热敏灸联合常规西药治疗寒湿证腰椎间盘突出症临床研究

Clinical Study on Heat-Sensitive Moxibustion Combined with Western Medicine for Lumbar Disc Herniation with Cold-Damp Syndrome

目的:观察热敏灸联合常规西药治疗寒湿证腰椎间盘突出症临床疗效。方法:选择100例寒湿证腰椎间盘突出症患者,随机分为观察组和对照组各50例。2组均采用塞来昔布胶囊、甲钴胺片常规治疗,观察组在常规治疗基础上给予热敏灸治疗,对照组在常规治疗基础上给予非热敏穴悬灸治疗。比较2组治疗前后中医证候评分,Oswestry功能障碍指数(ODI)、腰腿疼痛视觉模拟评分法(VAS)评分,并综合评价2组临床疗效。结果:观察组总有效率为96.00%,对照组为82.00%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组腰腿冷痛、转侧不利、静卧痛不减、受寒加重、肢体发凉等中医证候评分比较,差异无统计学意义(P>0.05);治疗后,2组上述各项中医证候评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗前,2组ODI指数及腰、腿痛VAS评分比较,差异无统计学意义(P>0.05);治疗后,2组上述各项评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。结论:热敏灸治疗腰椎间盘突出症腰痛能够显著改善腰椎功能,减轻腰、腿疼痛症状,近期疗效优于非热敏穴悬灸治疗。

Objective:To observe the clinical effect of heat-sensitive moxibustion combined with conventional western medicine for lumbar disc herniation with cold-damp syndrome.Methods:A total of100 patients with lumbar disc herniation with cold-damp syndrome were randomly divided into the observation group and the control group,with 50 cases in each group.The two groups were routinely treated with Cexoxib Capsules and Mecobalamine Tablets;the observation group was additionally treated with heat-sensitive moxibustion based on the routine treatment,and the control group was additionally treated with non-heat-sensitive point suspended moxibustion based on the routine treatment.The traditional Chinese medicine(TCM) syndrome scores,Oswestry Disability Index(ODI),scores of Visual Analogue Scale(VAS) of lumbar and leg pain were compared before and after treatment between the two groups,and the clinical effects in the two groups were comprehensively evaluated.Results:The total effective rate was 96.00% in the observation group and 82.00% in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference in the comparison of the TCM syndrome scores between the two groups,such as cold pain of waist and leg,dysfunction of side rotating,continuous lying pain,cold-induced aggravation and cold limbs,and deep and tight pulse or moderate pulse(P>0.05);after treatment,all the above TCM syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference in the comparison of ODI indexes and VAS scores of lumbar and leg pain(P>0.05);after treatment,the above scores in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Heat-sensitive moxibustion for lumbar disc herniation can significantly improve the function of lumbar spine and relieve the symptoms of lumbar and leg pain,and its short-term curative effect is better than non-heat-sensitive point suspended moxibustion.