不同剂型特色水药罐治疗椎间盘源性腰痛疗效观察

Therapeutic Observation of Different Medicinal Forms of Hydro-medicinal Cupping for Discogenic Low Back Pain

目的观察使用中药免煎颗粒冲化的特色水药罐治疗椎间盘源性腰痛的临床疗效。方法将60例椎间盘源性腰痛患者随机分为治疗组和对照组,每组30例。两组均在腰阳关及两侧拔水药罐,治疗组采用中药免煎颗粒冲化的水药罐,对照组采用传统剂型制作的水药罐。治疗4个疗程后,观察两组治疗前后疼痛评分,并比较两组临床疗效。结果两组治疗后疼痛评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后疼痛评分与对照组比较,差异无统计学意义(P>0.05)。治疗组总有效率为93.3%,对照组为96.7%,两组比较差异无统计学意义(P>0.05)。结论特色水药罐是一种治疗椎间盘源性腰痛的有效方法,使用中药免煎颗粒冲化与传统剂型制作的疗效无差别。

Objective To observe the clinical efficacy of hydro-medicinal cupping using Chinese medicinal granules in treating discogenic low back pain. Methods Sixty patients with discogenic low back pain were randomized into a treatment group and a control group, 30 in each group. The two groups were both intervened by hydro-medicinal cupping at Yaoyangguan （GV 3） and two sides of the point, while the Chinese medicinal granules were used in the treatment group and the conventional form of medicine was used in the control group. The pain score was observed before treatment and after 4 treatment courses, and the clinical efficacies were also compared. Results The pain scores were significantly changed after intervention in both groups （P〈0.01）. After intervention, there was no significant difference in comparing pain score between the two groups （P〉0.05）. The total effective rate was 93.3%in the treatment group versus 96.7% in the control group, and the difference was statistically insignificant （P〉0.05）. Conclusions Hydro-medicinal cupping is an effective approach in treating discogenic low back pain, and there is no marked difference in efficacy between the Chinese medicinal granules and conventional form of medicine.