温针灸联合藏药白脉软膏外涂治疗寒湿腰痛的临床研究

Clinical observation of warm acupuncture combined with external application of Tibetan medicine Baimai Ointment in the treatment of low-back pain with cold-dampness type

目的评价温针灸联合藏药白脉软膏外涂治疗寒湿腰痛的临床疗效。方法随机对照试验研究。选择2021年5-7月错那县藏医医院门诊60例患者作为观察对象,采用随机数字表法分为2组,每组30例。对照组外涂白脉软膏,治疗组在对照组基础上结合温针灸。2组均连续治疗2周,随访3个月。采用VAS量表、Oswestry功能障碍指数(ODI)评估腰部疼痛及功能障碍程度,评价临床疗效。结果治疗组治疗后即刻、末次随访VAS评分低于对照组(t值分别为-18.17、-6.05,P<0.01)。治疗组末次随访ODI评分低于对照组(t=-15.86,P<0.01)。治疗组总有效率为96.7%(29/30)、对照组为93.3%(28/30),2组比较差异无统计学意义(χ^(2)=0.001,P=1.000)。结论温针灸联合藏药白脉软膏外涂可有效改善寒湿腰痛患者的临床症状,提高患者生活质量,临床疗效满意。

Objective To evaluate the clinical efficacy of warm acupuncture combined with external application of Tibetan medicine Baimai Ointment in the treatment of low-back pain with cold-dampness type.Methods Randomized controlled trial.Totally 60 outpatients in Tibetan Medicine Hospital of Cuona County from May to July of 2021 were selected as the observation objects,and they were divided into two groups by random number table method,with 30 cases in each group.The control group was treated with Baimai Ointment,and the treatment group was treated with warm acupuncture and Baimai Ointment.Both groups were treated for 2 weeks and followed up for 3 months.VAS scale and Oswestry disability index(ODI)were used to evaluate the low-back pain and dysfunction,and the clinical efficacy was evaluated.Results The VAS scores of the treatment group were lower than those in the control group immediately after treatment and at the last follow-up(t=-18.17,-6.05,P<0.01).The ODI score of the treatment group was lower than that of the control group at the last follow-up(t=-15.86,P<0.01).The total effective rate was 96.7%(29/30)in the treatment group and 93.3%(28/30)in the control group,without statistical significance(χ^(2)=0.001,P=1.000).Conclusion Warm acupuncture combined with Tibetan medicine Baimai Ointment can effectively improve the clinical symptoms of low-back pain with cold-dampness type,improve the quality of life of patients,and the clinical effect is satisfactory.