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[1]謝冬群,黃中梁,葉金麗.加強(qiáng)隔附子餅灸治療腎陽虛型腰椎間盤突出癥的 臨床研究[J].中醫(yī)正骨,2015,27(09):18-21.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):18-21.
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加強(qiáng)隔附子餅灸治療腎陽虛型腰椎間盤突出癥的 臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年09期
頁碼:
18-21
欄目:
臨床研究
出版日期:
2015-09-30

文章信息/Info

Title:
Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation
作者:
謝冬群; 黃中梁; 葉金麗
廣東省佛山市中醫(yī)院,廣東 佛山 528000
Author(s):
XIE Dongqun; HUANG Zhongliang; YE Jinli
Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China
關(guān)鍵詞:
椎間盤移位;  腰椎;  腎陽虛;  藥灸;  附子
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  kidney-yang deficiency;  medicinal moxibustion;  rx aconiti lateralis preparata
摘要:
目的:觀察加強(qiáng)隔附子餅灸治療腎陽虛型腰椎間盤突出癥的臨床療效。方法:將140例腎陽虛型腰椎間盤突出癥患者隨機(jī)分為3組,分別采用加強(qiáng)隔附子餅灸聯(lián)合基礎(chǔ)療法、隔附子餅灸聯(lián)合基礎(chǔ)療法及基礎(chǔ)療法治療。10 d為1個(gè)療程,連續(xù)治療2個(gè)療程。比較治療前后3組數(shù)字疼痛強(qiáng)度量表(numerical rating scale,NRS)評(píng)分及日本骨科學(xué)會(huì)(Japanese orthopaedic association,JOA)評(píng)分,并于治療2個(gè)療程后比較3組患者的臨床綜合療效。結(jié)果:治療前3組患者的NRS評(píng)分及JOA評(píng)分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[(6.20±0.37)分,(6.35±0.34)分,(6.27±0.27)分,F=2.183,P=0.117;(14.83±2.43)分,(15.30±3.70)分,(16.33±4.41)分,F=0.060,P=0.942]。治療2個(gè)療程后,加強(qiáng)隔附子餅灸組的NRS評(píng)分低于隔附子餅灸組和基礎(chǔ)療法組[(3.98±0.24)分,(4.50±0.21)分,(5.92±0.23)分,F=9.875,P=0.000],加強(qiáng)隔附子餅灸組的JOA評(píng)分高于隔附子餅灸組和基礎(chǔ)療法組[(18.64±3.62)分,(18.23±3.59)分,(16.90±3.53)分,F=3.296,P=0.040]。加強(qiáng)隔附子餅灸組治愈12例、好轉(zhuǎn)25例、無效3例,隔附子餅灸組治愈10例、好轉(zhuǎn)26例、無效4例,基礎(chǔ)療法組治愈10例、好轉(zhuǎn)35例、無效15例,加強(qiáng)隔附子餅灸組的臨床綜合療效優(yōu)于隔附子餅灸組和基礎(chǔ)療法組(Z=6.671,P=0.036)。結(jié)論:采用加強(qiáng)隔附子餅灸聯(lián)合基礎(chǔ)療法治療腎陽虛型腰椎間盤突出癥,可以有效緩解疼痛癥狀、促進(jìn)腰椎功能恢復(fù),值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effects of intensive aconite root cake separated moxibustion in the treatment of kidney-yang–deficiency-type lumbar disc herniation(LDH).Methods:One hundred and forty patients with kidney-yang–deficiency-type LDH were randomly divided into 3 groups and were treated with intensive aconite root cake separated moxibustion combined with basic therapy(group A),aconite root cake separated moxibustion combined with basic therapy(group B)and basic therapy(group C)respectively for consecutive two course of treatment,10 days for each course.The numerical rating scale(NRS)scores and Japanese orthopaedic association(JOA)scores were compared between the 3 groups before and after the treatment,and the total curative effects were also compared between the 3 groups after two-course treatment.Results:There was no statistical difference in NRS scores and JOA scores between the 3 groups before the treatment(6.20+/-0.37,6.35+/-0.34,6.27+/-0.27 points,F=2.183,P=0.117; 14.83+/-2.43,15.30+/-3.70,16.33+/-4.41,F=0.060,P=0.942).The NRS scores of group A were lower than those of group B and group C after two-course treatment(3.98+/-0.24,4.50+/-0.21,5.92+/-0.23 points,F=9.875,P=0.000),and the JOA scores of group A were higher than those of group B and group C(18.64+/-3.62,18.23+/-3.59,16.90+/-3.53 points,F=3.296,P=0.040).Twelve patients obtained an excellent result,25 good and 3 poor in the group A; while 10 patients obtained an excellent result,26 good and 4 poor in the group B; and 10 patients obtained an excellent result,35 good and 15 poor in the group C.The group A surpassed the group B and group C in the total curative effect(Z=6.671,P=0.036).Conclusion:Combination of intensive aconite root cake separated moxibustion with basic therapy can effectively relieve the pain and promote the lumbar functional recovery in the treatment of kidney-yang-deficiency-type LDH,so it is worthy of popularizing in clinic.

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備注/Memo

備注/Memo:
2015-05-21收稿 2015-08-05修回
更新日期/Last Update: 2015-09-30