岭南传统天灸疗法治疗非特异性腰痛的临床疗效  

Clinical research of conventional Tianjiu on nonspecific low back pain

作　　者：刘媛媛[1] 拉巴次仁 苏莹 余照宇 曾永红[1] 马瑞[3] LIU Yuanyuan;LABA Ciren;SU Ying;YU Zhaoyu;ZENG Yonghong;MA Rui(Zhuhai Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine,Zhuhai 519015,Guangdong,China;Tibet Hospital of Linzhi,Linzhi 860000,Tibet,China;Guangdong Provincial Hospital of traditional Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广东省中医院珠海医院,广东珠海519015 [2]西藏林芝市藏医院,西藏林芝860000 [3]广东省中医院,广东广州510120

出　　处：《西部医学》2022年第6期891-895,共5页Medical Journal of West China

基　　金：广东省中医药局科研项目(20191298)。

摘　　要：目的探讨岭南传统天灸疗法治疗寒湿型非特异性腰痛的临床疗效。方法纳入2019年7月~2020年12月分别在广东省中医院珠海医院、西藏林芝市藏医院招募的相关非特异性腰痛患者114例,将纳入者按1:1:1比例随机分为天灸组(予岭南传统天灸穴位贴敷治疗)、药浴组(予“五味甘露散”药浴浸泡)和西药组(予塞来昔布治疗)。3组患者均接受1个疗程的治疗,分别于治疗前、治疗疗程结束时、随访时(治疗疗程结束后1个月和2个月)进行患者疼痛视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)评分。结果共脱落5例,3组患者性别、年龄、VAS和ODI评分等基线资料比较差异无统计学意义(P>0.05);1个疗程后3组患者主要疗效评价指标VAS和ODI与治疗前相比差异均有统计学意义(P<0.05),但组间比较差异均无统计学意义(P>0.05),提示传统疗法与西药组疗效相当;治疗结束后两个月随访,天灸组和药浴组VAS和ODI评分均低于西药组,差异有统计学意义(P<0.05),提示在腰痛复发率方面,传统疗法优于西药组。结论岭南传统天灸疗法治疗非特异性腰痛是一种简便有效安全的中医特色疗法,值得临床借鉴及推广。Objective To observe the clinical effect of traditional therapy on syndrome of cold-dampness in nonspecific low back pain.Methods 114 patients were randomly divided into Tianjiu group(treatment with conventional Tianjiu),Tibet medicine bath group(treatment with“Wuwei-Ganlu”),and control group(treatment with celecoxib)in a ratio of 1:1:1 for one treatment course.The visual analogue scale(VAS)and Oswestry Dysfunction Index(ODI)scores of patients in each group were measured before treatment,at the end of treatment course,and at 1 and 2 months after treatment course.Results Five patients did not finish the therapy,and 38,37,and 34 patients were included for statistical in Tianjiu group,Tibet medicine bath group,and control group,respectively.There were no significant difference in gender,age,VAS and ODI scores among the three groups(P>0.05),suggesting that the baseline of patients in the three groups was consistent.However,at the end of 1 course of treatment,the primary efficacy evaluation indexes VAS and ODI of 3 groups were significantly different from those before treatment(P<0.05),but there was no significant difference between groups(P>0.05).These results suggesting that the efficacy of traditional therapy was comparable to that of western medicine group.Two months after the end of treatment,VAS and ODI scores in Tianjiu group and Tibet medicine bath group were lower than those in control group,and the differences were statistically significant(P<0.05).It is suggesting that traditional therapy was better than the treatment of celecoxib in the recurrence rate of low back pain.Conclusion Lingnan conventional Tianjiu is an effective and safe traditional therapy for nonspecific low back pain,which is worth popularizing.

关 键 词：岭南天灸 西藏地区 非特异性腰痛 药浴 塞来昔布 

分 类 号：R246.9[医药卫生—针灸推拿学]