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1. 南京医科大学第一附属医院康复医学中心
2. 南京中医药大学附属医院针灸康复科
3. 南京中医药大学附属医院核医学科
4. 南京中医药大学附属医院超声医学科
纸质出版日期:2022
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刘静, 王彤, 徐道明, 等. 雷火灸对骨质疏松症伴骨骼肌质量减少患者运动功能的影响:随机对照试验[J]. 针刺研究, 2022,47(9):809-813.
LIU Jing, WANG Tong, XU Dao-ming, et al. Effects of thunder-fire moxibustion on the motor function in the patients of osteoporosis with low skeletal muscle mass: a randomized controlled trial[J]. Acupuncture research, 2022, 47(9): 809-813.
刘静, 王彤, 徐道明, 等. 雷火灸对骨质疏松症伴骨骼肌质量减少患者运动功能的影响:随机对照试验[J]. 针刺研究, 2022,47(9):809-813. DOI: 10.13702/j.1000-0607.20210812.
LIU Jing, WANG Tong, XU Dao-ming, et al. Effects of thunder-fire moxibustion on the motor function in the patients of osteoporosis with low skeletal muscle mass: a randomized controlled trial[J]. Acupuncture research, 2022, 47(9): 809-813. DOI: 10.13702/j.1000-0607.20210812.
目的:观察雷火灸对骨质疏松症伴骨骼肌质量减少患者疼痛视觉模拟量尺(VAS)评分、多裂肌杨氏模量值和6 m步行速度的影响。方法:将60例女性骨质疏松症伴骨骼肌质量减少患者随机分为药物组30例和药物+雷火灸组30例。药物组给予钙尔奇D(600 mg/片)口服,2片/d
连续4周;药物+雷火灸组在口服钙尔奇D的基础上给予雷火灸治疗,先灸命门、腰阳关及双侧肝俞,再灸双侧肾俞、大肠俞,每组腧穴灸30 min
隔日1次,每周3次,连续4周。比较两组患者治疗前后VAS评分、第4腰椎多裂肌杨氏模量值和6 m步行速度。结果:与本组治疗前比较,治疗后两组患者VAS评分均明显降低(P<0.05
P<0.01)
6 m步行速度均明显提高(P<0.05
P<0.01)。治疗后与药物组比较,药物+雷火灸组VAS评分明显降低(P<0.05)
6 m步行速度明显提高(P<0.01)。与治疗前本组同侧比较,治疗后药物+雷火灸组两侧多裂肌的杨氏模量值明显降低(P<0.01);与治疗后药物组同侧比较,药物+雷火灸组两侧多裂肌的杨氏模量值明显降低(P<0.01)。结论:雷火灸可以缓解骨质疏松症伴骨骼肌质量减少患者疼痛强度,降低多裂肌的紧张度,提高步行速度。
Objective To observe the effects of thunder-fire moxibustion on the visual analogue scale(VAS) score
Young's modulus of multifidus and 6 m walking speed in the patients of osteoporosis with low skeletal muscle mass. Methods Sixty patients of osteoporosis with low skeletal muscle mass were randomly divided into a medication group(30 cases) and a medication+thunder-fire moxibustion group(30 cases). In the medication group
caltrate was prescribed for oral administration
2 tablets/day(600 mg/tablet)
for 4 weeks. In the medication+thunder-fire moxibustion group
on the base of oral administration with caltrate
thunder-fire moxibustion was exerted at Mingmen(GV4)
Yaoyangguan(GV3)
and bilateral Shenshu(BL23)
Ganshu(BL18) and Dachangshu(BL25)
30 minutes at GV4
GV3 and BL18
and another 30 minutes at BL23 and BL25
once every other day
3 times a week for 4 weeks. Before and after the treatment
VAS score
Young's modulus of the 4
(th)
lumbar multifidus and the average speed of 6 m walking were assessed. Results After the treatment
the VAS score was decreased(P
<
0.05
P
<
0.01) and the speed of 6 m walking was increased(P
<
0.05
P
<
0.01) in both groups in comparison with their own pre-treatment. Compared with the medication group
VAS score was decreased remarkably(P
<
0.05) and the speed of 6 m walking remarkably increased(P
<
0.01) in the medication+thunder-fire moxibustion group after the treatment. Self-comparison showed that
compared with the same side before the treatment
the value of Young's modulus after the treatment was decreased on both sides in the medication+thunder-fire moxibustion group(P
<
0.01). After the treatment
compared with the medication group on the same side
the value of Young's modulus was decreased on both sides(P
<
0.01) in the medication+thunder-fire moxibustion group. Conclusion Thunder-fire moxibustion can relieve pain intensity
decrease the tension of the multifidus
and increase the walking speed.
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