毫针速刺法配合雷火灸治疗寒湿痹阻型腰椎间盘突出症的疗效观察  

Efficacy of filiform needle rapid needling plus thunder-fire moxibustion on lumbar disc herniation of cold-dampness obstruction type

作　　者：祁红艳 姚文平[1] 张磊[1] 杨励[1] 黄谦[1] QI Hongyan

机构地区：[1]南京中医药大学连云港附属医院,江苏连云港222000

出　　处：《中医临床研究》2022年第8期56-59,共4页Clinical Journal Of Chinese Medicine

基　　金：连云港市中医院“赵化南”青年科技基金项目(Lzyq1801)。

摘　　要：目的:探讨毫针速刺法配合雷火灸治疗寒湿痹阻型腰椎间盘突出症的疗效。方法:将90例腰椎间盘突出症患者随机分为试验组和对照组,每组45例。对照组为毫针速刺法组。试验组为毫针速刺法配合雷火灸治疗。对两组患者的疗效,视觉模拟评分法(Visual Analogue Scale,VAS)、疼痛评定指数(Pain Rating Index,PRI)、现时疼痛强度(Present Pain Intensity,PPI)和日本骨科协会评分(Japanese Orthopaedic Association Scores,JOA)和Oswestry功能障碍指数(Oswestry Disability Index,ODI)等进行比较。结果:试验组有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组患者PRI评分、PPI评分、VAS评分和ODI评分均下降,JOA评分上升,试验组更为显著(P<0.05)。结论:毫针速刺法配合雷火灸治疗寒湿痹阻型腰椎间盘突出症的临床疗效较好,可明显减轻患者疼痛症状,近期疗效和远期疗效都非常明显,值得进一步推广应用。Objective:To explore efficacy of filiform needle fast needling plus thunder fire moxibustion on lumbar disc herniation of cold dampness obstruction type.Methods:90 cases were randomly divided into the experimental group and the control group,45 cases in each group.The control group was treated with filiform needling.The experimental group was treated with filiform needle fast needling plus thunder fire moxibustion.Results:Efficiency in the experimental group was higher than that in the control group(P<0.05).After treatment,PRI score,PPI score,VAS score and ODI in the two groups decreased,while JOA score increased,especially in the experimental group(P<0.05).Conclusion:The clinical effect of filiform needle fast needling plus thunder fire moxibustion on lumbar disc herniation of cold dampness obstruction type is positive,which can significantly reduce the pain symptoms of patients,and the short-term and long-term effects are very obvious,which is worthy of further clinical application.

关 键 词：腰椎间盘突出症 寒湿痹阻 毫针速刺 雷火灸 

分 类 号：R245[医药卫生—针灸推拿学]