A clinical study of floating acupuncture therapy combined with oral application of Xiaosui Huahe Tang(消髓化核汤)for treatment of lumbar disc herniation
Objective:To investigate the clinical outcome of floating acupuncture therapy combined with oral application of Xiaosui Huahe Tang(消髓化核汤,XSHHT)for treatment of lumbar disc herniation(LDH).Methods:Sixty LDH patients were randomized into combined therapy group and XSHHT therapy group,30 cases in each group.The patients in combined therapy group were treated with float-ing acupuncture therapy and oral application of XSHHT,while the ones in XSHHT therapy group with oral application of XSHHT alone.The floating acupuncture therapy was performed once every 3-4 days for consecutive 5-6 times;the XSHHT was taken one dose a day in the morning and evening respectively for consecutive 20 days.The lumbago-leg pain visual analogue scale(VAS)score and Oswestry disability index(ODI)evaluated before the treatment and at 1 day after the end of treatment,respectively,as well as the LDH reabsorption rate evalua-ted at 12 months after the end of treatment were compared between the 2 groups.Results:Three patients in combined therapy group and 5 cases in XSHHT therapy group dropped out of the study.The lumbago-leg pain VAS score and ODI decreased at 1 day after the end of treat-ment compared to pre-treatment(7.07±1.71 vs 2.97±1.81 points,t=27.981,P=0.000;7.18±1.52 vs 3.99±1.87 points,t=28.198,P=0.000;33.53±7.60 vs 9.20±6.47%,t=29.734,P=0.000;33.40±7.70 vs 14.00±7.62%,t=29.541,P=0.000).The differences in lumbago-leg pain VAS score and ODI were not statistically significant between the 2 groups before the treatment(t=0.263,P=0.793;t=0.067,P=0.946);while,at 1 day after the end of treatment,the lumbago-leg pain VAS score and ODI were lower in combined therapy group compared to XSHHT therapy group(t=2.155,P=0.035;t=2.631,P=0.011).At 12 months after the end of treatment,the LDH reabsorption rate was higher in combined therapy group compared to XSHHT therapy group(36.61±15.31 vs22.47±9.72%,t=-4.268,P=0.000).Conclusion:Floating acupuncture therapy combined with oral application of XSHHT can relieve the pain,improve the lumbar function,and promote the reabsorption of herniated intervertebral discs in treatment of LDH,and its clinical outcome outperforms that of oral application of XSHHT alone.
万方数据
维普
