大面积艾绒温灸对寒湿痹阻型腰椎间盘突出症下肢麻木的影响

The influence of large area of warming moxibustion with moxa on the numbness of lower limb in lumbar disc herniation patients with syndrome of blockade of cold-dampness

目的探讨大面积艾绒温灸对寒湿痹阻型腰椎间盘突出症下肢麻木患者的影响。方法分析四川省眉山市中医医院2017年7月～2018年3月收治的100例寒湿痹阻型腰椎间盘突出症下肢麻木患者的临床资料,依据治疗方式不同分为对照组(常规针刺)和观察组(大面积艾绒温灸),各50例。观察两组患者治疗前后视觉模拟评分(VAS)、日本骨科协会评估治疗分数(JOA)、腰椎活动度情况,比较两组患者的临床效果、满意度和3个月内复发率情况。结果两组患者治疗前VAS评分、JOA评分、腰椎活动度比较,差异均无统计学意义(P> 0.05)。治疗后两组VAS评分低于治疗前,JOA评分、腰椎活动度高于治疗前,且观察组治疗后VAS评分低于对照组,JOA评分、腰椎活动度高于对照组,差异有统计学意义(P <0.05)。观察组临床治疗总有效率、满意度高于对照组,3个月内复发率低于对照组,差异有统计学意义(P <0.05)。结论大面积艾绒温灸应用于寒湿痹阻型腰椎间盘突出症下肢麻木患者可以减轻疼痛,提高预后恢复和疗效,降低复发率,值得临床推广应用。

Objective To investigate the influence of large area of warming moxibustion with moxa on the numbness of lower limb in lumbar disc herniation patients with syndrome of blockade of cold-dampness. Methods The clinical data of numbness of lower limb in 100 cases of lumbar disc herniation patients with syndrome of blockade of cold-dampness admitted to TCM Hospital of Meishan City in Sichuan Province from July 2017 to March 2018 was analyzed. The patients were divided into control group (conventional acupuncture) and observation group (large area of warming moxibustion with moxa) according to different treatment methods, with 50 cases in each group. The visual analogue scale (VAS), Japanese Orthopaedic Association (JOA) scores, lumbar motility of the two groups were observed before and after treatment. The clinical effect, satisfaction degree and recurrence rate within 3 months of two groups were compared. Results Before treatment, there were no statistically significant differences of the VAS score, JOA score, lumbar motility between the two groups (P > 0.05). After treatment, the VAS scores of the two groups were lower than those before treatment, the JOA scores, lumbar motility were higher than those before treatment, and the VAS scores of observation group after treatment were lower than those of control group, the JOA scores and lumbar motility were higher than those of control group, the differences were statistically significant (P < 0.05). The clinical total effective rate, satisfaction degree of observation group were higher than those of control group, the recurrence rate within 3 months was lower than that of control group, the differences were statistically significant (P < 0.05). Conclusion The application of large area of warming moxibustion with moxa on the numbness of lower limb in lumbar disc herniation patients with syndrome of blockade of cold-dampness can relieve pain of patients, improve the prognosis recovery and curative effect, decrease recurrence rate, which is worthy of clinical promotion and application.