针刺联合隔姜铺灸治疗寒湿型椎间盘源性腰痛临床研究

Clinical Study on Acupuncture Combined with Ginger-separated Moxibustion for Discogenic Low Back Pain of Cold-Damp Type

目的:观察针刺联合隔姜铺灸治疗寒湿型椎间盘源性腰痛(DLBP)的疗效。方法:选取寒湿型DLBP患者70例,按随机数字表法分为对照组和观察组各35例。2组患者均口服塞来昔布胶囊,对照组给予针刺疗法,观察组在对照组基础上给予隔姜铺灸,2组均治疗6周。评价2组临床疗效,比较2组治疗前后疼痛程度、腰部运动障碍情况、寒湿证评分、血清肿瘤坏死因子-α(TNF-α)与白细胞介素-6(IL-6)水平。结果:观察组总有效率为94.29%,高于对照组71.43%(P<0.05)。治疗后,2组视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、寒湿证评分均较治疗前降低(P<0.05),且观察组VAS评分、ODI评分、寒湿证评分均低于对照组(P<0.05)。治疗后,2组血清TNF-α、IL-6水平较治疗前降低(P<0.05),且观察组血清TNF-α、IL-6水平低于对照组(P<0.05)。结论:针刺联合隔姜铺灸治疗寒湿型DLBP的疗效确切,能减轻患者疼痛,改善腰椎功能,并抑制炎症反应。

Objective:To observe the curative effect of the therapy of acupuncture combined with ginger-separated moxibustion on discogenic low back pain(DLBP)of cold-damp type.Methods:A total of 70 DLBP patients of cold-damp type were selected and divided into the control group and the observation group according to random number table method,with 35 cases in each group.Patients in the two groups were given oral use of Celecoxib Capsules;patients in the control group were treated with acupuncture,and patients in the observation group were additionally given ginger-separated moxibustion based on the treatment of control group.Both groups were treated for six weeks.The clinical effects in the two groups were evaluated,and the pain degree,lumbar movement disorder,score of cold-damp syndrome and levels of serum tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)were compared between the two groups before and after treatment.Results:The total effective rate was 94.29%in the observation group,higher than that of 71.43%in the control group(P<0.05).After treatment,the scores of Visual Analogue Scale(VAS),Oswestry Disability Index(ODI)and cold-damp syndrome in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of VAS,ODI and cold-damp syndrome in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of serum TNF-αand IL-6 in the two groups were decreased when compared with those before treatment(P<0.05),and the above two levels in the observation group were lower than those in the control group(P<0.05).Conclusion:The therapy of acupuncture combined with moxibustion on ginger has a definite therapeutic effect on DLBP of cold-damp type,which can relieve pain,improve lumbar function and inhibit inflammation.