敦煌艾灸疗法配合腰背肌功能锻炼治疗慢性腰腿痛疗效观察

Clinical Observation of Dunhuang Moxibustion Method Combined with Lumbar Muscle Functional Exercise on Chronic Lumbocrural Pain

目的:研究敦煌吐蕃医学中艾灸疗法配合腰背肌功能锻炼治疗慢性腰腿痛临床疗效。方法:回顾性研究本院宋氏正骨科2013年2月—2014年2月收治的慢性腰腿痛患者96例,按就诊顺序随机分为两组,治疗组(48例)予以敦煌艾灸疗法配合腰背肌功能锻炼,对照组(48例)予以敦煌艾灸疗法,两组患者经治疗每天1次,14 d为1个疗程,于治疗前后对两组就诊患者采用视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)进行评分。结果:两组患者经治疗1个疗程,随访6个月后,治疗前后VAS和ODI评分比较均有显著改善(P<0.05或P<0.01);治疗后经随访6个月,治疗组VAS和ODI评分优于对照组(P<0.05)。结论:两种方法治疗慢性腰腿痛均具有临床疗效,但敦煌艾灸疗法配合腰背肌功能锻炼更能够缓解临床症状,疗效肯定,值得推广应用。

Objective： To observe the clinical effect of moxibustion method of Dunhuang Tibetan medicine combined with functional exercise of lumbar muscle on chronic lumbocrural pain. Methods： By retrospective research,96 cases with chronic lumbocrural pain in our hospital,according to the treatment order,were randomly divided into two groups. The treatment group（ 48 cases）used moxibustion treatment method of Dunhuang combined with functional exercise of lumbar muscle and the control group（ 48cases） moxibustion treatment method of Dunhuang. Two groups were treated once a day,14 days for a course of treatment. Before and after treatment,visual analogue scale（ VAS） and Oswestry Disability Index（ ODI） score were used to evaluate the effect. Results： After a course of treatment and follow- up for six months later,VAS and ODI scores were significantly improved in both groups after treatment（ P〈0. 05 or P〈0. 01）. Follow- up for six months,the treatment group＇s VAS and ODI scores were better than those of the control group（ P〈0. 05）. Conclusion： The clinical effect of the two ways on chronic lumbocrural pain is effective,but moxibustion treatment method of Dunhuang combined with functional exercise of lumbar muscle is more effective to relieve symptoms,worthy of promoting and application.