热敏穴隔姜灸配合核心肌群训练治疗寒湿型腰椎间盘突出症  

Ginger Moxibustion at Heat-sensitive Points and Core Muscle Training for Treating Colddampness Lumbar Disc Herniation

作　　者：赖春柏 缪作雄 李世梁 王强 赖斌 钟跃海 LAI Chun-bai;MIU Zuo-xiong;LI Shi-Liang;WANG Qiang;LAI Bin;ZHONG Yue-hai(Department of Acupuncture Rehabilitation in Ganzhou Hospital of Traditional Chinese Medicine,Ganzhou 341000,China)

机构地区：[1]江西省赣州市中医院针灸康复科,江西赣州341000

出　　处：《江西中医药大学学报》2023年第2期67-69,72,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省赣州市重点研发计划社发(医疗卫生领域)项目(赣市科发[2020]60号);江西省中医药中青年骨干人才(第一批)培养项目(赣中医药科教字[2020]2号);赣州市卫生计生系统第二批优秀青年医学人才培养对象项目(赣市卫计科教字[2018]16号);赣州市第一批卫生健康“十百千”人才培养项目(赣市卫健人字[2021]2号)。

摘　　要：目的:观察热敏穴隔姜灸配合核心肌群训练治疗寒湿型腰椎间盘突出症的临床疗效。方法:选取符合纳入标准的寒湿型腰椎间盘突出症患者60例,随机分为2组,对照组采用隔姜灸治疗,观察组采用热敏穴隔姜灸+核心肌群训练治疗,每组各30例。1个疗程7天,2组均通过3个疗程治疗。记录2组患者治疗前、治疗后3周及末次随访时中医证候积分、VAS腰痛和腿痛评分、ODI功能障碍指数。结果:2组患者治疗前中医证候积分、VAS腰痛和腿痛评分、ODI功能障碍指数的差异无统计学意义(P>0.05),2组治疗后各项评分均较治疗前显著改善(均P<0.05),在治疗后3周及末次随访时,观察组的中医证候积分、VAS腰痛和腿痛评分、ODI功能障碍指数均优于对照组,且差异有统计学意义(均P<0.05)。结论:热敏穴隔姜灸配合核心肌群训练治疗寒湿型腰椎间盘突出症可以较快地缓解疼痛症状,相较于隔姜灸治疗疗效更优,能增强腰椎稳定性,减少复发,安全有效。Objective:To observe the effect of ginger moxibustion at heat-sensitive points and core muscle training for treating colddampness lumbar disc herniation.Methods:Sixty patients with cold-dampness lumbar disc herniation meeting the inclusion criteria were randomly divided into two groups.The control group was treated with ginger moxibustion,and the treatment group was treated with ginger moxibustion at heat-sensitive points+core muscle training,with 30 cases in each group.One course of treatment lasted for 7 days,and both groups underwent three courses of treatment.Record the TCM syndrome scores,VAS low back pain and leg pain scores,and ODI dysfunction index of two groups of patients before treatment,3 weeks after treatment,and at the last follow-up.Results:There were no significant differences in TCM syndrome scores,VAS low back pain and leg pain scores and ODI dysfunction index between the two groups before treatment(P>0.05),and all scores were significantly improved between the two groups after treatment compared with before treatment(P<0.05).At the last follow-up,TCM syndrome scores,VAS lumbago and leg pain scores and ODI dysfunction index of the treatment group were better than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Ginger moxibustion at heat-sensitive points and core muscle training for treating cold-dampness lumbar disc herniation is safe and effective,it can quickly relieve pain symptoms,compared with ginger moxibustion treatment,the curative effect is better,can enhance the stability of lumbar spine and reduce the recurrence.

关 键 词：热敏穴 核心肌群 腰椎间盘突出 

分 类 号：R245.81[医药卫生—针灸推拿学]