经皮椎体后凸成型术治疗胸腰椎骨质疏松性骨折的临床护理

研究胸腰椎骨质疏松性骨折病患在经皮椎体后凸成型术治疗过程中接受临床护理干预的效果。方法:列入2020年3月-2021年3月于我院接受治疗的胸腰椎骨质疏松性骨折病患29例,均采取经皮椎体后凸成型术治疗办法,并接受相关临床护理。对比病患接受护理干预前后的疼痛测评值分级情况。结果:接受护理干预后病患的疼痛测评值分级情况均显著优于接受护理干预前病患的疼痛测评值分级情况,比对数据具备差异性统计区别(P<0.05)。结论:在经皮椎体后凸成型术治疗期间提供相应的护理干预,可以有效提高胸腰椎骨质疏松性骨折的愈合度,降低其疼痛体征,对病患的疗效提升及预后恢复均有有极大的帮助作用,推荐使用。

三伏天隔药督灸治疗产后身痛:随机对照试验

目的:观察三伏天隔药督灸治疗产后身痛的疗效。方法:将64例产后身痛患者随机分为观察组和对照组,每组32例。两组患者均予隔药督灸治疗,对照组在非三伏天进行,观察组在三伏天进行。两组均隔3 d灸1次,3次为1个疗程,共3个疗程。在治疗前、治疗后、治疗后1个月及冬至前后进行45区体表面积评分、视觉模拟量表(VAS)评分以评估患者疼痛范围及疼痛程度;采用修订版纤维肌痛综合征影响问卷调查(FIQR)对患者生活质量进行评估。治疗后比较两组临床疗效。结果:研究过程中观察组脱落2例,对照组剔除2例。治疗后观察组总有效率为93.3%,高于对照组的76.6%(P<0.05)。与治疗前比较,治疗后、治疗后1个月及冬至前后两组患者的疼痛部位个数、疼痛面积均减少(P<0.05),FIQR评分降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。与治疗前比较,观察组治疗后、治疗后1个月及冬至前后VAS评分均降低(P<0.01),且低于同时间点对照组(P<0.05)。结论:隔药督灸可改善产后身痛患者的疼痛范围与程度,提高患者的生活质量。在三伏天施灸的总体疗效优于在非三伏天治疗,且疗效更持久。

电针配合运动疗法改善膝骨关节炎患者平衡功能的临床研究

目的:观察电针联合运动疗法改善膝骨关节炎(KOA)患者平衡功能的临床疗效。方法:将70例KOA患者随机分为治疗组和对照组,每组35例。治疗组采用电针配合运动疗法治疗。电针取犊鼻、内膝眼、血海、梁丘、阳陵泉及足三里,电针后配合运动疗法(肌力训练和膝关节活动度训练)。对照组仅采用与治疗组相同的运动疗法。两组疗程相同,每周治疗3次,连续治疗4周,共12次,随访1个月。用Pro-Kin254P型平衡测试系统测定治疗前、治疗1次后、治疗12次后和治疗后1个月随访时共4个时间节点的平衡功能参数;记录视觉模拟量表(VAS)和西安大略与麦克马斯特大学骨关节炎指数(WOMAC)评分。结果:两组显效率和总有效率比较,治疗组均优于对照组(P<0.01)。两组患者在治疗1次、治疗12次和治疗后1个月的Romberg面积、Romberg长度及VAS评分均显著下降,组内不同时间点比较差异有统计学意义(P<0.01);相同时间点组间差异有统计学意义(P<0.05)。两组患者治疗1次、治疗12次和治疗后1个月的WOMAC总分均显著下降,组内不同时间点比较差异有统计学意义(P<0.05),但相同时间点组间差异无统计学意义(P>0.05)。结论:电针联合运动疗法或单独运动疗法均能增强KOA患者的平衡功能,缓解关节疼痛,改善关节功能;电针联合运动疗法改善患者平衡功能和疼痛的疗效优于单独运动疗法,但在改善关节功能方面,两种治疗方案疗效相当。

Influence of muscle regions of meridians needling method combined with auricular point sticking on pain and range of motion in patients with chronic nonspecific low back pain

Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.

Effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain

Objective:To observe the effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain and to explore the best duration for rolling manipulation in treating lumbar muscle strain.Methods:A total of 75 patients who met the inclusion criteria were randomized into a 5-minute rolling manipulation group,a 10-minute rolling manipulation group,and a 15-minute rolling manipulation group using the random number table method,with 25 cases in each group.All three groups were treated with the same rolling manipulation,while the treatment time was 5 min,10 min,and 15 min,respectively.The treatment was performed 3 times a week for 2 consecutive weeks.The muscle tonus of bilateral erector spinae and visual analog scale(VAS)score for low back pain were compared among the three groups before and after treatment.Results:A total of 63 patients completed the study.Before treatment and after the last treatment,there were no statistical differences in the muscle tonus of the left erector spinae and right erector spinae among the three groups(P>0.05).After the last treatment,bilateral erector spinae muscle tonus dropped compared with the baseline in all three groups(P<0.01).Before treatment and after the last treatment,there were no significant differences in comparing the low back pain VAS score among the three groups(P>0.05).After the last treatment,the VAS score for low back pain in all three groups decreased(P<0.01).Conclusion:Under the condition that the forward swing force is 50-70 N,the backward swing force is 20-40 N,and the frequency is 138 times/min,the 5-minute rolling manipulation can significantly reduce the muscle tonus of erector spinae and relieve low back pain.

小角度推按抗旋正骨手法提高支具治疗青少年特发性脊柱侧弯的即时疗效

目的观察小角度推按抗旋正骨手法提高支具矫正青少年特发性脊柱侧弯的即时疗效。方法选取青少年特发性脊柱侧弯患儿50例,均先予支具矫正,拍摄全脊柱正侧位片,测量Cobb角并记录患儿支具穿戴引发的疼痛视觉模拟量表(VAS)评分。卸下支具后给予小角度推按抗旋正骨手法治疗1次。治疗后再次穿戴同一支具拍摄全脊柱正位片,测量Cobb角和记录VAS评分,比较手法干预前后Cobb角及VAS评分变化,评价即时疗效。结果手法治疗后Cobb角明显小于治疗前(P<0.01),VAS评分明显低于治疗前(P<0.01)。结论小角度推按抗旋正骨手法能够提高支具治疗青少年特发性脊柱侧弯的即时疗效,同时可减轻支具穿戴引发的疼痛。

巨刺联合麦特兰德踝关节松动术治疗陈旧性踝关节扭伤的临床观察

目的:观察巨刺法联合麦特兰德踝关节松动术治疗陈旧性踝关节扭伤的临床疗效.方法:纳入陈旧性踝关节扭伤患者106例.根据患者就诊的先后顺序编号,奇数入对照组,偶数入观察组,每组53例.对照组给予麦特兰德踝关节松动术治疗;观察组在对照组干预基础上加用巨刺法针刺治疗.治疗后观察踝关节周径,跖屈活动度、背伸活动度,踝关节周围韧带厚度,以及Baird-Jackson踝关节评分、美国足与踝关节协会(AOFAS)踝-后足评分和疼痛视觉模拟量表(VAS)评分的变化,比较两组的临床疗效.结果:治疗后,观察组总有效率94.3%,显著高于对照组的81.1%,差异有统计学意义(P<0.05).治疗后两组踝关节周径较治疗前下降,跖屈活动度、背伸活动度均较治疗前提高(P<0.05);观察组的变化较对照组显著,组间差异有统计学意义(P<0.05).治疗后两组距腓前韧带、跟腓韧带、距腓后韧带的厚度及VAS评分均较治疗前降低;观察组变化较对照组显著,组间差异有统计学意义(P<0.05).治疗后两组Baird-Jackson踝关节评分、AOFAS踝-后足评分均较治疗前升高;观察组评分高于对照组,组间差异有统计学意义(P<0.05).结论:巨刺法联合麦特兰德踝关节松动术治疗陈旧性踝关节扭伤的临床疗效优于单独使用麦特兰德踝关节松动术.

腹背经穴推拿治疗婴儿肠绞痛的疗效评价

目的:评价腹背经穴推拿治疗婴儿肠绞痛的疗效.方法:将120例婴儿肠绞痛患儿随机分为对照组与观察组,每组60例.对照组对家长采取安抚和健康教育;观察组在对照组基础上加腹背经穴推拿,每天1次,连续5 d为1个疗程.分别于治疗前后对两组患儿进行疼痛量表评分和临床症状记录.结果:治疗后,观察组总有效率高于对照组,差异具统计学意义(P<0.05);观察组疼痛量表评分低于对照组,差异具统计学意义(P<0.05);24 h行为日记指标中,观察组的每天持续时间、每天发作次数和每周发作天数评分均低于对照组,差异具统计学差异(P<0.05).结论:腹背经穴推拿治疗婴儿肠绞痛临床有效并且安全性高.

