加味乌头散火龙灸对寒湿型腰椎间盘突出症患者JOA及SF―36评分的影响的研究.docVIP

加味乌头散火龙灸对寒湿型腰椎间盘突出症患者JOA及SF―36评分的影响的研究 　　[摘要] 目的 研究加味?跬飞⒒鹆?灸对寒湿型腰椎间盘突出症患者JOA及SF-36评分影响。 方法 选取2015年12月～2016年11月在本院首次入院接受治疗的患者96例，将患者随机分为治疗组（48例）和对照组（48例）；对照组采用针刺治疗，治疗组在对照组基础上使用加味乌头散火龙灸治疗；使用腰痛评分法（JOA）、疼痛数字评分法（NRS）和生活质量评分量表（SF-36）对患者进行评分。 结果 治疗后，治疗组患者总的有效率为85.4%，高于对照组的62.5%，差异有统计学意义（P0.05）；两组患者与治疗前比较SF-36评分均上升，NRS评分均降低，差异有统计学意义（P0.05），治疗组比对照组效果更佳，治疗1个月后两组比较差异有统计学意义（P0.05）；治疗组患者腰椎各项指标与治疗前比较，差异均有统计学意义（P0.05），对照组患者只在JOA评分方面与治疗前比较有差异。 结论 加味乌头散火龙灸对寒湿型腰椎间盘突出症患者治疗效果显著，安全有效，且克服了中药难吃的特征，患者更易长期接受并能坚持治疗。 　　[关键词] 加味乌头散；寒湿型腰椎间盘突出症；火龙灸；腰痛评分 　　[中图分类号] R245.8 [文献标识码] B [文章编号] 1673-9701（2017）11-0105-05 　　Study on the effect of modified aconite powder Huolong moxibustion on JOA and SF-36 scores in the patients with cold-dampness lumbar disc herniation 　　ZHOU Xiaofang ZHUANG Sufang 　　Department of Nursing，the Third Affiliated Hospital of Zhejiang Chinese Medical University， Hangzhou 310005，China 　　[Abstract] Objective To study the effect of modified aconite powder Huolong moxibustion on JOA and SF-36 scores in the patients with cold-dampness lumbar disc herniation. Methods 96 patients who were firstly admitted in our hospital from December 2015 to November 2016 were selected. The patients were randomly divided into the treatment group （48 cases） and the control group（48 cases）； the control group was given acupuncture， and the treatment group was given modified aconite powder Huolong moxibustion on the basis of the control group； the patients were scored by Japanese orthopaedic association scores （JOA）， numeric rating scales （NRS） and quality of life scale （SF-36）. Results After treatment， the total effective rate in the treatment group was 85.4%， which was higher than that of 62.5% in the control group， and the difference was statistically significant（P 　　[Key words] Modified aconite powder； Cold-dampness lumbar disc herniation； Huolong moxibustion； Japanese orthopaedic association scores （JOA） 　　腰椎间盘突出症为人体腰椎间盘发生退行性的病变，致使纤维环遭到损坏，髓核突出，对脊神经造成压迫而出现了综合证候群。在临床上较为常见，一般在青壮年中发病率较高，主要表征