摘要
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 4lumbar 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.
作者
刘静
王彤
徐道明
刘兰英
季发权
许华宁
陈铭
曹雅娜
黄驰欢
LIU Jing;WANG Tong;XU Dao-ming;LIU Lan-ying;JI Fa-quan;XU Hua-ning;CHEN Ming;CAO Ya-na;HUANG Chi-huan(Rehabilitation Center,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Acupuncture and Rehabilitation Department,The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210004;Nuclear Medicine Department,The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210004;Ultrasound Medicine Department,The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210004)
出处
《针刺研究》
CAS
CSCD
北大核心
2022年第9期809-813,共5页
Acupuncture Research
基金
江苏省卫生健康委员会项目(No.H2019093)
江苏省研究生实践创新计划项目(No.SJCX21_0766)
南京市科学技术委员会项目(No.201611008)。
关键词
骨质疏松症
骨骼肌质量减少
杨氏模量
筋骨并重
Osteoporosis
Low skeletal muscle mass
Young’s modulus
Equal importance to sinew and bone
