扶阳通督灸法治疗寒湿腰痛的临床效果

Clinical effect of Fuyang Tongdu moxibustion in the treatment of cold and damp low back pain

目的观察扶阳通督灸法治疗寒湿腰痛的临床效果。方法选取2017年7月~2018年6月在十堰市中西医结合医院治疗的60例寒湿腰痛患者,按照治疗方式的不同分为治疗组与对照组,各30例。治疗组采用扶阳通督灸法治疗,对照组采用温针灸治疗,两组均以10次为1个疗程。治疗结束后,采用疼痛视觉模拟评分(VAS)评估疼痛程度,采用日本骨科协会评估治疗分数(JOA)评价腰椎功能和临床疗效。结果治疗组患者治疗后的VAS评分[(1.80±0.96)分]低于本组治疗前[(6.95±1.34)分],差异有统计学意义(P<0.05);JOA评分[(21.46±2.53)分]高于本组治疗前[(12.87±2.16)分],差异有统计学意义(P<0.05);对照组患者治疗后的VAS评分[(2.07±1.02)分]低于本组治疗前[(6.84±1.60)分],差异有统计学意义(P<0.05),JOA评分[(18.60±2.18)分]高于本组治疗前[(13.26±2.76)分],差异有统计学意义(P<0.05);治疗组患者治疗后的VAS评分低于对照组,JOA评分高于对照组,差异有统计学意义(P<0.05)。结论扶阳通督灸法治疗寒湿腰痛,能有效缓解疼痛、改善腰椎功能,效果明显,值得临床推广。

Objective To observe the clinical effect of Fuyang Tongdu moxibustion in the treatment of cold and damp low back pain.Methods A total of 60 patients with cold and damp low back pain who were treated in Hospital of Integrated Traditional Chinese and Western Medicine of Shiyan City from July 2017 to June 2018 were selected.According to the different treatment methods,the patients were divided into the treatment group and the control group,30 cases in the each group.The treatment group was treated with Fuyang Tongdu moxibustion method,and the control group was treated with warm acupuncture.The two groups were treated with 10 times for one course.After the end of treatment,the pain visual analogue scale (VAS) was used to assess the degree of pain,and the Japanese Orthopaedic Association (JOA) evaluation of the treatment score was used to evaluate the lumbar function and clinical outcome.Results The VAS score in the treatment group after treatment ([1.80±0.96] points) was lower than that before treatment ([6.95±1.34] points),and the difference was statistically significant (P<0.05).The JOA score ([21.46±2.53] points) after treatment in the treatment group was higher than that before treatment ([12.87±2.16] points),and the difference was statistically significant (P<0.05).The VAS score of the control group after treatment ([2.07±1.02] points) was lower than that before treatment ([6.84±1.60] points),and the difference was statistically significant (P<0.05).The JOA score ([18.60±2.18] points) after treatment of the control group was higher than that before treatment ([13.26±2.76] points),and the difference was statistically significant (P<0.05).The VAS scores of the treatment group after treatment were lower than those of the control group,and the JOA score was higher than that of the control group,and the difference was statistically significant (P<0.05).Conclusion Fuyang Tongdu moxibustion in the treatment of cold and damp low back pain can effectively relieve pain and improve lumbar function,and the effect is obvious,which is worthy of clinical promotion.