隔姜蒜督灸治疗腰椎融合内固定术后腰痛临床研究

Clinical Study on Du-Moxibustion on Ginger and Garlic for Low Back Pain After Interbody Fusion and Internal Fixation

目的:观察隔姜蒜督灸疗法治疗腰椎融合内固定术后腰痛的临床疗效。方法:将120例腰椎融合内固定术后腰痛患者随机分为治疗组60例与对照组60例,治疗组给予塞来昔布胶囊口服联合隔姜蒜督灸治疗,对照组则单纯服用塞来昔布胶囊治疗,7 d为1个疗程,共治疗2个疗程。结果:治疗7 d、14 d,治疗组总有效率分别为81.7%、96.7%,对照组分别为68.3%、86.7%,2组比较,差异均有统计学意义(P<0.05)。治疗7 d、14 d,2组疼痛视觉模拟评分法(VAS)评分均较治疗前降低(P<0.05),且治疗组VAS评分均低于对照组(P<0.05)。治疗7 d、14 d,2组日本骨科协会评分(JOA)积分均较治疗前升高(P<0.05),且治疗组JOA积分均高于对照组(P<0.05)。治疗7 d、14 d,2组压痛点个数均较治疗前减少(P<0.05),且治疗组压痛点个数均少于对照组(P<0.05)。治疗7 d、14 d,2组腰椎前屈、后伸活动度均较治疗前改善(P<0.05),且治疗组腰椎前屈、后伸活动度改善较对照组更显著(P<0.05)。结论:在塞来昔布胶囊治疗的基础上,隔姜蒜督灸能有效改善腰椎融合内固定术后疼痛及腰部活动功能,临床疗效显著。

Objective:To observe the clinical effect of du-moxibustion on ginger and garlic for low back pain after interbody fusion and internal fixation.Methods:A total of 120 cases of patients with low back pain after interbody fusion and internal fixation were randomly divided into two groups,60 cases in each group.The control group was simply treated with celecoxib capsules,and the treatment group was additionally treated with du-moxibustion on ginger and garlic based on the treatment of the control group.Both groups were treated for two courses,seven days being a course.Results:After treatment for 7 and 14 days,the total effective rates were 81.7% and 96.7% in the treatment group respectively,and 68.3% and 86.7% in the control group,differences being significant(P<0.05).After treatment for 7 and 14 days,the VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the score in the treatment group was lower than that in the control group(P<0.05).After treatment for 7 and 14 days,the JOA scores in the two groups were increased when compared with those before treatment(P<0.05),and the score in the treatment group was higher than that in the control group(P<0.05).After treatment for 7 and 14 days,the numbers of tender points in the two groups were decreased when compared with those before treatment(P<0.05),and the number in the treatment group was lower than that in the control group(P<0.05).After treatment for 7 and 14 days,The lumbar flexion and extension activity of the two groups were improved(P<0.05),and The improvement of lumbar flexion and extension in the treatment group was more significant than that in the control group(P<0.05).Conclusion:Based on the treatment of celecoxib capsules,dumoxibustion on ginger and garlic can effectively improve pain and lumbar function after interbody fusion and internal fixation with significant clinical effect.