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| Effect of acupotomy lysis with tiaoji tongdu on regulating lumbar flexion activity in patients with lumbar disc herniation |
| XU Huan1 DING Deguang2 YAO Min2 ZHOU Wei2 MAO Huifang2 SHEN Chen2 |
1.Acupuncture and Traumatology College, Hubei University of Chinese Medicine, Hubei Province, Wuhan 430061, China;
2.Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province, Wuhan 430074, China |
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Abstract Objective To investigate the effect of acupotomy lysis with tiaoji tongdu on regulating lumbar flexion activity in patients with lumbar disc herniation (LDH). Methods Ninety-six patients with LDH admitted to the Department of Acupuncture of Guanggu Branch of Hubei Provincial Hospital of Traditional Chinese Medicine from November 2016 to December 2017 and met the inclusion criteria were divided into the needle-knife group and the electroacupuncture group according to the random number table method, with 48 cases in each group. Finally, 46 cases of needle-knife group and 45 cases of electroacupuncture group finished the study. The needle-knife group was treated by the acupotomy lysis with tiaoji tongdu method, once every 5 days, once for 1 course of treatment. Electroacupuncture group was treated by simple electroacupuncture, once a day, continuous treatment for 4 days for a course of treatment, both groups were treated for 3 courses, and followed up for 2 weeks. The clinical efficacy of the two groups and changes of lumbar flexion activity before treatment, after 3 courses of treatment and follow-up visit, and the rate of recurrence of two groups were observed and compared. Results After 3 courses of treatment, the total effective rate between the two groups had no statistically significant difference (P ＞ 0.05). There was no significant difference in the lumbar flexion activity between the two groups before treatment (P ＞ 0.05), the lumbar flexion activity scores of the two groups after treatment for 1, 2, 3 courses were higher than those before treatment (P ＜ 0.05), and the needle-knife group was significantly higher than that of the electroacupuncture group, the difference was statistically significant (P ＜ 0.05). After 2 weeks of follow-up, the recurrence rate of the needle-knife group was significantly lower than that of the electroacupuncture group, the difference was statistically significant (P ＜ 0.05). Conclusion The needle-knife with tiaoji tongdu therapy and electroacupuncture therapy have certain curative effect on improving lumbar flexion activity in LDH patients, but needle-knife therapy has better improvement, which can significantly improve waist flexion activity and achieve faster effect. It is more effective and easier to operate and saves time, which is worthy of clinical promotion.
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