引用本文:侯丹.[cn_title][J].[journal_cn_name],2020,[volume]([issue]):136-139.[点击复制]
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艾灸联合中药包热敷在腰椎间盘突出症患者中的应用效果
侯丹
0
(宜宾市中医医院)
摘要:
目的 探讨艾灸联合中药包热敷在腰椎间盘突出症中的应用效果。方法 于2018年7月至12月选择宜宾市中医医院确诊的腰椎间盘突出症(LDH)患者100例,随机分为对照组和中医组。对照组口服芬必得(布洛芬缓释胶囊)2粒和迪根(双氯酚酸钠缓释片)1片;中医组采取艾灸联合中药包热敷;疗程30天。观察并比较两组患者临床症状(日本骨科学会腰背痛JOA评分和疼痛视觉模拟VAS评分)、疗效和患者满意度。结果 治疗前对照组和中医组JOA评分、VAS评分差异无统计学意义(P>0.05);治疗后中医组JOA评分、分级及VAS评分均优于治疗前(P<0.05),且均优于对照组治疗后(P<0.05);中医组和对照组治疗总有效率分别为92.0%和70.0%,疗效等级中医组优于对照组(P<0.05);疗效满意度等级中医组也显著优于对照组(P<0.05)。结论 艾灸联合中药包热敷能显著改善LDH患者疼痛症状,具有较好的临床疗效和患者满意度。
关键词:  腰椎间盘突出症  艾灸  中药包热敷  疗效
DOI:
基金项目:
Application effects of moxibustion combined with Chinese traditional herbs hot pack in patients with lumbar disc herniation
侯丹
(wu)
Abstract:
Objective To discuss the clinical effects of moxibustion combined with Chinese traditional herbs hot pack in treating lumbar disc herniation (LDH).Methods From July to December 2018, 100 LDH patients were selected from Yibin Traditional Chinese Medicine Hospital and randomly divided into control group and TCM group. The patients in both of two groups were treated with Fenbid 2 grains per day and diclofenac sodium 1 tablet per day. Except that, the patients in TCM group were treated with moxibustion combined with Chinese traditional herbs hot pack for 30 days. Finally the clinical effects of two groups were compared by the assessment of Japanese Orthopaedic Association (JOA), pain visual analogue score (VAS).Results There was significant difference of JOA and VAS before and after the treatment in TCM group (P<0.05). There was no difference of VAS score before treatment in two groups (P>0.05). While VAS score in TCM group was significantly lower than that of control group after treatment (P<0.05). The difference of VAS score in TCM group was observed before and after treatment (P<0.05). The effective rate in TCM group and control group was 92.0% and 70.0% respectively. The satisfaction rate of patients in TCM group was higher than that of control group (P<0.05).Conclusions Moxibustion combined with Chinese traditional herbs hot pack could significantly relieve the symptom of pain among LDH patients.
Key words:  Lumbar disc herniation  Moxibustion  Hot pack by Chinese traditional herbs  Effects

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