针刺董氏奇穴和传统穴位治疗泰国老年慢性腰痛患者的疗效比较

目的比较针刺董氏奇穴和中医传统穴位治疗泰国老年慢性腰痛(CLBP)患者的疗效。方法采用单盲、随机对照试验设计,纳入84名慢性腰痛老年患者。所有患者被随机分为两组,一组接受董氏奇穴针刺治疗,另一组接受传统中医(TCM)穴位针刺治疗。每次治疗30 min,连续治疗7 d。治疗前后进行数字评定量表(NRS)评分、背部活动度(BROM)及背部力量的测量和比较。结果与同组治疗前比较,治疗后两组NRS评分降低,BROM增加(P<0.05),但腰部力量无统计学差异。组间比较,治疗后两组NRS评分、前屈及右侧屈BROM、腰部力量方面的差异均无统计学意义(P>0.05),而两组BROM在后伸(P<0.01)和左侧屈(P<0.05)方面的差异有统计学意义。结论针刺董氏奇穴在降低腰部疼痛NRS评分,增加腰部力量,以及增加腰前屈及右侧屈活动度方面与针刺TCM穴位的效果相当.针刺传统穴位在增加腰后伸及左侧屈活动度方面效果更佳;针刺董氏奇穴适合老年CLBP患者,应得到支持推广。

主客原络配穴针刺联合推拿治疗第三腰椎横突综合征的临床观察

目的:观察主客原络配穴针刺联合推拿对第三腰椎横突综合征的影响.方法:共选择第三腰椎横突综合征患者88例,根据随机数字表法分为观察组与对照组,每组44例,对照组接受推拿治疗,观察组在对照组干预基础上加用主客原络配穴针刺治疗.治疗后比较两组临床疗效,观察体征评分、Roland-Morris功能障碍调查表(RMDQ)评分、Oswestry功能障碍指数量表(ODI)评分、魁北克腰痛残障量表(QBPDS)评分及疼痛因子[包括血清前列腺素(PG)E2、神经肽Y(NPY)和基质金属蛋白酶-3(MMP-3)]的变化情况.结果:治疗后,观察组总有效率为93.2%,高于对照组的75.0%,组间差异有统计学意义(P<0.05).两组体征评分、各腰痛量表评分及血清疼痛因子水平均较本组治疗前降低(P<0.05),且观察组低于对照组(P<0.05).结论:主客原络配穴针刺联合推拿治疗第三腰椎横突综合征疗效肯定,能改善患者体征,减轻腰部疼痛,降低血清疼痛因子水平.

Therapeutic observation of Fu's subcutaneous needling for scapulohumeral periarthritis

Objective： To observe the therapeutic efficacy of Fu＇s subcutaneous needling（FSN） in treating scapulohumeral periarthritis（SP）.Methods： Eighty patients with SP were randomly divided into an observation group and a control group, 40 cases in each group. Patients in the observation group received FSN treatment while those in the control group received conventional acupuncture treatment. Visual analogue scale（VAS） and range of motion（ROM） were observed before and after the treatment, and the therapeutic efficacy was also evaluated.Results： After the treatment, the VAS scores decreased significantly in the two groups, and the VAS score in the observation group was significantly lower than that in the control group（P〈0.01）. After the treatment, the ROM increased significantly in both groups（both P〈0.01）, and the ROM in the observation group was significantly higher than that in the control group（P〈0.01）. The recovery rate and the total effective rate in the observation group were respectively 40.0% and 95.0%,significantly higher than 12.5% and 77.5% in the control group（P〈0.01, P〈0.05）.Conclusion： FSN can effectively relieve pain and improve the joint motion in treating SP, thus offering a novel option to the treatment of this kind of musculoskeletal disorder.

Observation on therapeutic effect of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation

Objective: To observe the clinical efficacy of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation (LIDH). Methods: A total of 70 patients with LIDH were randomized into an observation group and a control group, with 35 cases in each group. The observation group was treated with acupuncture at abdomen acupoints plus tuina, while the control group was treated only with tuina treatment. The clinical efficacy was observed after one course of treatment. Results: The cure rate and the total effective rate of the observation group were 83.3% and 96.7%, respectively. The cure rate and the total effective rate of the control group were 39.4% and 78.8%, respectively. There were significant differences in the cured rate and the total effective rate between the two groups (both P<0.05). There was no significant differenee in Japanese Orthopedic Association (JOA) score between the two groups before treatment (P>0.05). After treatment, the JOA scores of both groups in creased sign ifica ntly, and the in tra-group differe nces were statistically sign ifica nt (both P<0.05);the JOA score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Acupuncture at abdomen acupoints plus tuina has a better therapeutic effect than tuina alone in the treatment of LIDH.

