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膏药治疗腰痛效果的评估:一项随机对照临床试验。

Evaluation of effect of poultice in low back pain : A randomized comparative clinical trial.

作者信息

Kumar Tarun, Sanapeti Rajashekhar V, Prasad B S

机构信息

Department of Panchakarma, KLEU's Shri BMK Ayurveda Mahavidyalaya, Shahapur, Belagavi, Karnataka, India.

出版信息

Ayu. 2019 Jul-Sep;40(3):159-163. doi: 10.4103/ayu.AYU_71_18. Epub 2020 Aug 8.

Abstract

BACKGROUND

(low back pain) is a condition where low back is afflicted either with or ( involved with the toxins released due to altered digestion and metabolism) and present with symptoms such as pain with stiffness. About 60%-80% population in India suffer from this condition. (poultice) is one of the (sudation) treatment modalities mentioned for . As (affected with toxins released from impaired digestion) and (without toxins) are two stages of , hence, the specific type of is required for such condition.

AIMS AND OBJECTIVE

The study was conducted to evaluate the effect of in (low back pain) as per the presentation of stages of .

MATERIALS AND METHODS

Selected patients were categorized into two groups. In group A, patients having , were given once a day till it became , then shifted to for 7 days and patients who had was used once a day for 7 days. In group B was used once a day for 7 days irrespective of stages. Subjective parameters assessed were pain in the low back, stiffness, and Oswestry Disability Index (ODI) was also used. The Mann-Whitney U test and Wilcoxon signed‑rank test were used to assess results.

RESULTS

Patients who were treated considering the and phases had 78.88% better results in relieving pain, stiffness, and in ODI change than the patients treated without considering the phases.

CONCLUSION

The present study showed significant results in both the groups, but patients treated as per stage wise treatment showed better effect in treating than the patients treated with out considering the stage.

摘要

背景

腰痛是一种下背部受到影响的病症,或者与(因消化和新陈代谢改变而释放的毒素有关),并伴有疼痛和僵硬等症状。印度约60%-80%的人口患有这种病症。热敷是治疗腰痛提到的排汗治疗方式之一。由于(受消化受损释放的毒素影响)和(无毒素)是腰痛的两个阶段,因此,针对这种病症需要特定类型的热敷。

目的

本研究旨在根据腰痛阶段的表现评估热敷在治疗腰痛中的效果。

材料与方法

将选定的患者分为两组。A组中,患有(特定情况)的患者每天给予一次(某种治疗方式),直到症状变为(另一种情况),然后改为(另一种治疗方式)持续7天,而患有(另一种情况)的患者每天使用一次(某种治疗方式)持续7天。B组无论处于何阶段,每天使用一次(某种治疗方式)持续7天。评估的主观参数包括下背部疼痛、僵硬,还使用了奥斯维斯特残疾指数(ODI)。采用曼-惠特尼U检验和威尔科克森符号秩检验来评估结果。

结果

根据阶段进行治疗的患者在缓解疼痛、僵硬以及ODI变化方面的效果比未考虑阶段进行治疗的患者好78.88%。

结论

本研究在两组中均显示出显著结果,但按阶段进行治疗的患者在治疗腰痛方面比未考虑阶段进行治疗的患者效果更好。

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