热敏灸联合西药治疗肾阳虚型骨质疏松症腰背痛:随机对照研究

目的:比较热敏灸联合西药与单纯西药治疗肾阳虚型骨质疏松症腰背痛的临床疗效。方法:将64例骨质疏松症患者随机分为观察组(32例,脱落2例)和对照组(32例,脱落3例)。对照组口服阿伦膦酸钠与碳酸钙D3片;观察组在对照组基础上于命门、腰阳关、关元、肾俞、足三里穴区探寻热敏腧穴行热敏灸治疗,每日1次,每周5次,两组均治疗8周。比较两组患者治疗前后视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、骨密度值(BMD)及中医临床症状评分。结果:治疗后,两组患者VAS、ODI评分及中医临床症状评分均降低(P<0.05,P<0.01),且观察组低于对照组(P<0.05,P<0.01);治疗后,两组BMD均升高(P<0.01),且观察组高于对照组(P<0.05)。结论:热敏灸联合西药治疗能明显减轻肾阳虚型骨质疏松症患者的腰背痛,增加骨密度,其疗效优于单纯西药治疗。

Heat-sensitive moxibustion combined with western medication for low back pain of osteoporosis with kidney-yang deficiency: a randomized controlled trial

Objective To compare the clinical therapeutic effect between heat-sensitive moxibustion combined with western medication and simple western medication for low back pain of osteoporosis with kidney-yang deficiency. Methods A total of 60 patients with osteoporosis were randomized into an observation group(32 cases, 2 cases dropped off) and a control group(32 cases, 3 cases dropped off). In the control group, alendronate sodium tablet and calcium carbonate and vitamin D3 tablet were taken orally. On the basis of the control group, heat-sensitive moxibustion was applied at Mingmen(GV 4), Yaoyangguan(GV 3), Guanyuan(CV 4), Shenshu(BL 23), Zusanli(ST 36) in the observation group, once a day, 5 times a week for 8 weeks. Before and after treatment,the visual analogue scale(VAS) score, Oswestry disability index(ODI) score, bone mineral density(BMD) and TCM clinical symptom score were compared in the two groups. Results The VAS scores, ODI scores and TCM clinical symptom scores after treatment were reduced in the two groups(P<0.05, P<0.01), and those in the observation group were lower than the control group(P<0.05, P<0.01). The BMD after treatment was increased in the two groups(P<0.01), and that in the observation group was higher than the control group(P<0.05). Conclusion Heat-sensitive moxibustion combined with western medication could relieve low back pain, improve BMD in patients of osteoporosis with kidney-yang deficiency, and its clinical effect is superior to simple western medication.