Objective To observe the clinical effect of a self-made new Chinese medicine hydrogel ointment combined with transcutaneous electrical nerve stimulation(TENS) in the treatment of discogenic low back pain.
Methods Total 46 patients with discogenic low back pain in Jiangnan Hospital Affiliated to ZheJiang University of Traditional Chinese Medicine from May 2017 to June 2019 were selected and divided into shock wave group(23 cases) and combined treatment group(23 cases) according to the random number table method. Shock wave and shock wave combined with Chinese medicine hydrogel ointment and TENS were respectively treated. The VAS score, Tampa score, JOA score, ODI score, range of motion and clinical efficacy were recorded and compared between the two groups at the time of pre-treatment and 4 weeks after treatment.
Results After 4 weeks of treatment, the scores of the two groups were statistically significant compared with those of the same group before treatment(all
P<0.05), and the scores of the combined treatment group were all better than those of the shock wave group at the same time(all
P<0.05). After 4 weeks of treatment, the anterior flexion and posterior extension mobility of the combined treatment group were better than that of the shock wave group, with statistically significant differences(
t=-7.693,-5.274, all
P<0.05). Two groups of patients compared the efficacy of the last follow-up, the combined treatment group total effective rate was higher than the shock wave group, but no statistical difference(
t=1.000,
P>0.05), and the proportion of "excellent" in the combined treatment group was better than that in the shock wave group(
Z=-2.008,
P<0.05).
Conclusion The new Chinese medicine hydrogel ointment combined with TENS can effectively relieve the lower back pain, reduce the fear of movement, improve the lumbar mobility and improve the quality of life of patients.
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