经筋推拿联合督脉灸治疗非特异性下腰痛(寒湿证)的临床观察

Clinical Observation of Combined Treatment of Meridian and Acupoint Massage with Du Meridian Acupuncture for Cold-Damp Type in Non-Specific Low Back Pain

目的观察经筋推拿联合督脉灸治疗非特异性下腰痛(寒湿证)的临床疗效。方法将120例患者随机分为经筋推拿组、督脉灸组与结合组,每组40例。经筋推拿组采用经筋推拿治疗;督脉灸组采用督脉铺灸治疗;结合组采用先经筋推拿、后督脉铺灸的方法。观察各组患者治疗前后的视觉模拟量表(VAS)Roland-Morris功能障碍评分(RMDQ评分),并评价疗效。结果结合组在治疗1周后、治疗2周后和3个月随访时,VAS评分和RMDQ评分的改善明显优于单独使用经筋推拿或督脉灸的治疗组。结论经筋推拿与督脉灸的联合应用在治疗非特异性下腰痛(寒湿证)方面具有更好的疗效。

Objective:To explore the application and evaluate the effectiveness of combining meridian and acu⁃point massage with Du meridian acupuncture in the treatment of cold-damp type in non-specific low back pain.Methods:A randomized controlled trial was conducted,with 120 patients randomly divided into three groups:me⁃ridian and acupoint massage group,Du meridian acupuncture group,and combined group,each consisting of 40 pa⁃tients.The meridian and acupoint massage group received treatment with meridian and acupoint massage,the Du meridian acupuncture group received treatment with Du meridian acupoint sticking,and the combined group re⁃ceived treatment with meridian and acupoint massage followed by Du meridian acupoint sticking.The pre-and post-treatment visual analogue scale(VAS)and Roland-Morris Disability Questionnaire(RMDQ)scores were ob⁃served for each group to evaluate the therapeutic effects.Results:The combined group showed significantly better improvement in VAS and RMDQ scores at 1 week,2 weeks,and 3 months after treatment and follow-up compared with the groups receiving only meridian and acupoint massage or Du meridian acupuncture alone.Conclusion:The combination of meridian and acupoint massage with Du meridian acupuncture has better therapeutic effects in the treatment of cold-damp type in non-specific low back pain.