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1. 南昌市洪都中医院针灸科
2. 江西省中西医结合医院康复科
纸质出版日期:2020
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胡秀武, 邓陈英, 邱芬芬, 等. 长蛇灸治疗寒湿型腰痛的临床疗效观察[J]. 针刺研究, 2020,45(4):320-324.
HU Xiu-wu, DENG Chen-ying, QIU Fen-fen, et al. Clinical effect of long-snake moxibustion on lumbago of cold-dampness type[J]. Acupuncture research, 2020, 45(4): 320-324.
胡秀武, 邓陈英, 邱芬芬, 等. 长蛇灸治疗寒湿型腰痛的临床疗效观察[J]. 针刺研究, 2020,45(4):320-324. DOI: 10.13702/j.1000-0607.190569.
HU Xiu-wu, DENG Chen-ying, QIU Fen-fen, et al. Clinical effect of long-snake moxibustion on lumbago of cold-dampness type[J]. Acupuncture research, 2020, 45(4): 320-324. DOI: 10.13702/j.1000-0607.190569.
目的:观察长蛇灸对寒湿型腰痛患者疼痛、功能障碍和体质状态的影响。方法:将90例寒湿型腰痛患者随机分为长蛇灸组、针刺组和药物组
每组30例。长蛇灸组以自拟的灸粉方配合生姜、艾绒进行长蛇灸治疗
每周1次
治疗4周。针刺组予普通针刺治疗
留针30 min/次
每日1次
治疗8 d休息2 d
10 d为1个疗程
共治疗3个疗程。药物组予双氯芬酸钠(25 mg/次)及甲钴胺片(0.5 mg/次)口服
每日3次
共服用1个月。评估3组患者治疗前后视觉模拟量尺(VAS)评分、现有疼痛强度(PPI)评分、Oswestry功能障碍指数(ODI)以及阳虚质量表评分。结果:与治疗前比较
3组患者治疗后VAS评分、PPI评分、ODI均显著降低(P<0.05)
长蛇灸组、针刺组阳虚质量表评分显著降低(P<0.05)。与药物组比较
长蛇灸组、针刺组患者ODI显著降低(P<0.05)。与针刺组和药物组比较
长蛇灸组阳虚质量表评分显著降低(P<0.05)。长蛇灸组有效率为93.33%(28/30)
针刺组有效率为86.67%(26/30)
药物组有效率为73.33%(22/30)
长蛇灸组临床疗效显著优于针刺组和药物组(P<0.05)。结论:长蛇灸治疗寒湿型腰痛疗效显著
能够减轻患者疼痛
改善其功能障碍和体质状态。
Objective To observe the effect of long-snake moxibustion on pain
functional disorder and body constitution in the patients with lumbago of cold-dampness type. Methods A total of 90 patients with lumbago of cold-dampness type were randomized into long-snake moxibustion
acupuncture and medication groups
30 cases in each group. In the long-snake moxibustion group
long-snake moxibustion was exerted on the spinal(between Dazhui[GV14] and Yaoshu[GV2]) with the self-prepared moxa powder formula combined with fresh ginger and moxa wool
once a week
for 4 weeks. Regular acupuncture was given to the acupuncture group
30 min each time
once a day
8 times as a treatment course
at the interval of 2 days between the courses. The duration of treatment was 1 month. In the medication group
Diclofenac Sodium was prescribed for oral administration
25 mg each time
three times a day
and Mecobalamine tablets
0.5 mg each time
3 times a day. The duration of medication was 1 month. Before and after treatment
the differences were evaluated in the scores of visual analog scale(VAS)
the present pain intensity(PPI)
Oswestry disability index(ODI) and the scale of yang-deficiency body constitution among the 3 groups. Results After the treatment
VAS and PPI score and ODI were significantly reduced in the patients of the 3 groups as compared with those before treatment(all P<0.05). Compared with the medication group
ODI score was significantly reduced in the long-snake moxibustion group and the acupuncture group(P<0.05). After the treatment
the scores of the scale of yang-deficiency body constitution were significantly reduced in the long-snake moxibustion group and the acupuncture group(P<0.05) as compared with those before the treatment
but not statistically significant in the medication group in comparison before and after the treatment(P>0.05). The score of the scale of yang-deficiency body constitution in the long-snake moxibustion group was significantly lower than that in the acupuncture group and the medication group(P<0.05). Regarding the clinical effect
the effective rate was 93.33%(28/30) in the long-snake moxibustion group and it was 86.67%(26/30) in the acupuncture group and 73.33%(22/30) in the medication group after the treatment. The effective rate in the long-snake moxibustion group was significantly higher than those in the acupuncture group and the medication group(P<0.05). Conclusion The long-snake moxibustion therapy can achieve significant effect on lumbago of cold-dampness type. This therapy can alleviate pain
relieve the functional disorders and improve the conditions of body constitution in the patients. Hence
it is applicable for the clinical promotion.
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