Therapeutic observation of tuina manipulation for lumbar intervertebral disc herniation

Objective: To observe the clinical efficacy of balance-impact tuina therapy for lumbar intervertebral disc herniation (LIDH). Methods: A total of 118 eligible LIDH patients were randomized into an observation group and a control group by the random number table method, with 59 cases in each group. The observation group was intervened by balance-impact tuina therapy, while the control group was intervened by conventional tuina therapy, both for consecutive two weeks. The scores of visual analog scale (VAS), Oswestry disability index (ODI)Z quality of life questionnaire-core 30 (QOL-C30) were observed before and after treatment;the relapse rate was estimated at the sixth month and twelfth month following the treatment. The data were statistically an a lyzed. Results: After intervention, the total effective rate was 96.6% in the observation group versus 91.5% in the control group, and the between-group differenee was statistically significant (P<0.05). The VAS and ODI scores declined significantly after treatment in both groups (all Pv0.05), and the observation group was markedly lower than the control group (P<0.05, P<0.01). The QOL-C30 score in creased significantly after treatme nt in both groups (both P<0.05), and the observatio n group was markedly higher than the control group (P<0.05). The relapse rates at the post-treatment sixth month and twelfth month in the observation group were lower than those in the control group (P<0.05, P<0.01). Conclusion: Compared with the conventional tuina therapy, the balance-impact tuina therapy shows advantage in lessening pain, improving the function and enhancing the quality of life in the treatment of LIDH, and it has a lower relapse rate. Thus, this therapy is worth promoting in clinic.

Efficacy observation on acupuncture plus moving cupping with compound white mustard oil for lumbar myofascitis

To observe the clinical effect of acupuncture plus moving cupping with white mustard oil to treat lumbar myofascitis. Methods： A total of 90 patients with lumbar myofascitis who met the inclusion criteria were randomly divided into an observation group and a control group, 45 cases in each group. The observation group received acupuncture and moving cupping with white mustard oil; the control group received acupuncture plus warm needling treatment. The treatment was given twice a week for a total of 4 weeks. The visual analog scale （VAS） and Chinese version of Roland-Morris disability questionnaire （RMDQ） score of pain before the treatment, and respectively after 1-week and 4-week treatment were recorded for efficacy evaluation. Results： After 4 weeks of treatment, the difference in total effective rate between the two groups was not significantly （P〉0.05）. After i week of treatment, there was no significant difference in VAS score between the two groups （P〉0.05）. After 4 weeks of treatment, the VAS score of the observation group was lower than that of the control group, and there was a significant difference between the two groups （P〈0.05）. After 4 weeks of treatment, the Chinese version of RMDQ scores of both groups were significantly decreased, there were statistical differences in comparing with those before treatment （both P〈0.05）. After treatment for 1 week and 4 weeks, the Chinese version of RMDQ score in the observation group was lower than that in the control group, with significant differences between the two groups （all P〈0.05）. Conclusion： Acupuncture plus moving cupping and acupuncture plus warm needling both can relieve the pain of patients with lumbar myofascitis, improve the function of back muscles, while the curative effect of acupuncture plus moving cupping is better.

Clinical observation of sinew-regulating bone-setting manipulations plus exercise therapy for chronic non-specific low back pain

Objective:To evaluate the clinical efficacy of sinew-regulating bone-setting manipulations plus exercise therapy in treating chronic non-specific low back pain(CNLBP).Methods:A total of 65 CNLBP patients were divided into two groups by the random number table method.Thirty-three cases in the treatment group were intervened by sinew-regulating bone-setting manipulations plus exercise therapy;32 cases in the control group were intervened by medium-frequency electrotherapy plus exercise therapy.Before and after treatment,visual analog scale(VAS),dynamic and static muscle endurance of low back,median frequency(MF)of surface electromyography(sEMG)and Oswestry disability index(ODI)were used to evaluate the low back function.The therapeutic efficacy was estimated after treatment.Results:The two groups each had 2 dropouts during the study.The total effective rate was 90.3%in the treatment group versus 66.7%in the control group,and the between-group difference was statistically significant(P<0.05).After treatment,the VAS score,dynamic and static muscle endurance of low back,MF of sEMG and ODI score all changed significantly in both groups(all P<0.05);all the items in the treatment group were significantly different from those in the control group(all P<0.05).Conclusion:Sinew-regulating bone-setting manipulations plus exercise therapy can effectively release pain in CNLBP patients,increase muscle endurance of the low back and improve the quality of life,and its therapeutic efficacy is more significant than that of medium-frequency electrotherapy plus exercise therapy.

