热敏灸治疗腰椎间盘突出症临床研究

Study on the Curative Effect of Thermal Moxibustion Treating Lumbar Disc Herniation

目的比较热敏灸与传统灸法、常规西药配合针刺治疗腰椎间盘突出症的临床疗效。方法纳入180例合格受试者,采用随机数字表法,分为3组,A组:大肠俞-腰俞-对侧大肠俞区域内热敏灸治疗;B组:上述区域选穴传统灸法治疗。C组:常规西药配合针刺治疗。3组均治疗2周,共计18次。于治疗前、治疗结束及结束后6个月采用改良日本骨科学会腰痛评分表(M-JOA)进行临床疗效评价。结果治疗结束后,3组间存在统计学差异,热敏灸组在改善患者腰痛及功能障碍方面优于传统灸法对照组、常规西药配合针刺组(P<0.05)。经6个月的随访,热敏灸的疗效优势依然保持(P<0.05)。结论热敏灸治疗腰椎间盘突出症的临床疗效显著。优于传统灸法及常规西药配合针刺。

OBJECTIVE To compare the differences of curative effect among thermal moxibustion,traditional moxibustion and conventional Western medicine with acupuncture in the treatment of Lumbar Disc Herniation.METHODS 180 cases were randomly divided into 3 groups.A group：Applying thermal moxibustion therapy to the inside region of Dachangshu-Yaoshu （Du 2）-Dachangshu on the contralateral for treatment.B group：Using traditional moxibustion therapy to cure by selecting the acupuncture points in the above regions.C group：Employing the method of the conventional Western medicine with acupuncture.All groups were treated for two weeks,in total of 18 times.Observing the therapeutic effect by using the modified lumbago rating scale from the Japanese Orthopaedic Association in both periods：before treatment,the end of treatment and last for another six months.RESULTS After treatment,there is a significant difference between the 3 groups.In the aspects of improving lumbago and dysfunction,the group of thermal moxibustion are obviously better than the group using traditional moxibustion and control group applied the method of conventional Western medicine with acupuncture （P ＜0.05）.After 6 months＇ observation,the advantages of curative effect was still obviously in group with thermal moxibustion.CONCLUSION The curative effect of thermal moxibustion is significant compared with traditional moxibustion （P＜0.05） and conventional Western medicine with acupuncture （P＜0.05）.