Objective: To compare the clinical effect of acupuncture at "three points of iliolumbar" combined with celecoxib and celecoxib alone in the treatment of iliopsoas muscle strain.

Methods: A total of 60 patients with iliopsoas muscle strain were randomly divided into an observation group and a control group, 30 patients in each group. Celecoxib was given orally to both groups, 200 mg once a day for 3 days. On the basis of the above drugs, acupuncture was applied at (Extra), Wushu (GB 27), (Extra) in the observation group, once a day for 3 days. The Japanese Orthopaedic Association (JOA) score and visual analogue scale (VAS) score were observed and compared before and after treatment, and the content of 5-hydroxytryptamine (5-HT) in serum was detected by enzyme-linked immunosorbent assay (ELISA) before and after treatment in the two groups.

Results: After treatment, the JOA scores in the two groups were increased (both <0.05), and the VAS scores and 5-HT contents were decreased (all <0.05). The increase of JOA score in the observation group was greater than that in the control group (<0.05), and the decrease of VAS score and 5-HT content in the observation group was greater than that in the control group (both <0.05).

Conclusion: Acupuncture at "three points of ilioumbar" combined with celecoxib in the treatment of iliopsoas muscle strain can improve lumbar function, relieve pain and reduce 5-HT content in serum, which is better than celecoxib alone.

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Source
http://dx.doi.org/10.13703/j.0255-2930.2019.12.006DOI Listing

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