局部温针灸结合自拟汤剂口服治疗腰椎间盘突出症(气滞血瘀型)患者的临床疗效  

Clinical Observation of Local Warming Acupuncture and Moxibustion Combined with Self-made Decoction Oral Therapy for Lumbar Disc Herniation(Qi Stagnation and Blood Stasis Type)

作　　者：赵满[1] 姚磊 白鹏[3] ZHAO Man;YAO Lei;BAI Peng(Beijing Dongcheng District Community Health Service Management Center,Beijing 100009,China;West Chang'an Street Community Health Service Center in Beijing,Beijing 100031,China;Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine,Beijing 100007,China)

机构地区：[1]北京市东城区社区卫生服务管理中心,北京100009 [2]北京市西城区西长安街社区卫生服务中心,北京100031 [3]北京中医药大学东直门医院针灸科,北京100007

出　　处：《中国药物经济学》2021年第8期32-35,共4页China Journal of Pharmaceutical Economics

基　　金：北京市科技专项项目(Z141107001814050)。

摘　　要：目的探讨局部温针灸结合自拟汤剂口服治疗腰椎间盘突出症(气滞血瘀型)患者的临床疗效。方法选取2018年3月至2019年11月在北京中医药大学东直门医院针灸科进行治疗的腰椎间盘突出症(气滞血瘀型)患者100例作为研究对象,按随机数字表法分为观察组与对照组,各50例。对照组采用局部温针灸治疗,观察组给予局部温针灸结合自拟汤剂治疗。比较两组患者临床疗效,治疗前后中医证候积分、日本骨科协会(JOA)腰痛评分表评分、改善率以及视觉模拟评分法(VAS)评分变化情况。结果观察组治疗有效率为96.00%,明显高于对照组的82.00%(P<0.05);治疗后,观察组患者腰部疼痛、活动受限、受寒加重以及活动痛甚评分明显低于对照组(P<0.05);治疗后,观察组JOA评分、改善率明显高于对照组(P<0.05);治疗后,观察组VAS评分明显低于对照组(P<0.05)。结论采用局部温针灸结合自拟汤剂治疗气滞血瘀型腰椎间盘突出症临床疗效显著,能够明显改善患者腰部活动能力,缓解腰部疼痛。Objective To investigate the clinical efficacy of local warming acupuncture and moxibustion combined with self-made Decoction Oral Therapy for lumbar disc herniation(Qi Stagnation and Blood Stasis Type). Methods A total of 100 patients with lumbar intervertebral disc herniation of qi stagnation and blood stasis type were selected as the research objects and were randomly assigned into an observation group and a control group, with 50 cases in each group. The control group was treated with local warming acupuncture and moxibustion, while the observation group was treated with local warming acupuncture and moxibustion combined with self-made decoction. The clinical efficacy, traditional Chinese medicine syndrome score, Japanese Orthopaedic Association(JOA) Lumbar Pain Scale Score, improvement rate and VAS score before and after treatment were compared between the 2 groups. Results The clinical curative effects of observation group(96.00%) were higher than that of control group(82.00%)(P<0.05). After treatment, the scores of severe lumbar pain, activity limitation, aggravation of cold and activity pain in the 2 groups were lower than those in the control group(P<0.05). After treatment, the scores of severe lumbar pain, activity limitation, aggravation of cold and activity pain in observation group were lower than those in control group(P<0.05). After treatment, the JOA score and improvement rate of the observation group were significantly higher than those of the control group(P<0.05);after treatment, the VAS score of the observation group was significantly lower than that of the control group(P<0.05). Conclusion Local warming needling combined with self-made decoction is effective in treating lumbar intervertebral disc herniation of qi stagnation and blood stasis type. It can obviously improve the activity ability of the waist and relieve the pain of the waist.

关 键 词：温针灸 腰椎间盘突出症 气滞血瘀型 

分 类 号：R684.7[医药卫生—骨科学] R245[医药卫生—外科学]