长蛇灸治疗寒湿型非特异性腰痛临床观察

Effect of long-snake moxibustion on nonspecific low back pain with symptom of cold and dampness

目的:比较长蛇灸与阿是穴隔姜灸治疗寒湿型非特异性腰痛(NLBP)的临床疗效。方法:将120例患者随机分为长蛇灸组、阿是穴组和待治疗组,每组40例。长蛇灸组选取督脉大椎至腰俞段、阿是穴组选取患处阿是穴作为施灸部位行隔姜灸,每次40 min,隔日1次,共治疗8次;待治疗组在试验期间不做任何干预,待试验结束后予长蛇灸治疗。分别于治疗前后观察3组患者休息及活动视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分和寒湿证候积分。结果:治疗后长蛇灸组、阿是穴组患者活动及休息VAS评分、ODI评分和寒湿证候积分均较治疗前下降(P<0.05);治疗后长蛇灸组、阿是穴组各项指标下降程度均大于待治疗组(P<0.05),长蛇灸组各项指标下降程度均大于阿是穴组(P<0.05)。结论:长蛇灸可有效改善寒湿型NLBP患者疼痛感觉、功能障碍及寒湿证候,其改善作用优于阿是穴隔姜灸。

Objective To compare the clinical therapeutic effect of long-snake moxibustion and ginger-partitioned moxibustion at ashi point on nonspecific low back pain(NLBP)with symptom of cold and dampness.Methods A total of 120 patients were randomized into a long-snake moxibustion group,an ashi point group and a waiting for treatment group,40 cases in each one.Ginger-partitioned moxibustion was applied from Dazhui(GV 14)to Yaoshu(GV 2)of governor vessel in the long-snake moxibustion group,and was applied at ashi point of affected area in the ashi point group,40 min each time,once every other day and totally 8 times were required.No intervention was adopted in the waiting for treatment group,and after the trial,long-snake moxibustion was applied.Before and after treatment,the visual analogue scale(VAS)scores of rest and activity,the Oswestry disability index(ODI)score and the score of cold and dampness symptom were observed in the 3 groups.Results Compared before treatment,the VAS scores of rest and activity,the ODI scores and the scores of cold and dampness symptom after treatment were decreased in the long-snake moxibustion group and the ashi point group(P<0.05).After treatment,the variations of the above indexes in the long-snake moxibustion group and the ashi point group were larger than those in the waiting for treatment group(P<0.05),and the variations of the above indexes in the long-snake moxibustion group were larger than those in the ashi point group(P<0.05).Conclusion Long-snake moxibustion can effectively improve the pain,dysfunction and the symptom of cold and dampness in patients with nonspecific low back pain,and the improvement is superior to the ginger-partitioned moxibustion at ashi point.