Clinical Study on the Treatment of Nonspecific Low Back Pain of Kidney Yang Deficiency Type by Salt Separated Turtle Plate Moxibustion Combined with Acupuncture
Objective To investigate the clinical efficacy of salt separated turtle plate moxibustion combined with acupuncture in the treatment of nonspecific low back pain(NSLBP)of kidney yang deficiency type.Methods Sixty cases of NSLBP patients with kidney yang deficiency type from April 2023 to march 2024 in our hospital were selected and divided into two groups,with 30 cases in each group.The control group was treated with acupuncture,and the test group was treated with salt separated turtle plate moxibustion on the basis of the control group.Both groups were treated for 4 weeks.The clinical effect,traditional Chinese medicine(TCM)syndrome score,lumbar pain score,lumbar function score,inflammatory mediator level and pain mediator level were compared between the two groups before and after treatment.Results After treatment,the serum levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),5-hydroxytryptamine(5-HT),and prostaglandin E2(PGE2)in the test group were signifi-cantly lower than those in the control group(P<0.05).The scores of TCM syndrome and visual analogue scale(VAS)in the test group were significantly lower than those in the control group(P<0.05),and the scores of the Japan Orthopedic Association(JOA)were significantly higher than those in the control group(P<0.05).The total effective rate of the test group was significantly higher than that of the control group(P<0.05).Conclusion The combination of salt separated turtle plate moxibustion and acupuncture in the treatment of NSLBP patients with kidney yang deficiency type could alleviate lower back pain,improve lower back function,inhibit the release of in-flammatory and pain mediators,and improve clinical efficacy.
nonspecific low back painacupuncturesalt separated turtle plate moxibustion5-hydroxytryptamineprostaglandin E2
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