基于新构建操作规范及质量考核标准的吴氏长蛇灸治疗腰椎间盘突出症临床疗效观察

Observation on the clinical effect of Wu’s long snake moxibustion on patients with lumbar disc herniation

目的:探讨构建新操作规范及质量考核标准的吴氏长蛇灸治疗腰椎间盘突出症的效果。方法:选择2022年1月~2022年12月腰椎间盘突出症患者72例,随机数字表法分为观察组及对照组各36例。对照组采用双氯芬酸钠联合甲钴胺治疗,观察组在对照组基础上采用吴氏长蛇灸联合治疗,两组均完成8周干预,比较两组患者治疗前后Oswestry功能障碍指数问卷表(ODI)、日本骨科学会(JOA)评定量表评分、视觉模拟疼痛(VAS)评分及不良反应发生率。结果:两组患者治疗后ODI、VAS均降低,观察组治疗后ODI及VAS评分低于对照组(P<0.05);两组患者治疗后JOA评分均升高,观察组治疗后JOA评分高于对照组(P<0.05);两组患者治疗过程中头晕、嗜睡、恶心呕吐、血压波动及肝肾异常等不良反应发生率无统计差异(P>0.05)。结论:基于新构建的操作规范及质量考核标准规范的吴氏长蛇灸可改善腰椎间盘突出症患者功能障碍、减轻疼痛,促进患者功能恢复,未增加不良反应发生率,适合推广应用。

Objective:To investigate the effect of Wu’s long snake moxibustion on lumbar disc herniation.Methods:72patients with lumbar disc herniation from January 2022to December 2022were selected and divided into observation group and control group with 36cases in each group by random number table method.The control group was treated with diclofenac sodium combined with mecobalamine,and the observation group was treated with Wu’s long snake moxibustion.Both groups completed the 8-week intervention.The ODI,JOA,VAS scores and the incidence of adverse reactions were compared between the two groups before and after treatment.Results:ODI and VAS were decreased in both groups after treatment,and ODI and VAS scores in observation group were lower than those in control group(P<0.05).JOA score in both groups was increased after treatment,and the JOA score in observation group was higher than that in control group(P<0.05).There was no statistical difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Wu’s long snake moxibustion can improve the dysfunction of patients with lumbar disc herniation,relieve pain,promote functional recovery of patients,and does not increase the incidence of adverse reactions.