Clinical Research Of Acupotomy Therapy With Herbal Fumigation For Treating Discogenic Low Back Pain

Objective: Retrospectively analyze the data of the patients with discogenic low back pain in Hubei Province Hospital of Chinese Medicine from December 2014 to August 2015,to compare the clinical effects of treating discogenic low back pain with acupotomy therapy combined with herbal fumigation and acupotomy therapy alone,to discuss the treatment effect of acupotomy therapy combined with herbal fumigation for treating discogenic low back pain.Method: 58 patients were selected with discogenic low back pain in Hubei Province Hospital of Chinese Medicine from December 2014 to August 2015.They were divided into group A(31 cases of patients treated with acupotomy therapy and herbal fumigation) and group B(27 cases of patients treated with acupotomy therapy only),they all received anti-inflammatory therapy after operation.All cases were followed in 2 weeks、1 month and 3 months after operation,to compare the VAS score,ODI scores before and after operation in each group and the VAS score,ODI scores of the 2 groups in each time.Using the SPSS 18.0 statistical software to analyze the data,the chi-square test was used to analyze the counting data and the t Test for the measurement data,with P<0.05 as a statistical significance.Results: There were no significant difference between the 2 groups(eg:age,sex, disease couse,the VAS score,ODI scores). 1.In each group,the comparison of the VAS score,ODI scores before and after operation. Comparing the VAS score,ODI scores before and after operation in each time in the 2 groups, with statistical significance(P<0.05).The VAS score and ODI scores was lower than preoperation.2. The comparison of the VAS score and ODI scores 2 weeks after operation of the 2 groups(1) To compare the VAS score 2 weeks after operation of the two groups,t=-2.77,P<0.05,with statistical significance.The VAS score 2 weeks after operation of group A was lower than that of group B.(2) To compare the ODI score 2 weeks after treatment of the two groups,t=-2.10,P<0.05, with statistical significance. The ODI scores 2 weeks after operation of group A was lower than that of group B. 3. The comparison of VAS score and the ODI score 1 month after operation of the 2 groups(1) To compare the VAS score 1 month after operation of the two groups,t=-2.325,P<0.05, with statistical significance. The VAS score of group A 1 month after operation was lower than that of group B.(2) To compare the ODI score 1 month after operation of the two groups,t=-2.27,P<0.05, with statistical significance. The ODI score of group A 1 month after operation was lower than that of group B. 4. The comparison of VAS score and the ODI score 3 months after operation of the 2 groups(1) To compare the VAS score 3 months after operation of the two groups,t=-1.52,P>0.05,with no statistical significance. The VAS score 3 months after operation of the two groups have no differences.(2) To compare the ODI score 3 months after treatment of the two groups,t=-1.41,P>0.05, with no statistical significance.The ODI scores 3 months after operation of the two groups have no differences.Conclusion: The acupotomy therapy has a good efficacy on treating discogenic low back pain,with advances of safty,simple operation and small postoperative wound,if combined with herbal fumigation,it will have a better efficacy.