| Objective(1)To study the influence of long snake moxibustion united with rubdown on low back obligation and pain marks in patients with wet low back disc herniation.(2)To extensively find the letter of long snake moxibustion in the therapy of low back disc herniation,and to systematically value and meta-analyze the randomized restrained trials that meet the requirements,and to value the influence of long snake moxibustion in the therapy of low back disc herniation.Methods(1)Exercise long snake moxibustion combined rubdown therapy of low back disc herniation,here the type is cold and wet,as the clinical observation.We selected60 patients from Jiangxi Hospital of conventional Chinese Medicine.Patients were seen between December 2020 and February 2023.They were divided into two groups according to arbitrary number table method,with 30 cases in each group.The control group was treated with simple massage.And in the observation community on the basis of the previous group of snake moxibustion method.Low back function,lumbago,and dysfunction were assessed before and after therapy.At the same time,the emergence of adverse reactions was reported in time during this therapy.(2)Systematic review of long snake moxibustion in the therapy of low back disc herniation : By searching CNKI,Wanfang,Web of Science,Medline,Pub Med,The Cochrane Library.The renewal time is set to be from the corporation of the database to December 2022.The language of the retrieved literature was not limited,and the types of studies included were stochasticed controlled trials.Two researchers independently selected the corresponding literature from each literature database.Then,the literature quality was valued pursuant to the Cochrane Bias Risk Tool System valuation handmade and the results were dissolute using Rve Man5.4 software.Results(1)Exercise long snake moxibustion combined rubdown therapy of low back disc herniation,here the type is cold and wet,as the clinical observation.After 28 days of medical treatment,there was a remarkable difference in the number of wonderful patients between the long serpent moxibustion welded rubdown group and the simple rubdown group(x2 = 6.67,p = 0.01)(p < 0.05),reflecting that the remedial effect of the long serpent moxibustion welded rubdown group was better than that of the simple rubdown group.After 28 days of therapy,JOA marks of the long serpent moxibustion intermix rubdown group were expressively modified in terms of personal symptoms and clinical symbols.Although the consequences of both community were higher than before therapy,JOA marks of the long snake moxibustion united with rubdown group changed more than that of the rubdown group(P<0.05).According as the VAS score outcome,the VAS marks of the serpent moxibustion intermix rubdown community after therapy was expressively better than that of the rubdown community alone,with statistical meaning(P < 0.05).Chinese Medicine symptom and syndrome score statistics showed that there was a meaning difference intermediately the two communities,and the score of long snake moxibustion united rubdown group was meaningfully better than that of simple rubdown group(P < 0.05).(2)Systematic review of long snake moxibustion for low back disc herniation : A total of 20 randomized controlled trials were included,including1549 patients.The fixed effect model showed that long snake moxibustion was effective in utilizing the effective rate([RR=1.20,95 % CI(1.15,1.25),P<0.00001]).The results of the random effect model showed that the long snake moxibustion therapy could effectively reduce the waist pain of the patients.The VAS marks of long serpent moxibustion intermix with rubdown community was lower than that of rubdown community [MD=-1.75,95 %CI(-2.10,-1.39),P<0.00001].According to the results of systematic assessment,the JOA marks of the long serpent moxibustion combined with rubdown group was better than that of the rubdown group [MD=4.09,95 % CI(2.78,5.40),P<0.00001].Conclusions(1)Exercise long snake moxibustion combined rubdown therapy of low back disc herniation,here the type is cold and wet,as the clinical observation.For patients with Cold-damp low back disc herniation,it can moderate lumbago,utilize function and improve curative assessment.The long serpent moxibustion therapy method did not have major adverse reactions during the intervention process,and the clinical use was safe.(2)Systematic evaluation of long snake moxibustion in the therapy of low back disc herniation: The curative assessment of long serpent moxibustion on low back disc herniation is definite and worthy of recognition,but the data example size is too small,and the quality of the inbuilted literature is not high.It can be used as an adjuvant therapy in clinic. |
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