温针灸辅助治疗对气滞血瘀型腰痛患者中医证候积分、疼痛及腰椎功能的影响
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Effect of Warming- Needle Moxibustion as Adjuvant Treatment on Chinese Medicine Syndrome Scores, Pain, and Lumbar Vertebral Function of Patients with Lumbar Pain of Blood Stasis Due to Qi Stagnation Type
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    摘要:

    目的:观察温针灸辅助治疗对气滞血瘀型腰痛患者中医证候积分、疼痛及腰椎功能的影响。方法:选取82 例气滞血瘀型腰痛患者,按随机数字表法将其分为对照组与观察组,每组41 例。对照组患者给予镇痛、抗炎等对症治疗,并配合局部微波照射及手法推拿,观察组在对照组基础上实施温针灸治疗。比较2 组患者治疗前后中医证候积分、生活质量评分、日本骨科学会腰椎疾患综合(JOA) 评分、Oswestry 功能障碍指数(ODI) 评分及数字疼痛评定法(NPRS) 评分。结果:与同组治疗前比较,治疗后2 组患者腰痛、腰部板硬、疼痛拒按、沉重乏力、疼痛缠绵等中医证候积分及ODI、NPRS 评分均降低(P<0.05),JOA 评分、生理功能、生理职能、躯体疼痛、活力、社会功能、精神健康、情感职能及总体健康等生活质量评分均升高(P<0.05)。与对照组治疗后比较,观察组患者腰痛、腰部板硬、疼痛拒按、沉重乏力、疼痛缠绵等中医证候积分及ODI、NPRS 评分均较低(P<0.05),JOA 评分、生理功能、生理职能、躯体疼痛、活力、社会功能、精神健康、情感职能及总体健康等生活质量评分均较高(P<0.05)。结论:温针灸辅助治疗气滞血瘀型腰痛临床疗效显著,有助于减轻患者腰部疼痛症状,帮助腰椎功能恢复,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of warming-needle moxibustion as adjuvant treatment on Chinese medicine syndrome scores,pain,and lumbar vertebral function of patients with lumbar pain of blood stasis due to qi stagnation type. Methods:A total of 82 cases of patients with lumbar pain of blood stasis due to qi stagnation type were selected and divided into the control group and the observation group according to the random number table method,41 cases in each group. The control group was given analgesia, anti- inflammation, and other symptomatic treatments with combination of local microwave irradiation and tuina. The observation group was additionally given warming- needle moxibustion based on the treatment of the control group. Chinese medicine syndrome scores, comprehensive score of Japanese Orthopaedic Association(JOA) of lumbar pain,as well as scores of quality of life,Oswestry dysfunction index(ODI),and Numerical Pain Rating Scale(NPRS) before and after treatment were compared in the two groups. Results:When compared with those in the same group before treatment, scores of lumbar pain, stiffness in the waist, pain which cannot be relieved by pressing, heaviness and fatigue,lingering pain,and other Chinese medicine syndrome scores as well as scores of ODI and NPRS in the two groups were decreased after treatment(P<0.05); scores of physical functioning, role physical, bodily pain, vitality,social functioning,metal health,role emotional,general health,and other scores of quality of life as well as scores of JOA were increased(P<0.05). When compared with those in the control group after treatment, scores of lumbar pain, stiffness in the waist,pain which cannot be relieved by pressing,heaviness and fatigue,lingering pain,and other Chinese medicine syndrome scores as well as scores of ODI and NPRS in the observation group were lower(P<0.05); scores of physical functioning,role physical,bodily pain,vitality,social functioning,metal health,role emotional,general health, and other scores of quality of life as well as score of JOA were higher(P<0.05). Conclusion:Warming-needle moxibustion as adjuvant treatment has significant clinical effect in the treatment of lumbar pain of blood stasis due to qi stagnation type, which conduces to the relief of symptoms of lumbar pain,recovery of lumbar vertebral function,and improvement of quality of life.

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傅晓峰.温针灸辅助治疗对气滞血瘀型腰痛患者中医证候积分、疼痛及腰椎功能的影响[J].新中医,2021,53(9):122-125

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  • 在线发布日期: 2021-05-12
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