摘要
目的观察子午流注透灸法治疗寒湿型腰椎间盘突出症的临床疗效。方法根据随机对照的原则,将68例寒湿型腰椎间盘突出症患者分为对照组和治疗组,每组34例。对照组避开申时,在其他时间进行透灸治疗,治疗组在申时(15:00—17:00)进行透灸治疗。比较两组临床疗效,观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、日本骨科协会(Japanese Orthopaedic Association,JOA)评分和中医证候积分的变化。结果治疗组总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组VAS评分、JOA评分和中医证候积分均改善,且治疗组上述评分均优于对照组(P<0.05)。结论子午流注透灸法治疗寒湿型腰椎间盘突出症的临床疗效优于普通透灸,可进一步缓解疼痛,提高腰部活动度,改善腰部功能。
Objective To observe the clinical efficacy of Zi Wu Liu Zhu(midnight-noon ebb-flow)penetrating moxibustion in the treatment of lumbar disc herniation of cold dampness pattern.Method According to the principle of randomized control,68 patients with lumbar disc herniation of cold dampness pattern were divided into a control group and a treatment group,with 34 cases in each group.In the control group,penetrating moxibustion treatment was carried out at other times to avoid Shen time(15:00—17:00),while in the treatment group,penetrating moxibustion treatment was carried out at Shen time.The clinical efficacy of the two groups was compared,and the changes of visual analog scale(VAS)score,Japanese Orthopaedic Association(JOA)score,and traditional Chinese medicine(TCM)pattern score were observed before and after treatment.Result The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS score,JOA score and TCM pattern score of both groups improved,and the above scores of the treatment group were better than those of the control group(P<0.05).Conclusion The clinical efficacy of Zi Wu Liu Zhu penetrating moxibustion in the treatment of lumbardisc herniation of cold dampness pattern is better than that of ordinary penetrating moxibustion,which can further relieve pain,increase lumbar mobility and improve lumbar function.
作者
杨银凯
吴绪海
高航
杨明军
YANG Yinkai;WU Xuhai;GAO Hang;YANG Mingjun(Jiaozuo Hospital of Traditional Chinese Medicine,Henan Province,Jiaozuo 454000,China)
出处
《上海针灸杂志》
2025年第2期208-212,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
河南省中医药科学研究专项课题(2023ZY3028)
河南省中医区域诊疗中心专项资金支持项目(No.2019-19)
焦作市中医院新技术新项目[焦中医2020(29)号]
国家中医优势专科建设支持项目
焦作市中医药事业发展经费市级资金项目[焦卫中医便函(2023)21号]。
关键词
灸法
艾条灸
子午流注
腰椎间盘突出症
腰痛
寒湿
Moxibustion
Moxa stick moxibustion
Zi Wu Liu Zhu
Lumbar disc herniation
Low back pain
Cold dampness
