天灸治疗腰椎间盘突出症之腰痛的临床疗效研究

发布时间：2018-06-05 00:21

本文选题：椎间盘移位 + 腰痛　；参考：《中国全科医学》2017年04期

【摘要】：目的探讨天灸治疗腰椎间盘突出症之腰痛的临床疗效。方法选取2015年12月—2016年2月在广东省中医院针灸科门诊接受治疗的腰椎间盘突出症患者60例,均以腰痛为主诉。采用随机数字表法将纳入患者分为对照组和天灸组,每组30例。天灸组患者接受天灸治疗,以白芥子、细辛、甘遂、延胡索粉加姜汁制成药膏;对照组患者接受假天灸治疗,以荞麦粉、色素加姜汁制成药膏。两组患者取穴及其他操作相同,治疗时间均为4周。比较两组患者治疗前后的日本骨科协会(JOA)下腰痛量表得分、视觉模拟评分量表(VAS)得分,以及临床疗效。结果共57例患者按要求完成了治疗,其中对照组29例,天灸组28例。治疗前两组患者JOA下腰痛量表、VAS得分比较,差异无统计学意义(P0.05);治疗后天灸组患者JOA下腰痛量表得分高于对照组,VAS得分低于对照组,差异有统计学意义(P0.05);治疗后两组患者JOA下腰痛量表得分均高于治疗前,VAS得分均低于治疗前,差异有统计学意义(P0.05)。天灸组患者临床疗效优于对照组,差异有统计学意义(P0.05)。结论天灸治疗腰椎间盘突出症之腰痛的临床疗效确切,可减轻患者疼痛程度,且操作简单安全,值得在临床上推广使用。
[Abstract]:Objective to investigate the clinical effect of moxibustion on lumbar disc herniation. Methods from December 2015 to February 2016, 60 patients with lumbar disc herniation were treated in Department of Acupuncture and moxibustion, Guangdong Provincial Hospital of traditional Chinese Medicine. The patients were divided into control group and day moxibustion group with 30 cases in each group. The patients in the day moxibustion group were treated with natural moxibustion with white mustard, Asarum, kansui, Corydalis corydalis powder and ginger juice as ointment, while the control group received sham day moxibustion treatment with buckwheat powder, pigment and ginger juice as ointment. The two groups had the same acupoints and other procedures, and the treatment time was 4 weeks. The scores of low back pain scale, visual analogue scale (VAS) and clinical efficacy were compared between the two groups before and after treatment. Results A total of 57 patients were treated according to request, including 29 cases in control group and 28 cases in moxibustion group. Before treatment, there was no significant difference in the scores of JOA low back pain scale between the two groups, but the score of JOA low back pain scale in the moxibustion group was higher than that in the control group, which was lower than that in the control group. After treatment, the scores of JOA low back pain scale in the two groups were higher than those before treatment, and the difference was statistically significant (P 0.05). The clinical curative effect of the day moxibustion group was better than that of the control group, and the difference was statistically significant (P 0.05). Conclusion the treatment of lumbar intervertebral disc herniation by natural moxibustion is effective and safe, which is worth popularizing in clinic.
【作者单位】：广州中医药大学第二临床医学院;
【基金】：基金项目:司徒铃针灸学术思想及传承研究岭南传统天灸病种拓展及评价研究岭南针灸流派司徒铃传承工作室灸法防治颈椎病颈痛的临床研究(2014A020212453) 特色针灸人才培养基地(A1-AFD015151Z1558)
【分类号】：R246.9

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