蜡疗法治疗腰椎间盘突出症(气血瘀滞证)的临床研究

Clinical Research on Needle Warming Moxibustion Combined with Mud Wax Therapy of TCM on Lumbar Disc Protrusion of the Blood Stasis Type

目的观察采用温针灸联合中药泥蜡疗法治疗腰椎间盘突出症(气血瘀滞证)的临床疗效。方法将符合诊断及纳入标准的118例患者根据治疗情况选入结合组32例,泥蜡组26例,温针灸组28例,西医组32例,西医组依据腰椎间盘突出症的治疗标准,给予对应的西医非手术治疗;温针灸组在西医治疗的基础上,加用温针灸疗法;泥蜡组在西医治疗的基础上,加用中药泥蜡疗法;结合组在除西医治疗外给予温针灸联合中药泥蜡疗法;4组治疗均10 d为1个疗程,共治疗3个疗程。结果从临床疗效、Macnab疗效评定、中医证候评分等几方面结合组均优于西医组(P<0.05);在经治疗后各时间段的VAS评分比较上,结合组要优于其他3组(P<0.05)。结论自温针灸联合中药泥蜡疗法治疗腰椎间盘突出症(气血瘀滞证)的临床应用疗效显著。

Objective： To investigate the clinical effect of needle wanning moxibustione combined with Mud Wax Therapy of TCM on lumbar disc protrusion of the blood stasis type. Methods： According to the treatment, 118 cases,who met the diagnostic and inclusion criteria,were divided into the combination group（32 cases）,Mud Wax group （26 cases）,needle warming moxibustione group （28 cases） and Western medicine group （32 cases）. According to the standard of treatment of lumbar disc protrnsion ,Western medicine group received the corre- sponding non-surgical treatment of Western medicine;on the basis of Western medicine treatment,needle warm- ing moxibustione group was added needle warming moxibustione;Mud Wax group was added Mud Wax Therapy of TCM ; the combination group was added needle warming moxibustione combined with Mud Wax Therapy of TCM. The treatment course of each group lasted for 10 days,and there were 3 courses. Results： The combination group was better than Western medicine group in clinical curative effect, Macnab curative effect, evaluation,TCM symp- tom scores,and so on. Compared with the other 3 groups after treatment,the VAS score of the treatment group was better. Conclusion： Needle warming moxibustione combined with Mud Wax Therapy of TCM has a remarkable clinical curative effect on lumbar disc protrusion of the blood stasis type.