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| Effect of milli fire needle combined with divergent extracorporeal shock wave in the treatment of lumbar muscle strain with syndrome of cold-damp#br# |
| WANG Cheng LYU Yanan GAO Xin LIAN Zhanxiong LIANG Shufen DENG Xiangqiang HUANG Woning XIE Yantong |
| Department of Massage, Rehabilitation Center of the People’s Hospital of Guangxi Zhuang Autonomous Region, Guangxi Zhuang Autonomous Region, Nanning 530021, China |
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Abstract Objective To observe the effect of milli fire needle combined with divergent extracorporeal shock wave in the treatment of lumbar muscle strain with syndrome of cold-damp. Methods A total of 180 lumbar muscle strain patients with syndrome of cold-damp in outpatients of the People’s Hospital of Guangxi Zhuang Autonomous Region from January 2017 to June 2019 were selected as the research objects. They were divide into two groups by random number table method, with 90 cases in each group. Under the guidance of tendon theory and meridians theory, the observation group was treated with milli fire needle combined with divergent extracorporeal shock wave, the control group was treated with conventional acupuncture combined with divergent extracorporeal shock wave, once every 3 days, and the course of treatment was ended after 10 times. Visual analogue scale (VAS) scores of the two groups before treatment, at the end of treatment, three months after the end of treatment and six months after the end of treatment were evaluated, the current perception threshold (CPT) of T11 and T12 before and after the treatment was measured, respectively, and the short-term and long-term clinical efficacy were evaluated objectively. Results Overall analysis showed: there were statistically significant differences in comparison among groups comparison, time point comparison, and interaction between groups (P ＜ 0.05), further pairwise comparison, intra-group comparison: compared with before treatment, VAS scores in both groups decreased at the end of treatment, and compared with the end of treatment, VAS scores in both groups increased three months after the end of treatment, and compared with three months after the end of treatment, VAS scores in both groups increased six months after the end of treatment, with statistically significant differences (P ＜ 0.05); comparison between groups: there was no statistical significance in VAS scores between the two groups before treatment (P ＞ 0.05), VAS scores of the observation group at each time point after treatment was lower than those of the control group, the difference were statistically significant (P ＜ 0.05). There was no significant difference in the CPT values of T11 and T12 between the two groups before treatment (P ＞ 0.05), the CPT values of T11 and T12 in both groups decreased after treatment, and the observation group was lower than the control group, the difference was statistically significant (P ＜ 0.05). Conclusion The analgesic and long-term effect of milli fire needle combined with divergent extracorporeal shock wave in the treatment of lumbar muscle strain with syndrome of cold-damp are better.
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