Clinical Observation On Treatment Of Wind-Cold Dampness Type Lumbar Myofascitis By Du-moxibustion

Objective:to observe the clinical effectiveness and safety of Dumoxibustion in the treatment of wind-cold-dampness type lumbar myofascitis in order to provide more effective treatment methods for lumbar myofascitis.Methods:66 patients with wind-cold-dampness type lumbar myofascitis were randomly divided into observation group(Dumoxibustion group)and control group(acupuncture group)with 33 cases in each group.The Mc-Gill scale score and ODI scale score of the two groups before and after treatment were observed,the clinical data were statistically analyzed,the clinical efficacy of Du-moxibustion therapy and acupuncture in the treatment of lumbar myofascitis was compared,and the prognosis of the two groups was observed.Results:(1)Mc-Gill scale score:after treatment and follow-up,VAS score,PRI score and PPI score in Du-moxibustion group and acupuncture group were significantly different from those before treatment(P<0.05).The results showed that Du-moxibustion therapy and acupuncture treatment could significantly reduce the Mc-Gill score of patients with lumbar myofascitis,effectively relieve pain and lumbar movement restriction in patients with lumbar myofascitis.And the treatment of Du-moxibustion is decreasing.The VAS score,PRI score and PPI score of the patients were significantly higher than those of acupuncture therapy.(2)ODI scale score:ODI score after treatment and follow-up in Du-moxibustion group and acupuncture group were significantly different from those before treatment,which indicated that Dumoxibustion therapy and acupuncture treatment could significantly improve the ODI score of patients with lumbar myofascitis.There was significant difference in the improvement of ODI score between the two groups(P=0.042).The decrease of ODI score in the Du-moxibustion group was significantly lower than that in the acupuncture group,which indicated that the moxibustion therapy could improve the lumbar motion of the patients with lumbar back myofascitis.(3)Clinical curative effect:a total of 32 cases in the Dumoxibustion group were treated,including 7 cases cured,10 cases markedly effective and 12 cases effective.The total effective rate was 90.60%.A total of 32 cases in the acupuncture group completed the treatment,including 4 cases cured,6 cases markedly effective,14 cases effective,the total effective rate was 75.00%.Through statistical analysis,there was significant difference between the two groups in clinical curative effect(P=0.04<0.05),which indicated that the curative effect of Du-moxibustion therapy was better than that of acupuncture treatment.(4)prognosis:of the 29 total effective patients in the Dumoxibustion group,4 cases(13.80%)had recurrence after 1 month follow-up,and 6 cases(25.00%)had recurrence after 1 month followup in the acupuncture group.There was no significant difference in the recurrence rate between the two groups(P=0.0493),indicating that there was no significant difference in prognosis between the two groups.Conclusion:both Du-moxibustion and acupuncture can significantly improve the Mc-Gill scale score and ODI score of patients with lumbar myofascitis,and the scores of Mc-Gill scale and ODI scale in the Dumoxibustion group are better than those in the acupuncture group,which indicates that both Du-moxibustion and acupuncture can significantly improve the lumbar motion and relieve pain symptoms in patients with lumbar myofascitis,and there is no obvious adverse reaction in the treatment process.It is worthy of clinical promotion.