任督脉交替铺灸联合强筋合剂治疗肝肾亏虚型产后风湿的临床观察  

Clinical observation on treatment of postpartum rheumatism of liver and kidney deficiency type with Ren-Du vessel alternate spreading moxibustion combined Qiangjin Mixture

作　　者：潘中强 李金霞 PAN Zhong-qiang;LI Jin-xia(Department of Acupuncture and Massage,Huzhou Hospital of Traditional Chinese Medicine,afiliated to Zhejiang University of Traditional Chinese Medicine,Huzhou 313000,China)

机构地区：[1]浙江中医药大学附属湖州中医院针灸推拿科,湖州313000

出　　处：《北京中医药》2023年第4期390-393,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：浙江省中医药科技研究项目(2020ZA111);浙江省中医药“新苗”计划项目(浙中医药[2021]1号)。

摘　　要：目的 观察任督脉交替铺灸联合强筋合剂治疗肝肾亏虚型产后风湿的临床疗效。方法 纳入2020年1月—2022年7月肝肾亏虚型产后风湿患者84例,采用随机数字表法将患者分为对照组和治疗组各42例。对照组给予强筋合剂口服,每次25 mL,2次/d。治疗组在口服强筋合剂的基础上配合任督脉交替铺灸,每周1次。均连续治疗4周。对比2组治疗前后疼痛分级指数(PRI)、视觉模拟评分法(VAS)和现有疼痛强度(PPI)、Oswestry功能障碍指数(ODI)评分、中医证候积分。结果 治疗后,2组PRI、VAS、PPI、ODI评分、中医证候积分均较治疗前降低(P<0.05),且治疗组各项指标下降均优于对照组(P<0.05)。结论 任督脉交替铺灸联合强筋合剂治疗肝肾亏虚型产后风湿可有效减轻患者疼痛,并改善功能障碍。Objective To observe the clinical effect of Ren Du vessel alternate spreading moxibustion combined with Qiangjin Mixture for postpartum rheumatism patients of liver and kidney deficiency.Methods 84 patients with postpartum rheumatism of liver and kidney deficiency from January 2020 to July 2022 were randomly divided into 2 groups,a control group(n=42)and a treatment group(n=42)using random number table method.The control group was given oral Qiangjin Mixture,25mL each time,twice a day,for 4 weeks,as a course of treatment.On the basis of this,the treatment group was treated with Ren Du vessel alternate spreading moxibustion,once a week for 4 weeks,as a course of treatment.Pain grading index(PRI),visual analogue scale(VAS),existing pain intensity(PPI),Oswestry dysfunction index(ODI)score and TCM syndrome score were compared between the two groups before and after treatment.Results After treatment,PRI,VAS,and PPI ODI score and TCM syndrome score in both groups were decreased compared with those before treatment(P<0.05),and the decrease of scores in the treatment group was significantly greater than those in the control group(P<0.05).Conclusion The combination of Ren Du vessel alternate spreading moxibustion and Qiangjin Mixture can effectively relieve pain and improve the dysfunction for patients with postpartum rheumatism of liver and kidney deficiency.

关 键 词：产后风湿 铺灸 任脉 督脉 强筋合剂 疼痛 功能障碍 

分 类 号：R271.43[医药卫生—中医妇科学]