Observation on clinical efficacy of warm needling moxibustion plus Mulligan dynamic joint mobilization for cervical radiculopathy

Objective:To observe the clinical efficacy of warm needling moxibustion plus Mulligan dynamic joint mobilization for cervical radiculopathy.Methods:A total of 60 cases with cervical radiculopathy were randomly divided into group A,group B and group C by random digital table,20 cases in each group.The patients in three groups were treated with similar warm needling moxibustion.Group A only received warm needling moxibustion;group B was treated with warm needling moxibustion plus Mulligan dynamic joint mobilization;group C was treated with warm needling moxibustion plus cervical traction.Before the treatment and after 12 sessions of treatment,the patients in the three groups were assessed for score of pain and range of motion(ROM).Results:By 12 sessions of the treatments,the scores of pain were obviously decreased in the three groups,with statistical significances(all P〈0.05),and the pain scores of group B and group C were significantly different from the score of group A(both P〈0.05).ROM of the neck was increased than before the treatment in the three groups,with statistical significances(all P〈0.05),and the ROM of the neck of group B was significantly different from those of group A and group C(both P〈0.05).Conclusion:Warm needling moxibustion plus Mulligan dynamic joint mobilization can effectively improve the neck ROM and relieve pain in patients with cervical radiculopathy.

Clinical observation of the effects of moxibustion with seed-sized moxa cone plus opioid drugs on cancer pain and immune function

Objective:To observe the clinical efficacy of moxibustion with seed-sized moxa cone plus opioid drugs for moderate-to・severe cancer pain,and the effect on immune function in patients with cancer pain.Methods:A total of 80 patients with moderate-to-severe cancer pain were randomized into an observation group and a control group by the random number table method,with 40 cases in each group.Both groups were treated with opioid drugs for an algesia accordi ng to the stan dardized man agement prin ciples for cancer pain.In addition,the observati on group was given moxibustion with seed-sized moxa cone.The treatment was performed once a day,continuous 5-day treatment with a 2-day interval constituted a treatment course,and a total of 2 courses were performed.The score of numerical rating scale(NRS)and 24 h eq ui vale nt morphi ne consumpti on was compared betwee n the two groups before treatment,after 1 treatment course and after 2 courses of treatment.The immune functions were compared between the two groups before and after 2 courses of treatment.Results:During the treatment,there were 3 dropouts in the control group,and 2 dropouts in the observation group.Before the treatme nt,there were no sign ificant differe nces in the NRS score and 24 h equivale nt morphine consumpti on betwee n the two groups(both P>0.05).The NRS scores of both two groups were quite stable during the whole treatment period,and there was no significant differenee in the intra-group comparison after treatment(both P>0.05),and there was no significant difference between the two groups at the same time point(both P>0.05).In the control group,the 24 h equivale nt morphine con sumpti on showed an in creasi ng trend.The dosage after 1 treatme nt course and 2 courses of treatment was statistically different from that before treatment in the control group(both P<0.01).There was no significant cha nge in the mea n 24 h equivale nt morphi ne con sumpti on in the observati on group compared with that before treatme nt(both P>0.05).After 2 courses of treatme nt,the 24 h equivale nt morphine con sumpti on in the observati on group was significantly lower than that in the control group at the same time point(P<0.05).Before treatment,there was no significant difference in the levels of T lymphocyte subsets(CD3:CD4+and CD4+/CD8+)between the two groups(all P>0.05).After treatment the levels of T lymphocyte subsets(CD3+Z CD4+and CD4+/CD8+)in the control group were lower than those before treatment(all P<0.05),while the levels in the observation group were higher than those before treatment,and the levels of CD3+and CD4+were significantly different from those before treatment(both P<0.05).After treatment,the levels of T lymphocyte subsets(CD3+,CD4+and CD4+/CD8+)of the observation group were significantly higher than those of the control group at the same time point(all P<0.05).Conclusion:Moxibustion with seed-sized moxa cone can reduce the dosage of opioid drugs used in patients with moderate-to-severe cancer pain and improve their immune functions.

