温和灸不同状态腰阳关穴治疗腰椎间盘突出症疗效比较  

Efficacy comparison of lumber disc herniation treated with mild moxibustion at Yaoyangguan(GV 3)under different conditions

作　　者：谢秀俊 陈日新[2] 付勇[2] 焦琳[2] 张波[2] 熊俊[2] 何铝 钱海良[1] 李君仙 罗小军[1] 

机构地区：[1]江西中医药大学,南昌330006 [2]江西中医药大学附属医院针灸科,南昌330006

出　　处：《中国针灸》2014年第11期1077-1080,共4页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划("973"计划)资助项目:2009CB522902

摘　　要：目的:比较温和灸热敏态与非热敏态腰阳关穴治疗腰椎间盘突出症(LDH)的临床疗效差异。方法:选取57例LDH患者为研究对象,对腰阳关穴实施温和灸,每次艾灸时间为45min,并配合常规针刺,每天1次,治疗20天。疗程结束后,将患者在腰阳关穴出现热敏化现象且在整个疗程中热敏化现象≥4次的归为热敏腧穴组(热敏组),没有出现热敏化现象或整个疗程中热敏化现象次数<4次的归为非热敏腧穴组(静息组)。观察两组患者治疗前后及治疗后6个月改良日本骨科学会腰痛评分,并比较两组疗效。结果:两组治疗后、治疗后6个月腰痛评分均较治疗前明显降低(均P<0.05),且热敏组比静息组腰痛评分降低更明显(均P<0.01);治疗后和6个月随访时热敏组愈显率分别为89.7%(26/29)、79.3%(23/29),优于静息组的71.4%(20/28)、60.7%(17/28,均P<0.05)。结论:温和灸热敏状态腧穴治疗LDH近期与远期疗效均优于非热敏状态腧穴。Objective To compare the difference in clinical efficacy on lumber disc herniation（LDH）treated with Yaoyangguan（GV 3）between mild moxibustion under thermosensitive condition and that under non-thermosensitive condition.Methods Fifty-seven LDH patients were selected as the study objects.Mild moxibustion at Yaoyangguan（GV 3）was applied for 45 min each time.Additionally,the conventional acupuncture was given,once a day,for 20 days.At the end of treatment,two groups were classified.A thermosensitive acupoint group（thermosensitive group）was composed of the cases with thermo-sensitization at Yaoyangguan（GV 3）and presenting for≥4 times in the entire treatment.A non-thermosensitive acupoint group（tranquilization group）was composed of the cases without thermo-sensitization or the frequency of thermo-sensitization 〈4 times in the entire treatment.The modified Japanese orthopedics association scoring system（M-JOA）was adopted to observe the cases before and after treatment and 6months after treatment in the two groups.The efficacy was compared between the two groups.Results After treatment and in 6months after treatment,the score of M-JOA was apparently reduced as compared with that before treatment in the two groups（all P〈0.05）.The score reducing in the thermosensitization group was more obvious than that in the tranquilization group（both P〈0.01）.After treatment and in 6months after treatment,the curative rate and remarkably effective rate were 89.7%（26/29）and 79.3%（23/29）,which was better than 71.4%（20/28）and 60.7%（17/28,both P〈0.05）in the tranquilization group separately.Conclusion Mild moxibustion at acupoint under thermosensitive condition achieves the better short-term and long-term effects as compared with that under non-thermosensitive condition.

关 键 词：腰椎间盘突出症 热敏腧穴 灸法 针刺 

分 类 号：R246.2[医药卫生—针灸推拿学]