不同透灸时间对腰椎间盘突出症疗效的影响  

Effect of Different Duration of Through Moxibustion on Lumbar Disc Herniation

作　　者：高希言[1] 徐翠香[2] 郭娅静[1] 林永青[1] 陈新旺[1] 马巧琳[1] 王栋斌[1] 高崚[1] 马尚[1] 史智君 

机构地区：[1]河南中医学院针灸推拿学院 [2]郑州大学第五附属医院

出　　处：《中医杂志》2015年第20期1755-1759,共5页Journal of Traditional Chinese Medicine

摘　　要：目的比较不同透灸时间治疗腰椎间盘突出症的临床疗效。方法将60例腰椎间盘突出症患者随机分为透灸1组和透灸2组各30例。透灸1组采用针刺配合透灸60 min治疗,透灸2组采用针刺配合透灸30 min治疗。两组均每日1次,共治疗15天。比较两组施灸过程中知热温度、舒适温度、知降温度、升温期、舒适期、降温期、局部的灸感强度及持续时间、远端或深部的传导情况、灸感类型、局部皮肤外观变化。治疗前后及治疗结束后1个月进行改良的日本骨科学会下腰痛评分(M-JOA)法评分。治疗后评价临床疗效。结果透灸1组临床疗效总有效率为96.67%,透灸2组总有效率为90.00%,透灸1组明显优于透灸2组(P<0.01)。两组患者施灸过程中知热温度、舒适温度、知降温度、升温期持续时间比较差异均无统计学意义(P>0.05)。透灸1组舒适期、降温期、局部灸感持续时间均较透灸2组长(P<0.05或P<0.01)。灸感强度,灸感远端及深部传导、灸感出现、局部外观变化人次均明显多于透灸2组(P<0.05或P<0.01)。两组治疗后M-JOA积分均较本组治疗前明显升高(P<0.01),透灸1组随访时M-JOA积分较本组治疗后明显升高(P<0.01);治疗后及随访时透灸1组M-JOA积分均明显高于透灸2组(P<0.01)。结论不同透灸时间治疗腰椎间盘突出症疗效不同,透灸60 min临床疗效优于透灸30 min。Objective To compare the clinical effects of different duration of through moxibustion on lumbar disc herniation. Methods Sixty patients with lumbar disc herniation .were randomly divided into 2 groups （group 1 and group 2） with 30 cases in each group. The patients in group 1 were treated by acupuncture combined with 60 minutes of through moxibustion, and the patients in group 2 were treated by acupuncture combined with 30 minutes of through moxihustion. Both groups were treated one time a day for 15 days. During the process of moxibustion, the temperature when patients felt heat （heat temperature ） , the temperature when patients felt comfortable （comfortable tempera- ture）, the temperature when patients feels the temperature drops in the moxibustion box （drop temperature ）, the heating period, the comfortable period, the cooling period, the sensation of local moxibustion intensity and its dura- tion, the conduction of moxibustion sensation in the distal or deep area, the type of moxibustion feelings, and the local skin changes in the two groups were compared. Before treatment, after treatment, and one month after treat- ment, the patients were scored with Modified Japanese Orthopedic Association Score （M-JOA） method to evaluate the clinical efficacy of the treatment. Results The total effective rate were 96.67% in group 1 and 90% in group 2, with significant difference between the groups （P 〈0. 01 ）. During the process of moxibustion, there were no statisti- cal significant differences in heat temperature, comfortable temperature, drop temperature, and heating period between the two groups （P 〉 0. 05 ）. The comfortal period, cooling period, and the local moxibustion duration time in group 1 were longer than those in group 2 （P 〈0.05 or P 〈0. 01 ）. And the intensity of moxibustion sensation, distal and deep conduction of moxibustion sensation, oeeurance of moxibustion sensation, and the change of local skin in the group 1 were significantly more than those in the group 2 �

关 键 词：腰椎间盘突出症 透灸 针刺 艾灸时间 

分 类 号：R246.9[医药卫生—针灸推拿学]