A Clinical Study Of Body Acupuncture Combined With Wrist-ankle Acupuncture For Acute Lumbar Sprains Of Qi-Stagnation And Blood Stasis Type

Objective:To observe the clinical effect of body acupuncture combined with wrist-ankle acupuncture on acute lumbar sprain of Qi-stagnation and blood stasis type,compare the effect of body acupuncture combined with wrist-ankle acupuncture on acute lumbar sprain of Qi-stagnation and blood stasis type and the effect of simple body acupuncture on this disease.Whether acupuncture combined with wrist-ankle acupuncture can better promote the recovery of waist function in patients with acute lumbar sprains,and provide a better point selection program for the clinical treatment of acute lumbar sprains.Methods:In this study,66 patients with acute lumbar sprain with qistagnation and blood stasis who met the inclusion criteria and did not meet the exclusion criteria were selected in this study.They visited the outpatient department of Acupuncture Department(Huayuanshan)of Hubei Academy of traditional Chinese medicine from April 30,2019 to January 31,2020 and July 31,2020 to September30,2021.66 patients were randomly divided into 2 groups,namely body acupuncture group and body acupuncture combined with wrist-ankle acupuncture,using a random number table method according to the order of treatment.Group(hereinafter referred to as the combined group),33 patients in each group,66 patients completed the study,no dropout.Before entering the group,patients undergo blood routine examinations,liver and kidney function,and waist CT examinations to screen out patients who do not meet the inclusion criteria.The body acupuncture group routinely selects acupoints,and the combined group uses wrist-ankle acupuncture on the basis of conventional body acupuncture.The acupuncture points are treated once a day,30 minutes each time,and the treatment lasts for 5 days.Record the patient’s Visual Analogue Scale/Score(VAS),Lumbar activity scale(Range of motion,ROM)score,Oswestry Dysfunction Index(Oswestry Dysfunction Index,ODI)before the start of treatment,after the initial treatment and after the end of the course of treatment,and compare the efficacy of the two groups.Use SPSS24.0statistical software to analyze the results of the research and draw conclusions.Results:1.Baseline situation: All patients in the body acupuncture group and combination group in this study have completed all treatments.The general conditions of the two groups of patients,including TCM syndrome type,gender,age,and course of disease,were not significantly different by statistical analysis(P>0.05);the observation indexes of the patients before treatment,including VAS score,ROM score,ODI index,etc.,showed no difference Statistical significance(P>0.05),it is concluded that the two groups are comparable.2.Comparison within and between groups:(1)The VAS score,ROM score,and ODI index of the body acupuncture group and the combination group after the initial treatment and after the end of the treatment course were lower than the scores before the treatment,and the difference was statistically significant(P<0.05).(2)Compared with the body acupuncture group,the VAS score,ROM score,and ODI index of the combined group decreased more significantly at the first and after the end of the course of treatment.After statistical analysis,the difference was significant(P<0.05)3.Comparison of total curative effect: After the course of treatment,the total effective rate of the body acupuncture group and the combined group is 100%;the body acupuncture group is compared with the combined group,the cure rate of the body acupuncture group is 51.52%,and the effective rate is 30.30%;in the combined group,the cure rate was 72.73%,and the effective rate was 24.24%.The data comparison between the two groups was statistically analyzed,and the difference was significant(P>0.05).Conclusion:Both body acupuncture and body acupuncture combined with wrist-ankle acupuncture can improve the waist symptoms of patients with acute lumbar sprain of Qi stagnation and blood stasis type,reduce the patient’s pain,and wrist-ankle acupuncture is safe.And the effect of body acupuncture combined with wrist-ankle acupuncture is better and faster.Therefore,body acupuncture combined with wrist-ankle acupuncture is a better solution for the treatment of acute lumbar sprains,which can quickly relieve the patient’s pain,promote the recovery of functions such as waist activities,and return to normal social life as soon as possible.