隔姜隔药艾灸治疗寒湿型腰椎退行性病变的临床研究

Clinical Study on the Treatment of Cold-dampness Type Lumbar Degenerative Lesions with Moxibustion on Ginger and Medicine

目的:探讨隔姜隔药艾灸治疗寒湿型腰椎退行性病变的临床效果。方法:选取2022年1—12月于辽宁中医药大学附属医院风湿康复疗区就诊的120例寒湿型腰椎退行性病变患者作为研究对象,按随机数表法分为空白对照组、对照组、治疗组,各40例。空白对照组给予神灯照射,对照组予以隔姜艾灸,治疗组予以隔姜隔药艾灸。比较两组的治疗效果、治疗前后腰椎功能恢复情况及疼痛程度。结果:治疗组总有效率为87.50%,高于对照组的72.50%、空白对照组的60.00%,差异有统计学意义(P<0.05)。治疗后,三组视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分均低于治疗前,日本骨科协会(JOA)腰椎功能评分高于治疗前,且三组组间两两比较,差异有统计学意义(P<0.05)。结论:隔姜隔药艾灸治疗寒湿型腰椎退行性病变的临床效果显著,可明显减轻患者病痛,促进病情康复,提高生活质量。

Objective:To investigate the clinical effect of moxibustion on ginger and medicine on cold-dampness type lumbar degenerative lesions.Method:A total of 120 patients with cold-dampness type lumbar degenerative lesions who were treated in the Rheumatic Rehabilitation Treatment Area of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January to December 2022 were selected as the study subjects,and they were divided into blank control group,control group and treatment group according to random number table method,with 40 cases in each group.The control group was given magic lamp irradiation,the control group was given moxibustion on ginger,and the treatment group was given moxibustion on ginger and medicine.The therapeutic effect,lumbar function recovery and pain relief were compared between the two groups.Result:The total effective rate of the treatment group was 87.50%,which was higher than 72.50%of the control group and 60.00%of the blank control group,the differences were statistically significant(P<0.05).After treatment,the visual analogue scale(VAS)scores and Oswestry disability index(ODI)score of the three groups were lower than those before treatment,and the lumbar function scores of the Japanese Orthopaedic Association(JOA)were higher than that before treatment,and the differences were statistically significant of pairwise comparison among the three groups(P<0.05).Conclusion:The clinical effect of moxibustion on ginger and medicine on the treatment of cold-dampness type lumbar degenerative lesions is remarkable,which can obviously reduce the pain of patients,promote the rehabilitation of the disease and improve the quality of life.