火龙罐综合灸改善肾阳虚腰痛患者的临床疗效

Study on nursing care of patients with kidney Yang deficiency and low back pain improved by fire-dragon pot moxibustion

目的:观察火龙罐综合灸治疗肾阳虚腰痛患者的临床效果。方法:选取2023年1月—3月,天津市南开医院和天津市南开老年病医院收治的肾阳虚腰痛患者60例,采用随机抽样方法,按患者就诊顺序分为对照组及观察组各30例,对照组给予常规拔罐治疗,观察组给予火龙罐综合灸治疗。比较两组患者在同周期治疗后JOA下腰痛评分情况及视觉模拟评分法(VAS)评分情况。结果:在治疗同一周期内,两组患者各项指标都有所改善,治疗前,观察组及对照组患者JOA评分,差异无统计学意义(P>0.05);治疗后,观察组患者JOA评分改善率86.67%(26/30),高于对照组的56.67%(17/30),差异有统计学意义(P<0.05);两组间视觉模拟评分法(VAS)评分治疗后较治疗前都有所降低,且治疗后观察组评分明显低于对照组,差异具有统计学意义(P<0.05)。结论:两种治疗方法对于改善肾阳虚腰痛患者的症状均有效,但是与常规拔罐治疗相比,火龙罐综合灸疗法在改善患者腰痛功能障碍方面具有明显优势,能够有效控制肾阳虚腰痛患者的疼痛症状,临床疗效显著。

Objective To observe the nursing effect of Huolong cupping comprehensive moxibustion on patients with kidney yang deficiency and low back pain.Methods Select 60 patients with kidney yang deficiency and low back pain admitted to Nankai Hospital and Nankai Geriatric Hospital in Tianjin from January to March 2023,were divided into two groups,control group and observation group each had 30 cases.The control group received routine cupping treatment,while the observation group received comprehensive moxibustion treatment with Huolong cupping.Compare the JOA low back pain score and visual analogue scale(VAS)score of two groups of patients after the same treatment cycle.Results During the same treatment cycle,all indicators of the two groups of patients improved.Before treatment,there was no statistically significant difference in JOA scores between the observation group and the control group(P>0.05).After treatment,the JOA score showed that the effective rate of 86.67%(26/30)in the observation group was higher than that of 56.67%(17/30)in the control group,with a statistically significant difference(P<0.05).The visual analogue scale(VAS)score between the two groups decreased after treatment compared to before treatment(P<0.05).After treatment,the score of the observation group was significantly lower than that of the control group,and the difference between groups was statistically significant(P<0.05).Conclusion Both groups of treatments are effective in improving the symptoms of patients with kidney yang deficiency and low back pain.However,compared with conventional cupping therapy,Huolong cupping comprehensive moxibustion therapy has significant advantages in improving the dysfunction of low back pain in patients.It can effectively control the pain symptoms of patients with kidney yang deficiency and low back pain,with significant clinical efficacy,high patient satisfaction and good safety,further improving the quality of life of patients.