竹圈姜灸联合子午流注经络拍打对气滞血瘀型腰椎间盘突出症患者的影响

Effects of bamboo circle ginger moxibustion combined with midnight-noon ebb-low meridian tapping on patients with Qi stagnation and blood stasis type lumbar disc herniation

目的探讨竹圈姜灸联合子午流注经络拍打对气滞血瘀型腰椎间盘突出症患者腰椎功能、疼痛程度及负性情绪的影响。方法将96例气滞血瘀型腰椎间盘突出症患者随机分为对照组和干预组各48例。对照组采用常规针灸治疗,干预组采用竹圈姜灸联合子午流注经络拍打治疗。两组均连续治疗2周。分别于治疗前及治疗2周后比较两组腰椎功能、中医证候积分、疼痛程度、负性情绪及炎症指标。结果治疗后干预组腰椎日本骨科协会评分高于对照组,奥斯韦斯特里功能障碍指数、中医证候积分、疼痛强度、汉密顿抑郁量表评分、广泛焦虑量表评分及血清白细胞介素-6、C反应蛋白、红细胞沉降率水平低于对照组(均P<0.05)。结论使用竹圈姜灸联合子午流注经络拍打能有效促进气滞血瘀型腰椎间盘突出症患者腰椎功能恢复,促进炎症反应消退,减轻患者疼痛并改善负性情绪。

Objective To explore the effects of bamboo circle ginger moxibustion combined with midnight-noon ebb-low meridian tapping on lumbar spine function,pain level and negative emotions in patients with Qi stagnation and blood stasis type lumbar disc herniation.Methods A total of 96 patients with Qi stagnation and blood stasis type lumbar disc herniation were randomly divided into 48 cases each in the control group and the intervention group.The control group was treated with conventional acupuncture,and the intervention group was treated with bamboo circle ginger moxibustion combined with midnight-noon ebb-low meridian tapping.Both groups were treated continuously for 2 weeks.The lumbar spine function,Chinese medicine symptom score,pain level,negative emotion and levels of inflammatory indexes were compared between the two groups before and after 2 weeks of the treatment,respectively.Results The Japanese Orthopaedic Association score of the intervention group was higher than that of control group,the Oswestry Disability Index,Chinese medicine symptom score,pain intensity,score of the Hamilton Depression Scale,score of the 7-item Generalized Anxiety Disorder Scale and the levels of interleukin(IL-6),C-reative protei(CRP),erythrocyte sediment rate(ESR)of the intervention group were lower than those of the control group after the treatment(all P<0.05).Conclusion The use of bamboo circle ginger moxibustion combined with midnight-noon ebb-low meridian tapping can effectively promote the reco-very of lumbar spine function in patients with lumbar disc herniation of the type of Qi stagnation and blood stasis,promote the subsidence of inflammatory reactions,reduce pain and alleviate negative emotions.