Objective:To explore the clinical effect of governor meridian moxibustion on lumbar intervertebral disc protrusion.Methods:Randomized controlled trials on treatment of lumbar intervertebral disc protrusion with govern...Objective:To explore the clinical effect of governor meridian moxibustion on lumbar intervertebral disc protrusion.Methods:Randomized controlled trials on treatment of lumbar intervertebral disc protrusion with governor meridian moxibustion and combined governor meridian moxibustion were retrieved from CNKI,VIP,Wan Fang Data,CBM,Web of ScienceTM Core Collection,EBSCO Medline,PubMed,OVID,the Cochrane Library,and other databases.The time was from the inception of the database until October 2021.The studies were screened according to the inclusion and exclusion criteria,extracted,and evaluated for quality assessment.The data were analyzed with Review Manager 5.3 software.Results:A total of 24 randomized controlled trials(2379 cases in total)were included.Meta-analysis results showed that compared with control groups such as acupuncture,electroacupuncture,and massage,the governor meridian treatment improved the clinical efficacy[RR=1.17,95%CI(1.13,1.20),P<0.001],relieved patients'pain[MD=-1.56,95%CI(-1.89,-1.22),P<0.001],and improved patients’dysfunction to a certain extent[MD=4.84,95%CI(3.87,5.82),P<0.001].Funnel plot analysis showed that the included literature may be potentially biased in publication.Conclusion:Governor meridian moxibustion has a significant effect on the treatment of lumbar disc protrusion and is worthy of widespread use.However,given the small number of high-quality literature included in the study,the small sample size,and the short follow-up time,high-quality randomized controlled trials are needed to further study the long-term therapeutic effect of governor meridian moxibustion.展开更多
Sixty-four cases of protrusion of lumbarintervertebral disc were treated by massotherapy withheavy manipulations plus blocking therapy underanesthesia from August,1997 to July,1998,withsatisfactory therapeutic results...Sixty-four cases of protrusion of lumbarintervertebral disc were treated by massotherapy withheavy manipulations plus blocking therapy underanesthesia from August,1997 to July,1998,withsatisfactory therapeutic results as reported in thefollowing.Clinical DataNinety-four cases in the series were randomlydivided into two groups.All the 94 cases satisfied thecriteria for diagnosis of the disorder,and thediagnosis was confirmed by展开更多
Objective: To analyse and explore the diagnostic significance of infrared thermography on the patients with lumbar intervertebral disc protrusion.Methods: Forty-five hospitalized cases under conservative treatment (ma...Objective: To analyse and explore the diagnostic significance of infrared thermography on the patients with lumbar intervertebral disc protrusion.Methods: Forty-five hospitalized cases under conservative treatment (mainly manipulation) and 65 controls were consecutively selected. Both groups were examined with infrared thermography on lower back and lower extremities as well as physical examination before and after treatment. The study statistically analysed the temperature difference between the involved and healthy parts at different areas; and also compared the variation of the temperature difference after the treatment to the decreasing scores of physical examination afterward. Results: The statistic result showed that the temperature difference between two sides on patient group was significantly higher than those of the control group. The further analysis showed that the temperature difference at posterior femur area in the patients’ group correlated significantly to the severity of clinical signs caused by nerve root irritation.Conclusion: The thermogram was uncertain to the segmental diagnosis of lumbar disc protrusion and could only be considered as a reference in the final diagnosis. Nevertheless, it is helpful to discover the severity of radical signs according to the posterior femoral region of hypo- (hyper-) thermogram.展开更多
基金It was supported by the National Natural Science Fundation of C hina(No.81774340,81973875)Funds from Clinical Medicine Research Center of Chronic Muscle and Bone Diseases of Shanghai City(No.20MC1920600)+2 种基金Cons truction Project of High-level Universities and Colleges in Shanghai City(Guide Strategy for TCM Standardization),Key Clinical Specialty“Orthopedics of Chinese Medicine”(No.shslczdzk03901)Pilot Construction Project of Innovation Model for TCM Diagnosis and Treatment in Shanghai City[No.ZY(2018-2020)-FWTX-6033]Clinical Science and Technology Innovation Project of Development Center of Shanghai Shenkang Hospital(No.SHDC2020CR1051B)。
文摘Objective:To explore the clinical effect of governor meridian moxibustion on lumbar intervertebral disc protrusion.Methods:Randomized controlled trials on treatment of lumbar intervertebral disc protrusion with governor meridian moxibustion and combined governor meridian moxibustion were retrieved from CNKI,VIP,Wan Fang Data,CBM,Web of ScienceTM Core Collection,EBSCO Medline,PubMed,OVID,the Cochrane Library,and other databases.The time was from the inception of the database until October 2021.The studies were screened according to the inclusion and exclusion criteria,extracted,and evaluated for quality assessment.The data were analyzed with Review Manager 5.3 software.Results:A total of 24 randomized controlled trials(2379 cases in total)were included.Meta-analysis results showed that compared with control groups such as acupuncture,electroacupuncture,and massage,the governor meridian treatment improved the clinical efficacy[RR=1.17,95%CI(1.13,1.20),P<0.001],relieved patients'pain[MD=-1.56,95%CI(-1.89,-1.22),P<0.001],and improved patients’dysfunction to a certain extent[MD=4.84,95%CI(3.87,5.82),P<0.001].Funnel plot analysis showed that the included literature may be potentially biased in publication.Conclusion:Governor meridian moxibustion has a significant effect on the treatment of lumbar disc protrusion and is worthy of widespread use.However,given the small number of high-quality literature included in the study,the small sample size,and the short follow-up time,high-quality randomized controlled trials are needed to further study the long-term therapeutic effect of governor meridian moxibustion.
文摘Sixty-four cases of protrusion of lumbarintervertebral disc were treated by massotherapy withheavy manipulations plus blocking therapy underanesthesia from August,1997 to July,1998,withsatisfactory therapeutic results as reported in thefollowing.Clinical DataNinety-four cases in the series were randomlydivided into two groups.All the 94 cases satisfied thecriteria for diagnosis of the disorder,and thediagnosis was confirmed by
文摘Objective: To analyse and explore the diagnostic significance of infrared thermography on the patients with lumbar intervertebral disc protrusion.Methods: Forty-five hospitalized cases under conservative treatment (mainly manipulation) and 65 controls were consecutively selected. Both groups were examined with infrared thermography on lower back and lower extremities as well as physical examination before and after treatment. The study statistically analysed the temperature difference between the involved and healthy parts at different areas; and also compared the variation of the temperature difference after the treatment to the decreasing scores of physical examination afterward. Results: The statistic result showed that the temperature difference between two sides on patient group was significantly higher than those of the control group. The further analysis showed that the temperature difference at posterior femur area in the patients’ group correlated significantly to the severity of clinical signs caused by nerve root irritation.Conclusion: The thermogram was uncertain to the segmental diagnosis of lumbar disc protrusion and could only be considered as a reference in the final diagnosis. Nevertheless, it is helpful to discover the severity of radical signs according to the posterior femoral region of hypo- (hyper-) thermogram.
