热敏灸治疗腰椎间盘突出症疗效观察

目的:对比传统艾灸法与热敏灸治疗腰椎间盘突出症的疗效差异.方法:将120例患者随机分为热敏灸组和传统艾灸组,每组60例.热敏灸组在腰背部及下肢热敏化高发区寻找热敏穴,实施灸疗,每日1次;传统艾灸组温和灸夹脊穴、次醪、秩边、环跳、委中、阳陵泉、昆仑,每日1次.两组疗程均为7天,疗程结束及半年后随访观察其疗效及复发率.结果:经治1疗程后,热敏灸组愈显率为65.0%,优于传统艾灸组的50.0%,差异有统计学意义(P＜0.05);有效以上患者半年后随访,热敏灸组愈显率为62.3%、复发率为26.4%,传统艾灸组分别为34.2%、46.3%,热敏灸组疗效优于传统艾灸组且复发率低于传统艾灸组(均P＜0.05).结论:热敏灸是治疗腰椎间盘突出症的有效疗法,其疗效稳定、复发率低.

Observation on therapeutic effect of moxibustion on temperature-sensitive points for lumbar disc herniation

Objective To compare therapeutic effects of traditional moxibustion and moxibustion on temperature-sensitive points for lumbar disc herniation. Methods One hundred and twenty cases were randomly divided into a temperature-sensitive point group and a traditional moxibustion group, 60 cases in each group. The temperature-sensitive point group was treated with moxibustion on the temperature-sensitive points in the temperature-sensitive high incidence area such as waist and lower limbs, once each day; the traditional moxibustion group was treated with warming moxibustion at Jiaji (EX-B 2) , Ciliao (BL 32), Zhibian (BL 54), Huantiao (GB 30) , Weizhong (BL 40), Yanglingquan (GB 34) , Kunlun (BL 60) , once each day, 7 days constituting one course. The therapeutic effect and the recurrence rate were observed after one course treatment and six months later. Results After treatment for one course, the cured-markedly effective rate was 65. 0% in the temperature-sensitive point group, superior to 50. 0% in the traditional moxibustion group, with a significant difference between the two groups (P<0. 05) ; all effective cases were followed-up for six months, the cured-markedly effective rate and the recurrence rate were 62. 3% and 26. 4% in the temperature-sensitive point group, and 34. 2% and 46. 3% in the traditional moxibustion group, the therapeutic effect of the temperature-sensitive point group being superior to the traditional moxibustion group, and the recurrence rate was lower than the traditional moxibustion group (both P<0. 05 ). Conclusion Moxibustion on temperature-sensitive points is a effective therapy for lumbar disc herniation, with stable therapeutic effect and low recurrence rate.