XU Jinhai, ZHA Jianlin, WANG Guodong, et al. Clinical study on short-term efficacy of ear point-pressing on pain in patients with lumbar disc herniation. [J]. Shanghai Journal of Traditional Chinese Medicine 53(11):61-66(2019)
DOI:
XU Jinhai, ZHA Jianlin, WANG Guodong, et al. Clinical study on short-term efficacy of ear point-pressing on pain in patients with lumbar disc herniation. [J]. Shanghai Journal of Traditional Chinese Medicine 53(11):61-66(2019) DOI: 10.16305/j.1007-1334.2019.11.013.
Clinical study on short-term efficacy of ear point-pressing on pain in patients with lumbar disc herniation
Objective:To observe the short-term efficacy of ear point-pressing in reducing pain in patients with lumbar disc herniation (LDH). MethodsNinety-six patients with LDH were randomly assigned into treatment group and control group, forty-eight patients in each group. The treatment group was treated with ear point-pressing combined with Jinbi recipe. The control group was given sham ear point-pressing combined with Jinbi recipe. The treatment course was 2 weeks in both groups. Safety was observed, and the pain VAS score, tenderness threshold score, pain tolerance threshold score and Oswestry dysfunction index (ODI) questionnaire score were compared. Results:①During the trial, there were 8 and 6 drop-outs in the treatment group and the control group, respectively. 40 patients in the treatment group and 42 in the control group completed the study. ②From the start of treatment to day 14 of treatment, the VAS scores showed a decreasing trend in both groups, with more significant decrease in the treatment group. There were significant differences in VAS scores at 60 minutes and 7 days after treatment, with lower scores in the treatment group than in the control group (P<0.05). ③From the start of treatment to day 14 of treatment, the tenderness threshold scores generally increased first and then decreased in both groups. The tenderness threshold score showed a more obvious tendency in the treatment group, having the highest value at 60 minutes after treatment, while the highest value occurred at 7 days after treatment in the control group. At 60 minutes after treatment, the tenderness threshold score was higher in the treatment group than in the control group (P<0.05). ④From the start of treatment to day 14 of treatment, the pain tolerance threshold scores generally increased first and then decreased in both groups, with a more obvious tendency in the treatment group. The highest value occurred at 7 days after treatment in both groups. There were significant differences in pain tolerance threshold scores at 60 minutes and 7 days after treatment, with higher scores in the treatment group than in the control group (P<0.05). ⑤There were significant differences in ODI scores at 7 and 14 days after treatment, with significantly lower scores in the treatment group than in the control group (P<0.05). ⑥During the trial, no adverse reactions occurred in either group. Conclusion:Compared with Jinbi recipe alone, the addition of ear point-pressing can better improve the patients’ tenderness threshold and pain tolerance threshold in a short term, and quickly reduce the degree of low back pain. This effect can last up to 7 days after treatment. The addition of ear point-pressing can also relieve lumbar vertebral dysfunction more remarkably in patients within 14 days.
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