| Objective:Acute low back pain is a common clinical disease,but little attention has been paid to the acute low back pain of the groom.The groom belongs to the middle and lower class or working class,and lacks attention to his own health problems.In his work,the groom often lifts weights and bends over for a long time,which is a high-risk group of low back pain,and it is difficult to get effective rest after the occurrence of low back pain.Therefore,the main purpose of this study is to study whether the acute low back pain of the groom in the racecourse in Paris can be treated by acupuncture at Hou xi and Yaotong Points,and to provide clinical and research ideas for acupuncture treatment of lumbago in special people.Methods:All the cases in the clinical observation program were from the groom of Maisons-Laffette Training Center,and the recruitment time was from January 1,2019 to December 31,2020.During this period,a total of 60 groom patients with acute low back pain who met the diagnostic criteria,inclusion criteria,exclusion criteria,shedding and rejection criteria of this clinical observation trial were recruited.Then,according to the research purpose,before the start of the trial,the included patients were randomly divided into acupuncture group and basic rehabilitation group.(1)Basic rehabilitation methods were adopted in the basic rehabilitation group,which mainly included:①The patient stayed in bed and slowly moved his waist;②Sports training;②Empty pedaling method;③ Walk backwards with your hands akimbo;④Swallow type.(2)Treatment method of acupuncture group:① The patient takes a comfortable sitting position,the doctor cleans his hands and exposes the skin of his hands,and the operator palpates the patient’s hands to determine the acupoint location.②The operator routinely disinfects his own hands,then disinfects the acupuncture points with betadine(?)(betadine iodine solution),using 0.25*50mm filiform needle,needling Houxi point 0.5-2 inches straight,needling in the direction of Sanjian or Hegu,needling Yaotong point straightly or 45 oblique 0.5-0.8 inches,and greatly lifting and inserting the twisting needle.After getting qi,multi-directional acupuncture is performed on the above acupoints for 30-60 seconds,and the acupuncture sensation is transmitted to the elbow joint and shoulder joint.At the same time of acupuncture,instruct the patient to stand,and encourage the patient to do slow movement of leaning forward and backward and rotating left and right in the physiological range,and move the waist for 10 minutes to the maximum extent.③Hold the needle for 30 minutes,and repeat the above-mentioned manipulation every ten minutes.After needling,press the needle hole with sterilized dry cotton ball to stop bleeding,and instruct the patient to move the waist for 10 minutes as required before.Treatment was performed once every other day for 6 times.Patients were followed up 15 days and 30 days after treatment,before and after treatment,visual analogue scale VAS was used to evaluate the patients’ low back pain,and VAS was evaluated before treatment,immediately after treatment,15 days and 30 days after treatment.Before and after treatment,the patient’s waist was palpated(mainly including the spinous process or under the spinous process,about 2-3cm away from the spinous process,and about 5-6cm away from the spinous process of the lumbar spine),and the pain points of the waist were counted to evaluate the influence of acupuncture on the pain points of the waist.Research results:Before treatment,the gender and age composition of the acupuncture group and the basic rehabilitation group were compared statistically.After chi-square test,p=0.476>0.05,p=0.985>0.05.Therefore,there is no significant difference in gender and age composition between the two groups,so the two groups are comparable in this item.In the evaluation of the disease condition,through X2 test,the onset time of low back pain between the two groups is that P=0.434>0.05,which shows that there is no significant difference in the onset time of low back pain between the two groups,and the course of disease between the two groups is statistically comparable;The VAS score before treatment was P=0.421>0.05 by independent sample T-test,and in terms of illness,the baseline was consistent.By observing and comparing the VAS scores of the two groups before and after treatment,P<0.05,which shows that the results are statistically different,and the lumbar symptoms in acupuncture group are obviously improved.After three treatments,the clinical effective rate of acupuncture group and basic rehabilitation group was 100%.Among them,in acupuncture group,4 cases were cured,24 cases were markedly effective,2 cases were improved,and the markedly effective rate was 93%.In the rehabilitation group,0 cases were cured,11 cases were markedly effective,19 cases were improved,and the markedly effective rate was 3 7%.After rank sum test,P=0.008<0.05,the difference between the two groups is obvious.After acupuncture treatment,the number of pain points in the waist also decreased.Conclusion:The data shows that for 19 to 27 year-old groom patients with acute low back pain,both remote acupuncture and basic rehabilitation can improve the symptoms of low back pain,and the acupuncture group has better effect than basic rehabilitation.Acupuncture at distant acupoints has a better therapeutic effect on acute low back pain in young grooms,and the follow-up after treatment shows that acupuncture has a better long-term therapeutic effect.In clinical observation,most low back pain grooms are obviously improved after three treatments.Moreover,the treatment method is simple and cheap,easy to implement in the groom’s workplace,does not affect the groom’s work,and has good economic and social value. |
PDF Full Text Request