基于气血理论探讨督灸在气滞血瘀型腰椎间盘突出症治疗中的应用研究

Based on the Theory of Qi and Blood to investigate the application of moxibustion in patients with lumbar disc herniation of Qi stagnation and Blood stasis

目的:探讨基于气血理论指导下督灸在气滞血瘀型腰椎间盘突出症(LDH)患者的疗效方法:选取80例LDH患者,采用随机数字表法,分为两组,对照组采用常规西医治疗(包括针刺、运动指导、饮食指导和疼痛指导等),治疗组在常规治疗的基础上,采用督灸进行治疗,两组均治疗14 d,比较两组患者在治疗前后疼痛评分(VAS)、腰痛功能性障碍评估(JOA)、日常活动的生理功能评分(ODI),并采用中医病证诊断进行临床疗效评价。结果:两组均治疗14 d,治疗前,两组患者一般资料、疼痛评分、腰痛功能性障碍评估、日常活动的生理功能评分比较无统计学差异(P>0.05)。治疗14 d后,两组患者疼痛评分、日常活动的生理功能评分均降低(P<0.05),两组腰痛功能性障碍评估分数较治疗前均升高(P<0.05)。对照组总有效率87.5%,治疗组总有效率97.5%(P<0.05)明显高于对照组。结论:基于气血理论督灸治疗能够有效缓解气滞血瘀型LDH患者的腰部疼痛,改善腰椎功能障碍程度,提高患者生活质量。

Objective:To investigate the effect of moxibustion on patients with lumbar intervertebral disc herniation(LDH)with qi stagnation and blood stasis under the guidance of Qi-blood theory.Methods:A total of 80 hospitalized patients were selected and divided into two groups by random number table method.The control group received conventional Western medicine treatment(including acupuncture,exercise guidance,diet guidance and pain guidance,etc.),and the treatment group received acupuncture and moxibustion on the basis of conventional treatment.The two groups were treated for 14 days.The pain scale(VAS),functional impairment assessment of low back pain(JOA)and physiological function score of daily activities(ODI)of the two groups were compared before and after treatment,and the clinical efficacy was evaluated by TCM disease diagnosis.Results:Both groups were treated for 14 days.Before treatment,the general information,pain score,functional impairment assessment of low back pain and physiological function score of daily activities of patients in both groups were evaluated(P>0.05).After 14 days of treatment,pain scores and physiological function scores of daily activities were decreased in both groups(P<0.05),and functional impairment assessment scores of low back pain in both groups were increased compared with those before treatment(P<0.05).The total effective rate of the control group was 87.5%,and that of the treatment group was 97.5%,which was significantly higher than that of the control group(P<0.05).Conclusion:Moxibustion therapy based on the theory of qi and blood can effectively relieve the lumbar pain of LDH patients with qi stagnation and blood stasis,improve the degree of lumbar dysfunction,and improve the quality of life of patients.