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艾灸热敏点治疗腰椎间盘突出症的疗效观察

[Observation on therapeutic effect of moxibustion on temperature-sensitive points for lumbar disc herniation].

作者信息

Tang Fu-yu, Huang Cheng-jun, Chen Ri-xin, Xu Min, Liu Bao-xin, Liang Zhu

机构信息

Department II of Orthopaedics, Liuzhou Hospital of TCM, Liuzhou 545001, China.

出版信息

Zhongguo Zhen Jiu. 2009 May;29(5):382-4.

Abstract

OBJECTIVE

To compare therapeutic effects of traditional moxibustion and moxibustion on temperature-sensitive points for lumbar disc herniation.

METHODS

One hundred and twenty cases were randomly divided into a temperature-sensitive point group and a traditional moxibustion group, 60 cases in each group. The temperature-sensitive point group was treated with moxibustion on the temperature-sensitive points in the temperature-sensitive high incidence area such as waist and lower limbs, once each day; the traditional moxibustion group was treated with warming moxibustion at Jiaji (EX-B 2), Ciliao (BL 32), Zhibian (BL 54), Huantiao (GB 30), Weizhong (BL 40), Yanglingquan (GB 34), Kunlun (BI. 60), once each day, 7 days constituting one course. The therapeutic effect and the recurrence rate were observed after one course treatment and six months later.

RESULTS

After treatment for one course, the cured-markedly effective rate was 65.00% in the temperature-sensitive point group, superior to 50.0% in the traditional moxibustion group, with a significant difference between the two groups (P < 0.05); all effective cases were followed-up for six months, the cured-markedly effective rate and the recurrence rate were 62.3% and 26.4% in the temperature-sensitive point group, and 34.2% and 46.3% in the traditional moxibustion group, the therapeutic effect of the temperature-sensitive point group being superior to the traditional moxibustion group, and the recurrence rate was lower than the traditional moxibustion group (both P < 0.05).

CONCLUSION

Moxibustion on temperature-sensitive points is a effective therapy for lumbar disc herniation, with stable therapeutic effect and low recurrence rate.

摘要

目的

比较传统艾灸与热敏点艾灸治疗腰椎间盘突出症的疗效。

方法

将120例患者随机分为热敏点组和传统艾灸组,每组60例。热敏点组在腰部及下肢等热敏高发区域的热敏点进行艾灸治疗,每日1次;传统艾灸组取夹脊(EX - B 2)、次髎(BL 32)、秩边(BL 54)、环跳(GB 30)、委中(BL 40)、阳陵泉(GB 34)、昆仑(BL 60)进行温灸,每日1次,7天为1个疗程。1个疗程治疗后及6个月后观察疗效及复发率。

结果

治疗1个疗程后,热敏点组痊愈显效率为65.00%,优于传统艾灸组的50.0%,两组比较差异有统计学意义(P < 0.05);对所有有效病例随访6个月,热敏点组痊愈显效率及复发率分别为62.3%和26.4%,传统艾灸组分别为34.2%和46.3%,热敏点组疗效优于传统艾灸组,复发率低于传统艾灸组(均P < 0.05)。

结论

热敏点艾灸是治疗腰椎间盘突出症的有效疗法,疗效稳定,复发率低。

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