| 基于寒湿型腰椎间盘突出症镇痛效应评价的火龙灸灸量优选研究 |
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| 引用本文： | 周小芳,方群,章旭萍,骆寒冰,顾敏洁,郭芳芳.基于寒湿型腰椎间盘突出症镇痛效应评价的火龙灸灸量优选研究[J].中华全科医学,2020,18(9):1570-1572. |
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| 作者姓名： | 周小芳 方群 章旭萍 骆寒冰 顾敏洁 郭芳芳 |
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| 作者单位： | 浙江中医药大学附属第三医院护理部, 浙江 杭州 310005 |
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| 基金项目： | 浙江省中医药科技计划项目(2019ZA066) |
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| 摘 要： | 目的 本文将研究寒湿型腰椎间盘突出症的主要机制与中医辨证,并选择适合火龙灸灸量对患者镇痛效应的治疗效果。 方法 选取2019年1—6月在浙江中医药大学附属第三医院治疗的符合纳入标准并接受火龙灸治疗的寒湿型腰椎间盘突出症患者72例,采用随机数字表法分为3组,分别为30 min治疗组、40 min治疗组及50 min治疗组,每组24例。连续治疗4周后,并随访3个月,采用视觉模拟评分法(visual analog scoring,VAS)及改良的日本骨科学会下腰痛评分(M-Joint operation agreement,M-JOA),比较3组患者的疼痛缓解、症状改善情况和临床治疗效果。 结果 3组患者治疗后VAS评分均低于治疗前(均P<0.05),且40 min治疗组患者在治疗4周及随访3个月时,VAS评分明显低于其他2组(均P<0.001);3组患者治疗后M-JOA评分均高于治疗前(均P<0.05),且在各评估时间点40 min治疗组患者M-JOA评分明显高于其他2组(均P<0.05);40 min治疗组临床有效率明显高于其他2组(均P<0.05)。 结论 应用火龙灸治疗寒湿型腰椎间盘突出症时,治疗40 min组更能有效缓解患者的症状体征,提高临床疗效,且远期疗效显著,不易复发。
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| 关 键 词： | 腰椎间盘突出症 镇痛效应 灸量 火龙灸 |
| 收稿时间： | 2019-11-02 |
Study on the optimization of fire dragon moxibustion based on evaluation of analgesic effect of cold and wet lumbar disc herniation |
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| Affiliation: | Department of Nursing,the Third Affiliated Hospital of Zhejiang Chinese Medicine University,Hangzhou,Zhejiang 310005,China |
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| Abstract: | Objective To study the main mechanism of cold and wet lumbar disc herniation and TCM syndrome differentiation, and choose a therapeutic effect suitable for the analgesic effect of fire dragon moxibustion. Methods Seventy-two patients with cold and wet lumbar disc herniation who met the inclusion criteria and received fire dragon moxibustion at the Third Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine from January to June 2019 were selected and divided into three groups according to the completely random method, each group has 24 cases, for 30 min, 40 min and 50 min treatment group, respectively. After 4 weeks of continuous treatment and follow-up for 3 months, the visual analog scoring(VAS) and the modified Japan Orthopaedic Association lower back pain score(M-Joint Operation Agreement, M-JOA) were used to compare the three groups Pain relief, improvement of symptoms and clinical treatment effect. Results VAS score was lower than before treatment after treatment in three groups(all P<0.05), the VAS score of 40 min group was significantly lower than the other two groups in 4 weeks and 3 months of follow-up(all P<0.001). After treatment, the M-JOA score was higher than that before treating(all P<0.05), the score of M-JOA of 40 min group was significantly higher than that of the other two groups in all time points(all P<0.05). The clinical efficiency of 40 min treatment group was significantly higher than that of the other two groups(all P<0.05). Conclusion When using fire dragon moxibustion to treat cold and wet lumbar disc herniation, 40 min treatment can effectively relieve the patient's symptoms, improve the clinical effect. The long-term effect is significant, and it is not easy to relapse. |
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