基于寒湿型腰椎间盘突出症镇痛效应评价的火龙灸灸量优选研究

Study on Optimization of Fire Dragon Moxibustion Quantity Based on Evaluating Analgesic Effect of Lumbar Disc Herniation of Cold-Dampness Type

目的:探讨基于寒湿型腰椎间盘突出症镇痛效应评价的火龙灸灸量优选。方法:选择2016年1月—2018年12月浙江中医药大学附属第三医院收治的腰椎间盘突出症患者72例,随机分为治疗A组、治疗B组、治疗C组,每组24例。治疗A、B、C组患者分别采用火龙灸治疗30 min、40 min、50 min。比较3组治疗前后改良日本骨科协会腰痛评分表(M-JOA)评分、视觉模拟评分法(VAS)评分及治疗疗效。结果:与治疗前比较,治疗后3组M-JOA评分均显著提高(P<0.05),VAS评分均显著下降(P<0.05);治疗后,与治疗A组比较,治疗B组与治疗C组M-JOA评分均显著升高(P<0.05),VAS评分均显著降低(P<0.05),治疗B组与治疗C组间M-JOA、VAS评分差异无统计学意义(P>0.05)。治疗后,与治疗A组比较,治疗B组与治疗C组的临床疗效较优(P<0.05);治疗B组与治疗C组间临床疗效差异无统计学意义(P>0.05)。3组均无不良事件、严重不良事件及严重不良反应发生。结论:火龙灸治疗寒湿型腰椎间盘突出症有良好的临床疗效,而火龙灸治疗40 min的临床疗效与治疗50 min相似,并且显著优于治疗30 min的效果,因此认为火龙灸治疗40 min比较适宜。

Objective:To discuss the optimization of fire dragon moxibustion quantity based on evaluating the analgesic effect of lumbar disc herniation of cold-dampness type.Methods:Selected 72 cases of patients with lumbar disc herniation who were admitted and treated in the third affiliated hospital of Zhejiang University of Chinese Medicine from January 2016 to December 2018,and divided them into the treatment group A,B and C randomly,24 cases in each group.The treatment group A,B and C received fire dragon moxibustion for 30 min,40 min,and 50 min respectively.Compared the scores of Meliorate-Japanese Orthopaedic Association Scale(M-JOA),the scores of Visual Analogue Scale(VAS)before and after treatment and therapeutic effect among the three groups.Results:After treatment,the scores of M-JOA in the three groups were significantly higher than those before treatment(P<0.05),and the scores of VAS were significantly lower than those before treatment(P<0.05);after treatment,the scores of M-JOA in the treatment Group B and the treatment Group C were significantly higher than those in the treatment Group A(P<0.05),the scores of VAS were significantly lower than those in the treatment Group A(P<0.05),and there was no significant difference being found when comparing the scores of M-JOA and VAS in-between the treatment Group B and the treatment Group C(P>0.05).After treatment,the clinical effect in the treatment Group B and the treatment Group C was better than that in the treatment Group A(P<0.05);there was no significant difference being found when comparing the clinical effect in-between the treatment Group B and the treatment Group C(P>0.05).No adverse events,serious adverse events and serious adverse reactions occurred in the three groups.Conclusion:Fire dragon moxibustion has good clinical effect in treating lumbar disc herniation of cold-dampness type.The clinical effect of fire dragon moxibustion for 40 minutes is similar to that for 50 min,being better than that for 30 min.Therefore,fire dragon moxibustion for 40 min is considered relatively appropriate.