2012年1月12日星期四

Silver needle and needle-knife with 80 cases of drug injections lumbar muscle

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Objective silver needle and needle-knife with drug injection therapy the clinical efficacy of lumbar muscle strain. Methods 80 patients with lumbar muscle strain were randomly divided into two groups, treatment group of 40 patients with silver needle electro-acupuncture plus needle-knife with drug injection therapy; the control group of 40 patients with the use of electro-acupuncture therapy plus infrared light. Results of the treatment group a short time, quick recovery within a week the treatment group was 100%; the control group was 90% efficient compared between the two groups was significant. Conclusion silver needle and needle-knife with drug injections lumbar muscle strain, a high cure rate, quick recovery, and long-term efficacy and stability.
[Keywords:] silver needle; small needle-knife; drug injection; lumbar muscle strain

Lumbar muscle strain is a common disease of low back pain. Although low back pain is not serious (even if severe are mostly one-off nature), but persistent unhealed, personal action still capable of complete, but the work can not be sustained [1]. If the athlete is a direct impact on the completion of training programs and athletic performance improvement. I was in October 2004 ~ October 2006 using silver needle electro-acupuncture plus needle-knife with drug injection therapy in patients with 80 cases of lumbar muscle strain, received a more satisfactory outcome, is the final report is as follows.

1 Data and methods
1.1 General Information of this group of 80 cases, male 45 cases, female 35 cases, aged 18 to 56 years, mean 37 years, the longest duration of 15 years and the shortest 1 month, with an average duration of 45.9 ± 12.4 months; All the patients were making X ray, to exclude fractures and other lesions. Patients were randomly divided into two groups, treatment group were silver needle and needle-knife with drug injection; the control group were treated with electro-acupuncture plus needle-knife with the massage.


1.2 treatment of patients treated prone, in the lumbar segment to one side or both sides of the lumbar and sacral regions, select tender points, regular disinfection of the pain points marked with 1% lidocaine injection to play Picchu, 5 ~ 10min after the re - Conventional disinfection, shop-hole towel, wearing sterile gloves, with 3 needles (80% silver, silver needle Department plus 20% copper, zinc, nickel alloy melt drawing is made, its composition and silver exactly the same. silver pin while maintaining the needle body considerable flexibility, while maintaining a considerable body of needle toughness and gloss to make it fully applicable to the depth of the organizations acupuncture. needle-sharp, not sharp, needle body diameter of 1.1mm, so silver needle into the soft tissue mass blunt separation of the role played, not easy to damage the nerves or blood vessels

[2]. silver needle points 5 models 24,21,18,16,12 cm). An acupuncture treatment distance of about 1cm, the waist can be done according to the situation three rows of vertical lines is about 25 ~ 50-pin, and then coated erythromycin ointment eye of a needle at the previous paragraph Ai (Ai section of about 1.5cm) lit between the sterile needle and needle dressing filling to prevent burns and burn-in paragraph to be Ai, Ai Qudiao ash, take needle disinfection, in the original needle Department, under the patient's fat, thin, with 3 or 4 needle-knife into the needle, the formation of scar tissue adhesion to the longitudinal dredge stripping, horizontal swing, cut peel, so that adhesion scarring of soft tissue release later cupping his pull congestion, with sterile dressing and then removed by conventional disinfection of local congestion, with Kenacort pain 40mg plus 2% lidocaine Add 8ml water for injection 10ml, with 8-gauge needle was injected into each eye of a needle, after disinfection, with erythromycin ointment Apply eye of a needle, sterile dressing bandage. Shi operation is completed, the activities of lumbar flexion and extension activities to do several times, for the prevention of postoperative pain and infection of oral antibiotics and painkillers 2 ~ 3 times. After the first 2 days to do FM, daily one time, 20min.

The control group of 40 patients, using electro-acupuncture plus needle-knife with massage therapy. Patient prone, three patients were in their lumbar transverse process, the lower lumbar section of the edge of the spine 2, line electro-acupuncture plus infrared 20min, after the needles break, do manual massage to pressure, rubbing, kneading, the rolling as the main way to do 30min. 7 days for a course of treatment.

2 Treatment outcome
2.1 The efficacy of the standard recovery: the waist conscious song live freely, the pain disappeared acid hardship can be normal activity, the athletes may be normal training. Markedly: waist consciously relaxed and the pain disappeared Suanzhang can be normal activities, the athletes in training is not yet fully completed training program. Improved: the waist consciously relaxed than the preoperative pain Suanzhang reduced greatly improved the scope of activities, the athletes can do general activities, can not participate in normal training. Invalid: a course of treatment, clinical symptoms have not been improved.


2.2 The effect of the two groups in gender, age, severity, course, etc. The difference was not statistically significant.
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