药罐疗法治疗寒湿型腰椎间盘突出症疗效观察

Clinical Curative Effect of Drug Cupping Therapy on Lumbar Intervertebral Disc Protrusion of Cold Dampness Type

目的:探讨传统药罐疗法对寒湿型腰椎间盘突出症患者的影响。方法:选择钦州市第一人民医院收治的60例寒湿型腰椎间盘突出症患者,按照随机数字表法平均分为对照组与观察组,每组各30例。对照组采用牵引、针灸、推拿的常规综合保守疗法,观察组在对照组基础上增加药罐疗法。两组均以6次为1个疗程,疗程与疗程之间间隔1 d,共治疗4个疗程。比较两组的临床疗效,观察两组治疗前后的中医证候积分及腰椎功能量表评分(JOA评分)变化情况。结果:(1)观察组30例中,临床痊愈14例,显效11例,有效4例,无效1例;对照组30例中,临床痊愈7例,显效10例,有效12例,无效1例。两组疗效比较,经统计学分析,观察组优于对照组(P<0.05)。(2)治疗前,两组患者的中医证候积分及腰椎功能量表评分(JOA评分)差异无显著性。治疗后,观察组患者的中医证候积分及腰椎功能量表评分(JOA评分)分别为(5.38±1.47)、(25.56±5.27)分,均分别低于和高于对照组的(8.41±2.55)、(20.21±4.25)分,经统计学分析,差异均有统计学意义(P<0.05)。结论:常规综合保守疗法联合传统药罐疗法治疗寒湿型腰椎间盘突出症,其临床疗效更为显著,值得临床推广应用。

Objective ： To investigate the influence of the traditional drug cupping therapy on patients with cold dampness type of Lumbar Intervertebral Disc Protrusion（LIDP）. Methods：Sixty patients with cold dampness type LIDP from Qinzhou First People＇s Hospital were randomly divided into an observational group （30 cases）and a control group （30 cases）, according to the number table methods. In the control group ,lumbar traction therapy, acupuncture and manipulation were used in combination while the observational group was introduced traditional drug cupping therapy on the basis of the intervention of the control group. The course was 6 times in two groups and the interval was one day. The curative effect was compared between two groups after four courses. TCM syndrome score and JOA low back pain score（JOA score）before and after treatment were observed in two groups. Results：（ 1 ）In the observational group, 14 cases were cured, 11 cases were obviously improved,4 cases were improved and 1 case ineffective. In the control group,7 cases were cured, 10 cases were obviously improved, 12 cases were improved and 1 case ineffec- tive. The statistical results showed that the curative effect of the observational group was superior to that of the control group （ P 〈 0.05 ）. （2） Before treatment,the TCM syndrome scores and JOA scores of two groups had no statistically significant differences（P 〈0.05）. After treatment,the TCM syndrome scores and JOA scores of the observational group were 5.38 ± 1.47 and 25.56 ± 5.27, which were lower or higher than those in the control group [ （ 8.41± 2.55,20. 21 ± 4.25 ） ] respectively. The differences were both statistically significant （ P 〈 0.05 ）. Conclusion ： Routine comprehensive conservative therapy combined with traditional drug cupping therapy has a significantly good curative effect in the treatment of cold dampness type LIDP ,which is worthy of clini- cal popularization and application.