督脉盘龙灸法治疗瘀阻督脉型盘源性腰痛的临床研究

Clinical Application of Du Panlong Moxibustion for Treating Discogenic Low Back Pain

目的:探讨以葛根泥为媒介的盘龙灸法在盘源性腰痛治疗中的可能机制及其疗效。方法:将90例诊断为瘀阻督脉型盘源性腰痛的住院患者随机分为葛根泥盘龙灸法组(治疗组)、生姜盘龙灸法组(对照组)及传统中医定向透药组(空白对照组),每组30例,观察3组患者治疗前、治疗2周、4周不同时间点的腰部疼痛、Oswestry功能障碍指数表评分变化,检测上述时间点三组患者血常规、血沉、C-反应蛋白,进行统计分析。结果:治疗组及对照组在治疗2周、4周两个时间点腰部疼痛评分、Oswestry调查量表评分及血沉、C-反应蛋白检测,均较空白对照组差异有统计学意义(P<0.05)。结论:以葛根泥为媒介的盘龙灸可有效减轻该类患者的炎症反应,缓解腰部疼痛,改善腰背功能及健康状况,安全有效,值得推广。

Objective：To study the treatment effect and mechanism of Panlong moxibustion with pueraria mud as the media for treating discogenic low back pain.Methods：All 90 cases diagnosed as discogenic low back pain patients were randomly divided into pueraria mud Panlong moxibustion group,ginger Panlong moxibustion group and traditional Chinese medicine through directional group,with 30 cases in each group.The degree of low back pain and the Oswestry disability index scale changes were observed in three groups before treatment,at 2nd weeks and 4th weeks time points.The results of blood routine,ESR,C-reactive protein were detected and statistically analyzed at that time point between two or in three groups.Results：The waist pain score,Oswestry scale score,and the level of ESR,C-reactive protein were significantly different between treatment group and control group at 2nd weeks and 4th weeks time points（P〈0.05）.Conclusion：Panlong moxibustion with pueraria mud as the media can effectively reduce inflammation reaction of the patients,alleviate waist pain,improve lumbar function and health status,is safe and effective,and is worthy for promotion.