天灸治疗腰椎间盘突出症之腰痛的临床疗效研究

Clinical Effects of Crude Herb Moxibustion on Treating Low Back Pain of Lumbar Disc Herniation

目的探讨天灸治疗腰椎间盘突出症之腰痛的临床疗效。方法选取2015年12月—2016年2月在广东省中医院针灸科门诊接受治疗的腰椎间盘突出症患者60例,均以腰痛为主诉。采用随机数字表法将纳入患者分为对照组和天灸组,每组30例。天灸组患者接受天灸治疗,以白芥子、细辛、甘遂、延胡索粉加姜汁制成药膏;对照组患者接受假天灸治疗,以荞麦粉、色素加姜汁制成药膏。两组患者取穴及其他操作相同,治疗时间均为4周。比较两组患者治疗前后的日本骨科协会(JOA)下腰痛量表得分、视觉模拟评分量表(VAS)得分,以及临床疗效。结果共57例患者按要求完成了治疗,其中对照组29例,天灸组28例。治疗前两组患者JOA下腰痛量表、VAS得分比较,差异无统计学意义(P>0.05);治疗后天灸组患者JOA下腰痛量表得分高于对照组,VAS得分低于对照组,差异有统计学意义(P<0.05);治疗后两组患者JOA下腰痛量表得分均高于治疗前,VAS得分均低于治疗前,差异有统计学意义(P<0.05)。天灸组患者临床疗效优于对照组,差异有统计学意义(P<0.05)。结论天灸治疗腰椎间盘突出症之腰痛的临床疗效确切,可减轻患者疼痛程度,且操作简单安全,值得在临床上推广使用。

Objective To discuss the clinical efficacy of crude herb moxibustion on treating low back pain of lumbar disc herniation. Methods Sixty patients with lumbar disc herniation who were with low back pain complaints and received treatment in the Outpatient of Acupuncture and Moxibustion Deparment in Guangdong Hospital of TCM from December 2015 to February 2016 were selected and divided into control group and crude herb moxibustion group by random number table method. Each group had 30 cases. Patients in crude herb moxibustion group were treated with crude herb moxibustion,of which white mustard seed,asarum,euphorbia kansui and rhizoma corydalis added with ginger juice were made into ointment; while patients in control group were treated with placebo crude herb moxibustion,of which buckwheat powder and pigment added with ginger juice was made into ointment. Both of the two groups were treated for four weeks. The scores of Low Back Pain Scale of Japanese Orthopaedic Association（JOA） and Visual Analog Scale（VAS）,and clinical efficacy before and after treatment of patients in two groups were compared. Results A total of 57 patients completed the treatment according to the requirements,respectively,the control group of 29 cases,and the crude herb moxibustion group of 28 cases. The scores of JOA Low Back Pain Scale and VAS before treatment of patients in two groups showed no significant differences（P〉0. 05）; the scores of JOA Low Back Pain Scale after treatment of patients in crude herb moxibustion group were significantly higher than those in control group,while VAS scores were significantly lower than those in control group（P〈0. 05）; The JOA Low Back Pain Scale scores and VAS scores of patients in two groups after treatment were significantly higher and lower than those before treatment respectively（P〈0. 05）. The clinical effect of crude herb moxibustion group was significantly better than that in control group（P〈0. 05）.Conclusion The crude herb moxibustion therapy has definite clinical effect on treating low back pain of lumbar disc herniation,it can alleviate the pain degree of patients and be used in a simple and secure way,which is worth promoting in clinic.