[1]谢冬群,黄中梁,叶金丽.加强隔附子饼灸治疗肾阳虚型腰椎间盘突出症的 临床研究[J].中医正骨,2015,27(09):18-21.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):18-21.
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加强隔附子饼灸治疗肾阳虚型腰椎间盘突出症的 临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年09期
页码:
18-21
栏目:
临床研究
出版日期:
2015-09-30

文章信息/Info

Title:
Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation
作者:
谢冬群; 黄中梁; 叶金丽
广东省佛山市中医院,广东 佛山 528000
Author(s):
XIE Dongqun; HUANG Zhongliang; YE Jinli
Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China
关键词:
椎间盘移位;  腰椎;  肾阳虚;  药灸;  附子
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  kidney-yang deficiency;  medicinal moxibustion;  rx aconiti lateralis preparata
摘要:
目的:观察加强隔附子饼灸治疗肾阳虚型腰椎间盘突出症的临床疗效。方法:将140例肾阳虚型腰椎间盘突出症患者随机分为3组,分别采用加强隔附子饼灸联合基础疗法、隔附子饼灸联合基础疗法及基础疗法治疗。10 d为1个疗程,连续治疗2个疗程。比较治疗前后3组数字疼痛强度量表(numerical rating scale,NRS)评分及日本骨科学会(Japanese orthopaedic association,JOA)评分,并于治疗2个疗程后比较3组患者的临床综合疗效。结果:治疗前3组患者的NRS评分及JOA评分比较,组间差异均无统计学意义[(6.20±0.37)分,(6.35±0.34)分,(6.27±0.27)分,F=2.183,P=0.117;(14.83±2.43)分,(15.30±3.70)分,(16.33±4.41)分,F=0.060,P=0.942]。治疗2个疗程后,加强隔附子饼灸组的NRS评分低于隔附子饼灸组和基础疗法组[(3.98±0.24)分,(4.50±0.21)分,(5.92±0.23)分,F=9.875,P=0.000],加强隔附子饼灸组的JOA评分高于隔附子饼灸组和基础疗法组[(18.64±3.62)分,(18.23±3.59)分,(16.90±3.53)分,F=3.296,P=0.040]。加强隔附子饼灸组治愈12例、好转25例、无效3例,隔附子饼灸组治愈10例、好转26例、无效4例,基础疗法组治愈10例、好转35例、无效15例,加强隔附子饼灸组的临床综合疗效优于隔附子饼灸组和基础疗法组(Z=6.671,P=0.036)。结论:采用加强隔附子饼灸联合基础疗法治疗肾阳虚型腰椎间盘突出症,可以有效缓解疼痛症状、促进腰椎功能恢复,值得临床推广应用。
Abstract:
Objective:To observe the clinical curative effects of intensive aconite root cake separated moxibustion in the treatment of kidney-yang–deficiency-type lumbar disc herniation(LDH).Methods:One hundred and forty patients with kidney-yang–deficiency-type LDH were randomly divided into 3 groups and were treated with intensive aconite root cake separated moxibustion combined with basic therapy(group A),aconite root cake separated moxibustion combined with basic therapy(group B)and basic therapy(group C)respectively for consecutive two course of treatment,10 days for each course.The numerical rating scale(NRS)scores and Japanese orthopaedic association(JOA)scores were compared between the 3 groups before and after the treatment,and the total curative effects were also compared between the 3 groups after two-course treatment.Results:There was no statistical difference in NRS scores and JOA scores between the 3 groups before the treatment(6.20+/-0.37,6.35+/-0.34,6.27+/-0.27 points,F=2.183,P=0.117; 14.83+/-2.43,15.30+/-3.70,16.33+/-4.41,F=0.060,P=0.942).The NRS scores of group A were lower than those of group B and group C after two-course treatment(3.98+/-0.24,4.50+/-0.21,5.92+/-0.23 points,F=9.875,P=0.000),and the JOA scores of group A were higher than those of group B and group C(18.64+/-3.62,18.23+/-3.59,16.90+/-3.53 points,F=3.296,P=0.040).Twelve patients obtained an excellent result,25 good and 3 poor in the group A; while 10 patients obtained an excellent result,26 good and 4 poor in the group B; and 10 patients obtained an excellent result,35 good and 15 poor in the group C.The group A surpassed the group B and group C in the total curative effect(Z=6.671,P=0.036).Conclusion:Combination of intensive aconite root cake separated moxibustion with basic therapy can effectively relieve the pain and promote the lumbar functional recovery in the treatment of kidney-yang-deficiency-type LDH,so it is worthy of popularizing in clinic.

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备注/Memo

备注/Memo:
2015-05-21收稿 2015-08-05修回
更新日期/Last Update: 2015-09-30