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| Clinical study of filiform needle combined with massage in the treatment of degenerative lumbar spinal stenosis |
| KANG Guanghua1 LIU Haiyong1▲ LI Xuejun2 YANG Jianqiang1 GAO Fuxiang1 LI Donghui2 ZHANG Chaodong2 |
1.Department of Traditional Chinese Medicine, Sanhe Hospital of Hebei Province, Hebei Province, Sanhe 065200, China;
2.Department of Acupuncture, Sanhe Hospital of Traditional Chinese Medicine, Hebei Province, Sanhe 065200, China |
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Abstract Objective To observe clinical effect of filiform needle combined with massage in the treatment of patients with degenerative lumbar spinal stenosis (DLSS). Methods Eighty-two cases of elderly patients with DLSS treated in Department of Traditional Chinese Medicine, Sanhe Hospital of Hebei Province, and Department of Acupuncture, Sanhe Hospital of Traditional Chinese Medicine from August 2015 to May 2017 were selected and divided into treatment group (41 cases) and control group (41 cases) by random number table. The treatment group was treated with filiform needle combined with massage. The control group was treated with acupuncture combined with massage. The two groups were all treated once daily, 10 days as 1 course, rest for 2 days during the treatment, total of three courses. All of the patients were followed up for 3-7 months. The degree pain of waist and legs was evaluated by the visual analogue scale (VAS). The subjective symptoms, daily of life, clinical signs were assessed by the Japanese orthopaedic association (JOA) score. The health-related quality of life (HQOL) was evaluated by the Chinese version standard scale SF-36. The adverse reactions were observed between the two groups. Results After treatment and at the end of follow-up, the scores of VAS in the two groups were all lower than those before treatment, and the scores of JOA were all higher than those before treatment, and the score of VAS in the treatment group was lower than that of control group, the score of JOA in the treatment group was higher than that of control group, with statistically significant differences (all P ＜ 0.05). The total effective rate in the treatment group (92.68%) was much higher than that of control group (78.05%), with highly statistically significant difference (P ＜ 0.01). After treatment and at the end of follow-up, the scores of HQOL in the two groups were higher than those before treatment, and the score in the treatment group was much higher than that of control group, with statistically significant differences (P ＜ 0.05). No obvious adverse reactions were observed between the two groups during the treatment. Conclusion The curative effect of filiform needle therapy combined with massage is better than that of acupuncture combined with massage in the treatment of DLSS, which can alleviate the pain, improve the signs and symptoms, promote the living quality, and it is safe. It is worthy of further study in large sample, so as to provide evidence for clinical treatment of DLSS.
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