首页|温针灸改善肾阳虚型慢性非特异性下腰痛症状的临床效果

温针灸改善肾阳虚型慢性非特异性下腰痛症状的临床效果

扫码查看
目的 探讨温针灸对肾阳虚型慢性非特异性下腰痛(CNLBP)的临床疗效。方法 选取2022年5月至2023年5月厦门国宇健康管理中心有限公司湖里第一门诊部中医科门诊收治的144例CNLBP患者作为研究对象,按照随机数字表法将患者分为温针灸组(72例)与常规康复组(72例),干预和随访过程中,温针灸组和常规康复组分别脱落或剔除5例和7例,最终温针灸组和常规康复组分别纳入67例和65例进行统计。温针灸组采用温针灸和推拿治疗,穴位选取肾俞(双)、命门、腰阳关、委中(双)、阿是穴;常规康复组在推拿治疗基础上,采用假针对照。两组患者均每周治疗3次,2周为1个疗程,共治疗2个疗程,随访1个月。比较两组患者首次治疗前、治疗1个疗程、治疗结束时和随访时的视觉模拟评分(VAS)、腰部关节活动度、功能障碍指数(ODI),此外在治疗结束时评价疗效。结果 治疗后,温针灸组总有效率(94。03%)高于常规康复组(75。38%),差异有统计学意义(P<0。05)。治疗1个疗程后,温针灸组的VAS评分和ODI评分均低于常规康复组,各方向腰部关节活动度大于常规康复组,差异有统计学意义(P<0。05)。结论 温针灸治疗肾阳虚型CNLBP能有效减轻疼痛症状,改善腰部关节活动度,提高ODI评分,疗效优于推拿治疗。
Clinical effect of warm acupuncture on chronic non-specific low back pain with kidney-yang deficiency
Objective To explore the clinical effect of warm acupuncture on chronic non-specific low back pain(CNLBP)with kidney-yang deficiency.Methods A total of 144 CNLBP patients admitted to traditional Chinese medicine Outpatient Department of the First Department of Outpatient,GuoYu Health Management Center from May 2022 to May 2023 were se-lected as the study objects.According to random number table method,the patients were divided into warm acupuncture group(72 cases)and conventional rehabilitation group(72 cases).During the intervention and follow-up,5 and 7 cases were removed from warm acupuncture group and conventional rehabilitation group,respectively,and 67 and 65 cases were in-cluded in the warm acupuncture group and conventional rehabilitation group,respectively,for statistics.The warm acupunc-ture group was treated with warm acupuncture and massage.Shenshu(double),Mingmen,Waiyangguan,Weizhong(double),A Shi point were selected.On the basis of massage therapy,the conventional rehabilitation group was treated with fake pho-tographs.Patients in both groups were treated 3 times a week,2 weeks as a course of treatment,a total of 2 courses of treat-ment,follow-up for 1 month.Visual analogue scale(VAS),lumbar joint range of motion and Oswestry disability index(ODI)were compared before the first treatment,after 1 course of treatment,at the end of treatment and at follow-up between the two groups,and the efficacy was evaluated at the end of treatment.Results After treatment,the total effective rate of warm acupuncture group(94.03%)was higher than that of conventional rehabilitation group(75.38%),and the difference was sta-tistically significant(P<0.05).After 1 course of treatment,VAS score and ODI score of warm acupuncture group were lower than those of conventional rehabilitation group,and lumbar joint motion in all directions were greater than those of conven-tional rehabilitation group,the differences were statistically significant(P<0.05).Conclusion Warm acupuncture on CNLBP with kidney-yang deficiency type can effectively reduce pain symptoms,improve lumbar joint motion and ODI score,and is superior to massage therapy.

Chronic non-specific low back painWarm acupunctureKidney-yang deficiencyRandomized controlled trial

余静斐、李珊珊

展开 >

厦门国宇健康管理中心有限公司湖里第一门诊部,福建厦门 361000

厦门湖里国宇门诊部有限公司,福建厦门 361000

慢性非特异性下腰痛 温针灸 肾阳虚 随机对照试验

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(5)
  • 24