经筋推拿联合督脉灸治疗非特异性下腰痛(寒湿证)的临床观察
Clinical Observation of Combined Treatment of Meridian and Acupoint Massage with Du Meridian Acupuncture for Cold-Damp Type in Non-Specific Low Back Pain
朱晓宏 1陆燕群 1王胜1
作者信息
- 1. 浙江省嘉兴市中医医院,浙江 嘉兴 314000
- 折叠
摘要
目的 观察经筋推拿联合督脉灸治疗非特异性下腰痛(寒湿证)的临床疗效.方法 将120例患者随机分为经筋推拿组、督脉灸组与结合组,每组40例.经筋推拿组采用经筋推拿治疗;督脉灸组采用督脉铺灸治疗;结合组采用先经筋推拿、后督脉铺灸的方法.观察各组患者治疗前后的视觉模拟量表(VAS)、Roland-Morris功能障碍评分(RMDQ评分),并评价疗效.结果 结合组在治疗1周后、治疗2周后和3个月随访时,VAS评分和RMDQ评分的改善明显优于单独使用经筋推拿或督脉灸的治疗组.结论 经筋推拿与督脉灸的联合应用在治疗非特异性下腰痛(寒湿证)方面具有更好的疗效.
Abstract
Objective:To explore the application and evaluate the effectiveness of combining meridian and acu-point massage with Du meridian acupuncture in the treatment of cold-damp type in non-specific low back pain.Methods:A randomized controlled trial was conducted,with 120 patients randomly divided into three groups:me-ridian and acupoint massage group,Du meridian acupuncture group,and combined group,each consisting of 40 pa-tients.The meridian and acupoint massage group received treatment with meridian and acupoint massage,the Du meridian acupuncture group received treatment with Du meridian acupoint sticking,and the combined group re-ceived treatment with meridian and acupoint massage followed by Du meridian acupoint sticking.The pre-and post-treatment visual analogue scale(VAS)and Roland-Morris Disability Questionnaire(RMDQ)scores were ob-served for each group to evaluate the therapeutic effects.Results:The combined group showed significantly better improvement in VAS and RMDQ scores at 1 week,2 weeks,and 3 months after treatment and follow-up compared with the groups receiving only meridian and acupoint massage or Du meridian acupuncture alone.Conclusion:The combination of meridian and acupoint massage with Du meridian acupuncture has better therapeutic effects in the treatment of cold-damp type in non-specific low back pain.
关键词
非特异性下腰痛/寒湿型/经筋推拿/督脉灸/疗效Key words
Non-specific low back pain/Cold-damp type/Meridian and acupoint massage/Du meridian acu-puncture/Efficacy引用本文复制引用
基金项目
嘉兴市董人人名中医传承工作室(2021-MZYGZS-04)
浙江省"十三五"中医药重点专科骨伤科(2019XK-十三五)
浙江省中医药管理局中医药科技计划(2022ZB351)
出版年
2024