Xie Xiu-Jun, Jiang Wei-Qiang, Chen Ri-Xin, Zheng Song, Li Shun-Dong, Chen Li-Hong, Ye Ling-Jie
Department of Acupuncture-Moxibustion and Tuina, Taizhou Hospital of TCM, Taizhou 318000, Zhejiang Province, China.
Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM.
Zhongguo Zhen Jiu. 2021 Feb 12;41(2):145-8. doi: 10.13703/j.0255-2930.20200211-0004.
To compare the clinical therapeutic effect between heat-sensitive moxibustion combined with western medication and simple western medication for low back pain of osteoporosis with kidney- deficiency.
A total of 60 patients with osteoporosis were randomized into an observation group (32 cases, 2 cases dropped off) and a control group (32 cases, 3 cases dropped off). In the control group, alendronate sodium tablet and calcium carbonate and vitamin D tablet were taken orally. On the basis of the control group, heat-sensitive moxibustion was applied at Mingmen (GV 4), Yaoyangguan (GV 3), Guanyuan (CV 4), Shenshu (BL 23), Zusanli (ST 36) in the observation group, once a day, 5 times a week for 8 weeks. Before and after treatment，the visual analogue scale (VAS) score, Oswestry disability index (ODI) score, bone mineral density (BMD) and TCM clinical symptom score were compared in the two groups.
The VAS scores, ODI scores and TCM clinical symptom scores after treatment were reduced in the two groups (<0.05, <0.01), and those in the observation group were lower than the control group (<0.05, <0.01). The BMD after treatment was increased in the two groups (<0.01), and that in the observation group was higher than the control group (<0.05).
Heat-sensitive moxibustion combined with western medication could relieve low back pain, improve BMD in patients of osteoporosis with kidney- deficiency, and its clinical effect is superior to simple western medication.
比较热敏灸联合西药与单纯西药治疗肾虚型骨质疏松性腰痛的临床疗效。
将60例骨质疏松患者随机分为观察组（32例，脱落2例）和对照组（32例，脱落3例）。对照组口服阿仑膦酸钠片及碳酸钙维生素D片。观察组在对照组基础上，于命门（GV4）、腰阳关（GV3）、关元（CV4）、肾俞（BL23）、足三里（ST36）行热敏灸，每日1次，每周5次，共8周。比较两组治疗前后视觉模拟评分法（VAS）评分、Oswestry功能障碍指数（ODI）评分、骨密度（BMD）及中医临床症状评分。
两组治疗后VAS评分、ODI评分及中医临床症状评分均降低（<0.05，<0.01），且观察组低于对照组（<0.05，<0.01）。两组治疗后BMD均升高（<0.01），且观察组高于对照组（<0.05）。
热敏灸联合西药能缓解肾虚型骨质疏松患者的腰痛，提高骨密度，临床疗效优于单纯西药。
