督灸联合刺络拔罐对寒湿痹阻型腰椎间盘突出症患者腰椎功能及疼痛程度的影响

Effect of Du Moxibustion Combined with Puncturing Collaterals and Cupping on Lumbar Function and Pain Degree in Patients with Lumbar Disc Herniation of Cold Dampness Obstruction Type

目的观察督灸联合刺络拔罐对寒湿痹阻型腰椎间盘突出症患者腰椎功能及疼痛程度的影响.方法选取2021年2月—2022年2月本院收治的112例寒湿痹阻型腰椎间盘突出症患者为研究对象,按照随机数字表法分为对照组(n=56)与研究组(n=56).对照组采用刺络拔罐治疗,研究组在对照组基础上联用督灸治疗.对比两组临床效果.结果治疗前,两组日本骨科协会评估治疗(JOA)评分、疼痛视觉模拟(VAS)评分、硬膜外压痕纵轴值比较,组间差异无统计学意义(P>0.05);治疗后,研究组JOA评分(24.92±1.01)分高于对照组的(21.46±1.10)分,VAS评分(5.21±0.74)分低于对照组的(5.92±0.60)分,硬膜外压痕纵轴值(4.09±1.17)mm小于对照组的(5.56±1.84)mm,组间差异有统计学意义(P<0.05).治疗前,两组腰腿冷痛、肢体困重、转侧不利积分比较,组间差异无统计学意义(P>0.05);治疗后,研究组腰腿冷痛、肢体困重、转侧不利积分分别为(2.41±0.33)分、(1.01±0.25)分、(1.17±0.58)分,均低于对照组的(3.57±0.47)分、(2.26±0.43)分、(2.46±0.73)分,组间差异有统计学意义(P<0.05).研究组治疗总有效率96.43%高于对照组的78.57%,差异有统计学意义(P<0.05).结论在寒湿痹阻型腰椎间盘突出症患者的临床治疗中,督灸联合刺络拔罐能够减轻患者的腰椎疼痛,促进腰椎功能恢复,改善预后,具有更好的治疗效果.

Objective To observe the effect of Du moxibustion combined with puncturing collaterals and cupping on lumbar function and pain degree in patients with lumbar disc herniation of cold dampness obstruction type.Methods 112 cases of lumbar disc herniation of cold dampness obstruction type treated in the hospital from February 2021 to February 2022 were selected as the research object and were divided into a control group(n=56)and a study group(n=56)according to random number table method.The control group was treated with puncturing collaterals and cupping,the study group was combined with Du moxibustion therapy on the basis of the control group.The clinical effect of the two groups was compared.Results Before treatment,there were no significant differences in Japanese Orthopaedic Association(JOA)score,pain visual analog scale(VAS)score and epidural indentation longitudinal axis value between the two groups(P>0.05);after treatment,the JOA score of the study group was(24.92±1.01)points,which was higher than(21.46±1.10)points of the control group,the VAS score was(5.21±0.74)points,which was lower than(5.92±0.60)points of the control group,the epidural indentation longitudinal axis value was(4.09±1.17)mm,which was smaller than(5.56±1.84)mm in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference between the two groups in cold pain in waist and leg,limb sleepiness and adverse lumbar rotation(P>0.05);after treatment,the scores of cold pain in waist and leg,limb sleepiness and adverse lumbar rotation of the control group were(2.41±0.33)points,(1.01±0.25)points and(1.17±0.58)points,respectively,which were lower than(3.57±0.47)points,(2.26±0.43)points,(2.46±0.73)points of the control group,and the differences between the groups were statistically significant(P<0.05).The total effective rate of the study group was 96.43%,which was higher than 78.57%in the control group,and the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of patients with lumbar disc herniation of cold dampness obstruction type,the combination of Du moxibustion and puncturing collaterals and cupping can reduce the pain of the lumbar,promote the recovery of lumbar function,improve the prognosis,and have better therapeutic effect.