Effect of acupuncture combined with external application of Sanhan Huoxue Zhitong recipe on patients with lumbar disc herniation
Objective To explore the effect of acupuncture combined with external application of Sanhan Huoxue Zhitong recipe on patients with lumbar disc herniation.Methods 126 patients with lumbar disc herniation were divided into a control group and a study group by random number table method,with 63 cases in each group.The control group was treated with conventional lumbar traction,and the study group was treated with acupuncture and external application of Sanhan Huoxue Zhitong recipe on the basis of conventional lumbar traction.The clinical efficacy,lumbar range of motion,lumbar function score,symptom score,comfort score,psychological score,sleep quality score and quality of life score were compared between the two groups.Results After treatment,the total effective rate of the study group was 98.41%,which was higher than 87.30%of the control group(P<0.05).In the control group,the antexion,extension,lateral flexion,rotational lumbar range of motion and lumbar function score were(47.29±4.16)°,(12.51±1.14)°,(14.19±1.06)°,(13.29±1.17)° and(16.58±2.19)points before treatment,and those were(52.37±4.94)°,(14.69±1.58)°,(16.43±1.87)°,(15.07±1.46)° and(19.37±2.65)points after treatment.In the study group,the antexion,extension,lateral flexion,rotational lumbar range of motion and lumbar function score were(47.53±4.08)°,(12.63±1.06)°,(14.30±1.03)°,(13.39±1.12)°and(16.74±2.03)points before treatment,and those were(60.46±5.32)°,(17.05±1.97)°,(18.97±2.14)°,(17.12±1.85)° and(22.09±2.71)points after treatment.After treatment,the antexion,extension,lateral flexion,rotational lumbar range of motion and lumbar function score in both groups were significantly higher than those before treatment,while the antexion,extension,lateral flexion,rotational lumbar range of motion and lumbar function score in the study group were higher than those in the control group(P<0.05).In the control group,the scores of low back pain,lower extremity radiation pain and defecation disorder were(2.13±0.42),(2.05±0.40)and(2.19±0.47)points before treatment,and those were(1.58±0.43),(1.52±0.48)and(1.61±0.45)points after treatment.In the study group,the scores of low back pain,lower extremity radiating pain and defecation disorder were(2.15±0.45),(2.03±0.44)and(2.21±0.54)points before treatment,and those were(1.17±0.39),(1.06±0.31)and(1.16±0.40)points after treatment.After treatment,the scores of low back pain,lower extremity radiation pain and defecation disorder in both groups were significantly lower than those before treatment,while the scores of low back pain,lower extremity radiation pain and defecation disorder in the study group were lower than those in the control group(P<0.05).In the control group,the scores of comfort,anxiety,depression and sleep quality were(81.42±5.97),(54.38±4.45),(56.27±5.10)and(15.20±2.15)points before treatment,and those were(93.25±6.30),(45.61±3.96),(46.98±4.37)and(12.56±1.58)points after treatment.In the study group,the scores of comfort,anxiety,depression and sleep quality before treatment were(81.67±6.15),(54.19±4.58),(56.03±5.24)and(15.07±2.29)points before treatment,and those were(102.59±6.57),(40.90±3.74),(41.85±3.81)and(10.80±1.31)points after treatment.After treatment,the scores of comfort,anxiety,depression and sleep quality in both groups were significantly improved compared with those before treatment,while the score of comfort in the study group were higher than that in the control group,and the scores of anxiety,depression and sleep quality were lower than those in the control group(P<0.05).In the control group,the scores of physiology,psychology,environment and social relations were(74.21±5.30),(73.64±5.27),(74.52±5.19)and(74.39±5.02)points before treatment,and those were(82.93±6.85),(82.40±6.13),(83.27±6.30)and(83.14±6.54)points after treatment.In the study group,the scores of physiology,psychology,environment and social relations were(74.68±5.12),(73.91±5.19),(74.80±5.24)and(74.75±5.08)points before treatment,and those were(89.75±6.48),(89.07±6.02),(90.14±6.15)and(89.96±6.27)points after treatment.After treatment,the scores of physiology,psychology,environment and social relations in both groups were significantly higher than those before treatment,but the study group was higher than the control group(P<0.05).Conclusion In the treatment of patients with lumbar disc herniation,the combined application of acupuncture and external application of Sanhan Huoxue Zhitong recipe can enhance the curative effect of patients,and play a better role in improving the lumbar function,lumbar range of motion,lumbar pain and other symptoms,which is conducive to improving the comfort level of patients,and improving their psychology,sleep and quality of life.
OrthopedicsLumbar disc herniationLumbar tractionAcupunctureSanhan Huoxue Zhitong recipeExternal application of traditional Chinese medicine