三伏天隔药督灸治疗产后身痛:随机对照试验

Herb-insulated moxibustion on the Governor Vessel in dog days of summer for postpartum pantalgia:a randomized controlled trial

目的:观察三伏天隔药督灸治疗产后身痛的疗效。方法:将64例产后身痛患者随机分为观察组和对照组,每组32例。两组患者均予隔药督灸治疗,对照组在非三伏天进行,观察组在三伏天进行。两组均隔3 d灸1次,3次为1个疗程,共3个疗程。在治疗前、治疗后、治疗后1个月及冬至前后进行45区体表面积评分、视觉模拟量表(VAS)评分以评估患者疼痛范围及疼痛程度;采用修订版纤维肌痛综合征影响问卷调查(FIQR)对患者生活质量进行评估。治疗后比较两组临床疗效。结果:研究过程中观察组脱落2例,对照组剔除2例。治疗后观察组总有效率为93.3%,高于对照组的76.6%(P<0.05)。与治疗前比较,治疗后、治疗后1个月及冬至前后两组患者的疼痛部位个数、疼痛面积均减少(P<0.05),FIQR评分降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。与治疗前比较,观察组治疗后、治疗后1个月及冬至前后VAS评分均降低(P<0.01),且低于同时间点对照组(P<0.05)。结论:隔药督灸可改善产后身痛患者的疼痛范围与程度,提高患者的生活质量。在三伏天施灸的总体疗效优于在非三伏天治疗,且疗效更持久。

Objective:To observe the clinical efficacy of herb-insulated moxibustion on the Governor Vessel in dog days of summer for postpartum pantalgia.Methods:A total of 64 patients with postpartum pantalgia were randomized into an observation group and a control group,with 32 cases in each group.Both groups were treated with herb-insulated moxibustion on the Governor Vessel.The control group was treated in non-dog days,and the observation group was treated in dog days of summer.Both groups were treated with moxibustion once every 3 d,3 times as one course of treatment,for a total of 3 courses.The range and degree of pain were evaluated by the 45-region body surface area score and visual analog scale(VAS)score before treatment,after treatment,1 month after treatment,and around the Winter Solstice.The revised fibromyalgia impact questionnaire(FIQR)was used to evaluate the quality of life of the patients.The clinical efficacy was compared between the two groups after treatment.Results:During the trial,there were 2 dropout cases in the observation group,and 2 cases were eliminated from the control group.After treatment,the total effective rate in the observation group was 93.3%,which was higher than 76.6%in the control group(P<0.05).Compared with before treatment,the number of pain sites and pain areas of the patients in both groups decreased after treatment,1 month after treatment,and around the Winter Solstice(P<0.05),and the FIQR score decreased(P<0.05).The score of each item in the observation group was lower than that in the control group(P<0.05).Compared with before treatment,the VAS score in the observation group decreased after treatment,1 month after treatment,and around the Winter Solstice(P<0.01),and was lower than that in the control group at the same time point(P<0.05).Conclusion:Herb-insulated moxibustion on the Governor Vessel can improve the range and degree of pain in patients with postpartum pantalgia and improve their quality of life.The total efficacy of the moxibustion performed in dog days is superior to that in non-dog days,and the effect lasts longer.