火龙灸治疗寒湿型腰椎间盘突出症的临床效果
发布时间:2023-01-20 03:49:59
龙源期刊网 http://www.qikan.com.cn 火龙灸治疗寒湿型腰椎间盘突出症的临床效果
作者:王慧 李菊莲 王薇 雷寿清 来源:《中国当代医药》2020年第08期
[摘要]目的 探討火龙灸治疗寒湿型腰椎间盘突出症的临床效果。方法 选取2016年9月~2018年3月我院收治的60例寒湿型腰椎间盘突出症患者作为研究对象,按照随机数字表法将
龙源期刊网 http://www.qikan.com.cn 其分为治疗组(30例)与对照组(30例)。治疗组患者采用火龙灸治疗,对照组患者采用温针灸治疗。比较两组患者的临床效果及治疗前后腰椎日本骨科协会(JOA)、视觉模拟量表(VAS)评分。结果 治疗后,治疗组患者的JOA评分高于对照组,差异有统计学意义(P<0.05)。治疗组患者治疗后的VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗组患者的愈显率为70.0%,高于对照组的56.7%,差异有统计学意义(P<0.05);治疗组患者的治疗总有效率(93.3%)和对照组(90.0%)比较,差异无统计学意义(P>0.05)。结论 火龙灸治疗寒湿型腰椎间盘突出症效果较佳,可有效缓解患者疼痛,改善其症状。 [关键词]火龙灸;腰椎间盘突出症;寒湿型;临床研究
[中图分类号] R246.2 ; ; [文献标识码] A ; ; [文章编号] 1674-4721(2020)3(b)-0147-04 Clinical effect of honglong moxibustion in the treatment of lumbar intervertebral disc protrusion of cold-dampness type WANG Hui1; ;LI Ju-lian1; ;WANG Wei2; ;LEI Shou-qing1 1. Affiliated Hospital of Gansu University of Chinese Medicine, Gansu Province, Lanzhou; ;730000, China; 2. Gansu University of Chinese Medicine, Gansu Province, Lanzhou; ;730000, China [Abstract] Objective To explore the clinical effect of honglong moxibustion in the treatment of lumbar intervertebral disc protrusion of cold-dampness type. Methods Sixty patients with lumbar intervertebral disc protrusion of cold-dampness type treated in our hospital from September 2016 to March 2018 were selected as research subjects. According to the random number table method, the patients were divided into the treatment group (30 cases) and the control group (30 cases). The treatment group was treated with honglong moxibustion, and the control group was treated with warm acupuncture. The clinical effect, scores of Japanese Orthopaedic Association (JOA) and visual analogue scale (VAS) before and treatment in the two groups were observed. Results After treatment, the JOA score of the treatment group was higher than that of the control group, and the difference was statistically significant (P<0.05). The VAS score after treatment of the treatment group was lower than that of the control group, and the difference was statistically significant (P<0.05). The cure rate of patients in the treatment group was 70.0%, which was higher than that in the control group accounting for 56.7%, and the difference was statistically significant (P<0.05). There was no significant difference in the total effective rate of treatment; between the treatment group (93.3%) and the control group (90.0%) (P>0.05). Conclusion The effect of honglong moxibustion in the treatment of the lumbar intervertebral disc protrusion of cold-dampness type is better, which can effectively relieve the patients′ pain and improve their symptom.
龙源期刊网 http://www.qikan.com.cn [Key words] Honglong moxibustion; Lumbar intervertebral disc protrusion; Cold-dampness type; Clinical research 腰椎间盘突出症(lumbar intervertebral disc protrusion,LIDP)是临床中的常见病、多发病,以腰部疼痛及下肢的放射痛为主要症状,其中寒湿型LIDP在临床中较常见,且因湿性黏滞,邪留腰府,易迁延难愈[1],严重影响患者的生活质量,给患者造成很大的痛苦。目前寒湿型LIDP以中医保守治疗为主,且治疗方法多样,临床中多采用中药口服、热灸贴、药罐、温针灸等多种治法[2-5]。近年来火龙灸疗法因其取材容易、操作简便、患者易接受等特点,在临床中、特别是寒湿型疾患中的应用越来越广泛[6],且取得了较好疗效。火龙灸也已应用于寒湿型LIDP的治疗,但多采用与推拿等其他方法相结合治疗为主[7-8]。本研究在我科人员前期研究[9]的基础上,通过单纯运用火龙灸治疗寒湿型LIDH,进一步探讨其临床效果,现报道如下。
1资料与方法 1.1一般资料
选取2016年9月~2018年3月我院针灸科门诊及住院部收治的60例寒湿型LIDP患者作为研究对象,采用随机数字表法将其分为治疗组与对照组,每组各30例。本研究已经医院医学伦理委员会批准。两组患者的一般资料比较,差异无统计学意义(P>0.05)(表1),具有可比性。
1.1.1诊断标准; 西医诊断标准:按照《中药新药临床研究指导原则》[10]中关于LIDP的诊断标准。①腰部疼痛,并可伴有下肢放射痛;②有局限性压痛点,直腿抬高试验和加强试验阳性;③X