督灸联合中药封包对寒湿痹阻型腰椎间盘突出症的疗效影响

    The curative effects of moxibustion combined with traditional Chinese medicine encapsulation in the treatment of cold-dampness obstruction type LDH

    • 摘要:
      目的观察督灸联合中药封包治疗寒湿痹阻型腰椎间盘突出症的临床疗效。
      方法选取寒湿痹阻型腰椎间盘突出症病人80例,按随机数字表法分为对照组和联合治疗组,各40例。对照组予以推拿科寒湿痹阻型腰椎间盘突出症常规治疗和护理,联合治疗组在对照组的基础上予以督灸和中药封包治疗;比较治疗前后2组的临床疗效及视觉模拟疼痛(VAS)评分、Oswestry功能障碍指数(ODI)量表、日本骨科协会下腰痛评估问卷(JOA)评分。
      结果治疗后,联合治疗组有效率为95%(38/40),优于对照组的80%(32/40)(P < 0.05);2组病人的VAS、ODI评分均较治疗前降低,且联合治疗组评分更低(P < 0.01);2组病人的JOA评分较治疗前提高,且联合治疗组评分更高,差异均有统计学意义(P < 0.05~P < 0.01)。
      结论督灸联合中药封包能够改善寒湿痹阻型LDH的腰椎功能,缓解疼痛,临床疗效显著,值得推广。

       

      Abstract:
      ObjectiveTo observe the clinical effects of moxibustion combined with traditional Chinese medicine encapsulation in the treatment of cold-dampness obstruction type lumbar disc herniation(LDH).
      MethodsA total of 80 patients with cold-dampness obstruction type LDH were randomly divided into the control group and combined treatment group according to random number table method(40 cases each group).The control group were treated with the routine treatment and nursing of cold-dampness obstruction type LDH.The combined treatment group were treated with the moxibustion combined with traditional Chinese medicine encapsulation on the basis of the control group.The clinical efficacy, VAS, ODI and JOA scores in two groups were observed before and after treatment.
      ResultsAfter treatment, the effective rate in the combined treatment group(95%) was better than that in control group(80%, P < 0.05).The VAS and ODI scores in two groups after treatment were lower than those before treatment, and the scores of combined treatment group were lower(P < 0.01).The JOA scores in two groups after treatment were higher than those before treatment, the score of combined treatment group was higher, and the difference of which between two groups was statistically significant(P < 0.05 to P < 0.01).
      ConclusionsThe moxibustion combined with traditional Chinese medicine encapsulation can improve the lumbar function and relieve pain of cold-damp-obstruction lumbar disc herniation, and the clinical effect is remarkable and worthy of promoting.

       

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