Clinical observation on warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy

Objective: To observe the clinical effect of warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy. Methods: A total of 120 cases were allocated into an observation group, a warm needling group and an acupoint sticking group according to the random number table, with 40 cases in each group. Cases in the observation group received warm needling moxibustion plus acupoint sticking therapy;cases in the warm needling group received the same warm needling moxibustion in the observation group;cases in the acupoint sticking group received the same acupoint sticking therapy in the observation group. The scores of Japanese Orthopaedic Association (JOA) and visual analog scale (VAS) were recorded before and after treatment. Results: The total effective rate was 95.0% in the observation group, versus 77.5% in the warm needling group and 75.0% in the acupoint sticking group (both P<0.05). Inter-group differences in JOA and VAS between the observation group and the other two groups were statistically significant (all P<0.05). Conclusion: Warm needling moxibustion plus acupoint sticking therapy is effective in treating cervical radiculopathy, and it can significantly alleviate pain and enhance clinical efficacy, and thus is worth clinical popularization.

Clinical study on mild moxibustion for knee osteoarthritis

Objective: To observe the clinical effect of mild moxibustion for knee osteoarthritis (KOA) and to explore the role of mild moxibustion in relieving pain, reducing stiffness and improving joint dysfunction in patients with KOA. Methods: Eighty patients with KOA were randomly allocated into either a moxibustion group or a medication group by the random number table, with 40 cases in each group. The moxibustion group used mild moxibustion at Neixiyan (EX-LE 5), Dubi (ST 35), Xuehai (SP 10) and Liangqiu (ST 34), 30 min each time, 3 times a week;the medication group was given celecoxib capsule (celebrex), 0.2 g each time, once a day. Both groups were treated for 4 weeks. The visual analog scale (VAS) and Western Ontario and McMaster Universities osteoarthritis index (WOMAC) scores were evaluated before and after treatment. The efficacy of the two groups was compared after treatment. Results: After treatme nt, the overall efficacy of the moxibustion group was sign ificantly differ ent from that of the medication group (P<0.05). The VAS and WOMAC scores of the two groups were lower than those before treatment (both P<0.01). The changes in the VAS and WOMAC scores after treatment in the moxibustion group were significantly different from those in the medication group (both P<0.05). After treatment, in single item of WOMAC, the changes in pain and joint dysfunction in the moxibustion group were more statistically significant than those in the medication group (both P<0.05). Conclusion: Mild moxibustion and oral celebrex can reduce the VAS and WOMAC scores of patients with KOA. Mild moxibustion is superior to oral celebrex in relieving pain and improving joint function.

Therapeutic observation on point-toward-point needling at points on the low back regions for residual back pain after percutaneous kyphoplasty

Objective: To observe the effect of point-toward-point needling at points on the low back regions on residual back pain after percutaneous kyphoplasty (PKP), thoracolumbar function and quality of life (QOL) in patients with osteoporotic vertebral compression fracture (OVCF). Methods: A total of 72 patie nts with OVCF and residual back pain after PKP were in eluded and allocated into a treatme nt group (n=36) and a control group (n=36) by the random number table. Cases in the control group received salmon calcitonin injection (miacalcic), for 1 mL each time, once a day, and oral intake of calcium carbonate D3 pill, 600 mg each time, once a day, whereas cases in the treatment group received point-toward-point needling at points on the low back regions and electroacupuneture (EA) for 30 min each time, once a day and 6 times a week on the basis of the treatment in the control group. Treatment in both groups lasted for 2 weeks. Therapeutic efficacy indicators including visual analog scale (VAS), Oswestry disability index (ODI) and Barthel index (Bl) were evaluated before and after treatment and at follow-up visit (1 month after treatment). Results: The total effective rate was 94.4% and 88.9% in the treatment group after treatment and at the follow-up visit, respectively, higher than 77.8% and 69.4% in the control group, and the between-group differences were statistically significant (both P<0.05). After treatment and at the follow-up visit, the VAS and ODI scores decreased, and Bl scores in creased in both groups, and the in tra-group differe nces were statistically sign ifica nt (all P<0.05). After treatme nt and at the follow-up visit, between-group differences of VAS, ODI and Bl scores were statistically significant (all P<0.05). Conclusion: On the basis of conventional medication treatment, point-toward-point needling at points on the low back regions has a good therapeutic effect in relieving residual back pain after PKR improving thoracolumbar function and QOL, better than conventional medication treatment alone.