切脉针灸结合火龙罐灸治疗产后腰痛临床研究

Clinical Study on Pulse-Taking Acupuncture and Moxibustion Combined with Fire Dragon Cupping Moxibustion for Postpartum Low Back Pain

目的:观察切脉针灸结合火龙罐灸治疗产后腰痛的临床疗效。方法:选取2021年4月至2022年10月广东省第二中医院门诊治疗的产后腰痛患者70例,按照随机数字表法分为治疗组和对照组,每组各35例。治疗组给予切脉针灸结合火龙罐灸治疗,对照组给予普通针刺结合特定电磁波(thermal design power,TDP)治疗。观察两组患者治疗前后Oswestry功能障碍指数量表(Oswestry disability index,ODI)评分、视觉模拟评分(visual analogue score,VAS)、日本骨科学会下腰痛评分(Japanese orthopaedic association scores,JOA)及血清中乳酸脱氢酶(serum creatine phosphokinase,LDH)、肌酸磷酸激酶(creatine phosphokinase,CK)、肌酸激酶同工酶(creatine kinase isoenzymes,CK-MM)含量变化情况。结果:治疗组治疗后VAS评分、ODI评分低于对照组,差异有统计学意义(P<0.05);治疗组治疗后JOA评分高于对照组,差异有统计学意义(P<0.05);治疗组治疗后LDH、CK水平低于对照组,CK-MM水平高于对照组,差异有统计学意义(P<0.05);治疗组有效率为94.29%,对照组有效率为71.43%,治疗组有效率高于对照组,差异有统计学意义(P<0.05)。结论:切脉针灸结合火龙罐灸治疗产后腰痛,能减轻患者疼痛,降低血清中LDH、CK水平,升高CK-MM水平。

Objective:To observe the clinical efficacy of pulse-taking acupuncture and moxibustion combined with fire dragon cupping moxibustion on postpartum low back pain.Methods:A total of 70 patients with postpartum low back pain who were treated in the outpatient department of Guangdong Second Traditional Chinese Medicine Hospital from April 2021 to October 2022 were selected and divided into the treatment group and the control group according to the random number table method,with 35 cases in each group.The treatment group was given pulse-taking acupuncture and moxibustion combined with fire dragon cupping moxibustion,while the control group was given conventional acupuncture combined with TDP.The changes in Oswestry disability index(ODI) score,visual analogue score(VAS),Japanese orthopaedic association scores(JOA) and serum lactate dehydrogenase(LDH),creatine phosphokinase(CK),creatine kinase isoenzymes(CK-MM) content in the two groups before and after treatment were observed.Results:After treatment,the VAS score and ODI score of the treatment group were lower than those of the control group,with statistically significant differences(P<0.05);the JOA score of the treatment group was higher than that of the control group,with statistically significant difference(P<0.05);the levels of LDH and CK in the treatment group were lower than those of the control group,while the level of CK-MM was higher than that of the control group,with statistically significant differences(P<0.05);the effective rate of the treatment group was 94.29%,which was higher than that of the control group(71.43%),with statistically significant differences(P<0.05).Conclusion:Pulse-taking acupuncture and moxibustion combined with fire dragon cupping moxibustion in the treatment of postpartum low back pain can relieve pain,reduce LDH and CK levels in serum,and increase CK-MM level.