摘要
目的观察热敏灸配合针刺治疗下腰痛的临床疗效。方法将60例腰痛患者随机分为热敏灸组和温和灸组各30例,两组均针刺大肠俞、肾俞、委中、阿是穴,并根据患者证型不同进行腧穴配伍。热敏灸组选取1~2个热敏点行热敏灸,温和灸组选取压痛点使用艾灸盒进行温和灸。统计治疗前后患者视觉模拟评分(VAS)、改进汉化Oswestry功能障碍指数(ODI)、汉译RMDQ量表和总体疗效,以及出现热敏灸感的次数和效应种类。结果治疗前两组VAS、ODI、RMDQ评分比较差异无统计学意义(P>0.05);治疗后两组总有效率比较差异无统计学意义(P>0.05),热敏灸组治愈率高于温和灸组(P<0.05);治疗后两组VAS均降低(P<0.05),热敏灸组VAS低于温和灸组(P<0.05);治疗第2周、第4周后ODI、RMDQ量表评分较治疗前显著下降(P<0.05),热敏灸组ODI、RMDQ量表评分显著低于温和灸组(P<0.05)。6种热敏灸感中扩热最常见,且热敏灸感出现的次数随治疗而变化。结论热敏灸和温和灸结合针刺均能有效改善腰痛和腰部功能障碍,热敏灸结合针刺疗效更优。热敏灸感因人因时不同,临床中需辨证施灸。
Objective To observe the efficacy of heat-sensitive moxibustion and acupuncture in treating patients with low back pain(LBP). Methods A total of 60 patients with low back pain were randomly divided into the heat-sensitive moxibustion group and warming moxibustion group. Both groups were treated with acupuncture. The heat-sensitive moxibustion group was treated with heat-sensitive moxibustion,while the warming moxibustion group was treated with moxibustion on the tender points. The visual analog scale(VAS),Oswestry disability index(ODI),Roland-Morris disability questionnaire(RMDQ)were used to evaluate the efficacy. The frequency and types of heat-sensitive phenomena were also recorded. Results VAS,ODI,RMDQ had no significant difference before treatment. The overall efficacy of both groups had no significant difference(P>0.05),but the cure rate of the heat-sensitive moxibustion was significantly higher than that of the other group(P<0.05). After treatment,VAS decreased compared with those before treatment in both groups(P<0.05). The reducing amplitude of VAS in the heat-sensitive moxibustion group was superior to that of the other group(P<0.05). After two weeks and four weeks’ treatment,ODI and RMDQ were reduced compared with those before treatment in both groups(P<0.05). ODI and RMDQ of the heat-sensitive group were lower than those of the other group(P<0.05),both after two weeks and four weeks. The feeling of the extension of heat was the most likely reaction among the six heat-sensitive feelings. The appearance of heat-sensitive feelings changed according to the treatment. Conclusion Both heat-sensitive moxibustion and warming moxibustion along with acupuncture can improve LBP and functional impairment,while the former has better efficacy. The heat-sensitive moxibustion phenomena differentiate with people and the course of the disease. Doctors should use moxibustion through differentiation of symptoms and signs in clinical practice.
作者
陈唯依
徐婷
肖鑫冉
钟佳玲
邬凌俊
梁晶
余安胜
CHEN Weiyi;XU Ting;XIAO Xinran;ZHONG Jialing;WU Lingjun;LIANG Jing;YU Ansheng(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai Jinqiao Community Health Service Center,Shanghai 201206,China;Songjiang District Fangta Hpspital of Traditional Chinese Medicine,Shanghai 201699,China;Special Medical Technology Research Center of Shanghai Institute of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《辽宁中医药大学学报》
CAS
2021年第2期181-184,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
上海市卫生和计划生育委员会项目(HDC12016242)。
关键词
热敏灸
腰痛
辨证施灸
临床观察
heat-sensitive moxibustion
low back pain
moxibustion through differentiation of symptoms and signs
clinical observation
