammatory factors
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