加强隔附子饼灸治疗肾阳虚型腰椎间盘突出症的临床研究

Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney- yang- deficiency- type lumbar disc herniation

目的:观察加强隔附子饼灸治疗肾阳虚型腰椎间盘突出症的临床疗效。方法:将140例肾阳虚型腰椎间盘突出症患者随机分为3组,分别采用加强隔附子饼灸联合基础疗法、隔附子饼灸联合基础疗法及基础疗法治疗。10 d为1个疗程,连续治疗2个疗程。比较治疗前后3组数字疼痛强度量表(numerical rating scale,NRS)评分及日本骨科学会(Japanese orthopaedic association,JOA)评分,并于治疗2个疗程后比较3组患者的临床综合疗效。结果:治疗前3组患者的NRS评分及JOA评分比较,组间差异均无统计学意义[(6.20±0.37)分,(6.35±0.34)分,(6.27±0.27)分,F=2.183,P=0.117;(14.83±2.43)分,(15.30±3.70)分,(16.33±4.41)分,F=0.060,P=0.942]。治疗2个疗程后,加强隔附子饼灸组的NRS评分低于隔附子饼灸组和基础疗法组[(3.98±0.24)分,(4.50±0.21)分,(5.92±0.23)分,F=9.875,P=0.000],加强隔附子饼灸组的JOA评分高于隔附子饼灸组和基础疗法组[(18.64±3.62)分,(18.23±3.59)分,(16.90±3.53)分,F=3.296,P=0.040]。加强隔附子饼灸组治愈12例、好转25例、无效3例,隔附子饼灸组治愈10例、好转26例、无效4例,基础疗法组治愈10例、好转35例、无效15例,加强隔附子饼灸组的临床综合疗效优于隔附子饼灸组和基础疗法组(Z=6.671,P=0.036)。结论:采用加强隔附子饼灸联合基础疗法治疗肾阳虚型腰椎间盘突出症,可以有效缓解疼痛症状、促进腰椎功能恢复,值得临床推广应用。

Objective：To observe the clinical curative effects of intensive aconite root cake separated moxibustion in the treatment of kidney -yang - deficiency -type lumbar disc herniation（LDH）.Methods：One hundred and forty patients with kidney -yang - deficien-cy -type LDH were randomly divided into 3 groups and were treated with intensive aconite root cake separated moxibustion combined with basic therapy（group A）,aconite root cake separated moxibustion combined with basic therapy（group B）and basic therapy（group C）re-spectively for consecutive two course of treatment,1 0 days for each course.The numerical rating scale（NRS）scores and Japanese orthopae-dic association（JOA）scores were compared between the 3 groups before and after the treatment,and the total curative effects were also com-pared between the 3 groups after two -course treatment.Results：There was no statistical difference in NRS scores and JOA scores between the 3 groups before the treatment（6.20 ＋/-0.37,6.35 ＋/-0.34,6.27 ＋/-0.27 points,F =2.1 83,P =0.1 1 7;1 4.83 ＋/-2.43,1 5.30 ＋/-3.70,1 6.33 ＋/-4.41 ,F =0.060,P =0.942）.The NRS scores of group A were lower than those of group B and group C after two -course treatment（3.98 ＋/-0.24,4.50 ＋/-0.21 ,5.92 ＋/-0.23 points,F =9.875,P =0.000）,and the JOA scores of group A were higher than those of group B and group C（1 8.64 ＋/-3.62,1 8.23 ＋/-3.59,1 6.90 ＋/-3.53 points,F =3.296,P =0.040）.Twelve patients ob-tained an excellent result,25 good and 3 poor in the group A;while 1 0 patients obtained an excellent result,26 good and 4 poor in the group B;and 1 0 patients obtained an excellent result,35 good and 1 5 poor in the group C.The group A surpassed the group B and group C in the total curative effect（Z =6.671 ,P =0.036）.Conclusion：Combination of intensive aconite root cake separated moxibustion with basic ther-apy can effectively relieve the pain and promote the lumbar functional recovery in the treatment of kidney -yang -deficiency -type LDH, so it is worthy of popularizing in clinic.