热敏药灸配合汉防己甲素经皮给药治疗腰椎间盘突出症的疗效观察  

Observations on the Efficacy of Heat-sensitive Point Medicinal Moxibustion plus Percutaneous Administration of Tetrandrine in Treating Lumbar Intervertebral Disc Herniation

作　　者：盛有根 夏建洪[1] 徐海波 SHENG You-gen;XIA Jian-hong;XU Hai-bo(Jinhua People’s Hospital,Jinhua 321000,China)

机构地区：[1]金华市人民医院,金华321000

出　　处：《上海针灸杂志》2018年第3期320-323,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省金华市科技局社会发展类一般项目(2015-3-038)

摘　　要：目的观察热敏药灸配合汉防己甲素经皮给药治疗腰椎间盘突出症的临床疗效。方法将120例腰椎间盘突出症患者随机分为治疗组和对照组,每组60例。治疗组采用热敏药灸配合汉防己甲素经皮给药治疗,对照组采用单纯热敏药灸治疗。观察两组治疗前后VAS评分和腰椎JOA评分的变化情况,并比较两组临床疗效。结果两组治疗后腰椎JOA评分及VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后腰椎JOA评分及VAS评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组优良率为80.0%,对照组为55.0%,两组比较差异具有统计学意义(P<0.01)。结论热敏药灸配合汉防己甲素经皮给药是一种治疗腰椎间盘突出症的有效方法。Objective To investigate the clinical efficacy of heat-sensitive point medicinal moxibustion plus percutaneous administration of tetrandrine in treating lumbar intervertebral disc herniation.Methods One hundred and twenty patients with lumbar intervertebral disc herniation were randomized to treatment and control groups,60cases each.The treatment group received heat-sensitive point medicinal moxibustion plus percutaneous administration of tetrandrine and the control group,heat-sensitive point medicinal moxibustion alone.The VAS score and the JOA Score for Back Pain score were recorded in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Results There were statistically significant pre-/post-treatment differences in the JOA Score for Back Pain score and the VAS score in the two groups(P<0.01).There were statistically significant post-treatment differences in the JOA Score for Back Pain score and the VAS score between the treatment and control groups(P<0.01).The excellent and good rate was80.0%in the treatment group and55.0%in the control group;there was a statistically significant difference between the two groups(P<0.01).Conclusion Heat-sensitive point medicinal moxibustion plus percutaneous administration of tetrandrine is an effective way to treat lumbar intervertebral disc herniation.

关 键 词：艾条灸 药饼灸疗法 热敏悬灸 热敏药灸 椎间盘移位 腰椎间盘突出症 针药并用 VAS评分 JOA评分 

分 类 号：R246.2[医药卫生—针灸推拿学]