Clinical Observation Of Back Shu Point Thunder Fire Moxibustion In Treatment Of Senile Osteoporosis With Kidney Yang Deficiency Type

Objective:To observe the difference of clinical efficacy of thunder fire moxibustion combined with Alendronate sodium and alendronate sodium alone in the treatment of low back pain in senile osteoporosis with kidney Yang deficiency type To observe the difference of clinical efficacy of thunder fire moxibustion combined with Alendronate sodium and alendronate sodium alone in the treatment of kidney Yang deficiency type elderly osteoporosis.Methods:Senile osteoporosis patients with kidney Yang deficiency who met the inclusion criteria were collected from the rehabilitation department and orthopedic clinic of our hospital from January 2022 to December 2022.Randomized controlled trial was used to divide the patients into two groups（all with basic treatment）.The control group was given alendronate sodium orally,1 tablet each time,once a week,fixed every week,if missed,it was postponed to the next day,and then continued to take the medicine as planned for 12 weeks.The observation group was given alendronate sodium（the same administration method as the control group）combined with lightning fire moxibustion at Backshu point（3 times a week,once every other day,for 12 weeks）.The changes of low back pain VAS score,TCM symptom score of kidney-yang deficiency type and bone metabolism biochemical index25-（OH）D₃before and after treatment were observed in the two groups,and the overall efficacy was evaluated.All data were statistically analyzed using SPSS23.0 software.Results:35 patients were included in the control group and the observation group,including2 in the observation group and 1 in the control group.33 patients in the observation group and34 in the control group completed the study.1.Baseline data:Before treatment,there were no significant differences in age,gender,course of disease,VAS score of low back pain,TCM symptom score of kidney-yang deficiency type,and serum 25-（OH）D₃between the two groups（P>0.05）,which were comparable.2.Low back pain VAS score:The low back pain VAS score of the two groups after treatment was lower than that before treatment,and the difference was statistically significant（P<0.05）.The VAS score of low back pain in the observation group was lower than that in the control group after treatment,and the difference was statistically significant（P<0.05）.3.TCM symptom score of kidney-yang deficiency type:The total TCM symptom score of the two groups after treatment was lower than that before treatment,and the difference was statistically significant（P<0.05）.After treatment,the total score of TCM symptom reduction in the observation group was better than that in the control group,and the difference was statistically significant（P<0.05）.After treatment,the score of all individual symptoms could be reduced in the observation group,and the difference was statistically significant（P<0.05）.After treatment,there were statistically significant differences in the symptom scores of lower back cold pain,acid and weakness,cold fear and warm preference,and frequency of urination in the control group（P<0.05）,while there was no statistically significant difference in the symptom scores of reduced lumbar mobility restriction（P>0.05）.After treatment,the observation group was better than the control group in reducing the score of single symptom（low back cold pain,limited lumbar movement,cold and warm,urination frequency）（P<0.05）,and the difference was statistically significant.Observation group was better than control group（P<0.05）,but the difference was not statistically significant（P>0.05）.4.After treatment,the serum 25-（OH）D₃level of the two groups was higher than that before treatment,and the difference was statistically significant（P<0.05）.After treatment,the level of serum 25-（OH）D₃in observation group was higher than that in control group,and the difference was statistically significant（P<0.05）.5.Clinical efficacy:After treatment,the total effective rate of the observation group was93.9%,and the total effective rate of the control group was 70.6%.The effective rate of the observation group was higher than that of the control group,and the difference in efficacy between the two groups was statistically significant（P<0.05）.Conclusions:The combination of thunder-fire moxibustion at Backshu point and alendronate sodium and alendronate sodium alone can relieve the low back pain of senility osteoporosis with kidney Yang deficiency,but the effect of thunder-fire moxibustion at backshu point and alendronate sodium is better,which can reduce the low back pain,reduce the score of traditional Chinese medicine symptoms,and increase the biochemical index of bone metabolism 25-（OH）D₃,and has a particularly significant effect in alleviating the restriction of lumbar movement in traditional Chinese medicine symptoms.It can improve the quality of life of patients with SOP and is worthy of clinical promotion.