Clinical Study of Moxibustion Combined with Wrist-Ankle Acupuncture in Treating Acute Stage of LDH
Objective:To study the efficacy of moxibustion combined with wrist-ankle acupuncture in treating acute stage of lumbar disc herniation(LDH).Methods:112 patients with acute stage of LDH were randomly divided into the observation group and the control group,with 56 patients in each group.The observation group was treated with moxibustion combined with wrist-ankle acupuncture,and the control group was only treated with wrist-ankle acupuncture.Clinical efficacy,scores of TCM symptoms,VAS,JOA and ODI,as well as parameters of AEMG during flexion process,AEMG during extension process and FRR were compared between the two groups.Results:After 2 weeks of treatment,the total effective rate of the observation group was higher than that of the control group(P<0.05);the scores of TCM symptoms were decreased in the two groups,and the scores were lower in the observation group than those in the control group(P<0.05).The VAS scores were decreased in the two groups after 1 week and 2 weeks of treatment,and the scores were lower in the observation group than those in the control group(P<0.05).The JOA scores were increased in the two groups after 2 weeks of treatment,and the scores were higher in the observation group than those in the control group(P<0.05).After 2 weeks of treatment,the ODI score was decreased in the two groups,and the score was lower in the observation group than that in the control group(P<0.05).The AEMG during flexion process and FRR were reduced after 2 weeks of treatment,and the indicators were lower in the observation group than those in the control group(P<0.05);the AEMG during extension process was increased,and the indicator was higher in the observation group than that in the control group(P<0.05).The levels of TNF-α,CRP and IL-6 were decreased in the two groups after 2 weeks of treatment,and the levels were lower in the observation group than those in the control group(P<0.05).Conclusion:Moxibustion combined with wrist-ankle acupuncture can relieve the pain degree in treating acute stage of LDH with good therapeutic effect,it can improve the lumbar function and lumbar back muscle strength,relieve the inflammatory response,and promote the function recovery.