[Clinical effect of long-snake moxibustion on lumbago of cold-dampness type].

作者：Department of Acupuncture; Moxibustion; Hongdu Hospital of Chinese Medicine; Nanchang; China.; Department of Acupuncture; Moxibustion; Hongdu Hospital of Chinese Medicine; Nanchang; China.; Department of Rehabilitation of Jiangxi Integrated Chinese; Western Medicine Hospital; Nanchang .; Department of Acupuncture; Moxibustion; Hongdu Hospital of Chinese Medicine; Nanchang; China.; Department of Acupuncture; Moxibustion; Hongdu Hospital of Chinese Medicine; Nanchang; China.

来源：Zhen ci yan jiu = Acupuncture research, 2020, 45(4): 320-4.

DOI：10.13702/j.1000-0607.190569

• Acupuncture
• Diclofenac odium
• Long-snake moxibustion
• Lumbago of cold-dampness type
• Mecobalamine

目的:观察长蛇灸对寒湿型腰痛患者疼痛、功能障碍和体质状态的影响。方法:将90例寒湿型腰痛患者随机分为长蛇灸组、针刺组和药物组,每组30例。长蛇灸组以自拟的灸粉方配合生姜、艾绒进行长蛇灸治疗,每周1次,治疗4周。针刺组予普通针刺治疗,留针30 min/次,每日1次,治疗8 d休息2 d,10 d为1个疗程,共治疗3个疗程。药物组予双氯芬酸钠(25 mg/次)及甲钴胺片(0.5 mg/次)口服,每日3次,共服用1个月。评估3组患者治疗前后视觉模拟量尺(VAS)评分、现有疼痛强度(PPI)评分、Oswestry功能障碍指数(ODI)以及阳虚质量表评分。结果:与治疗前比较,3组患者治疗后VAS评分、PPI评分、ODI均显著降低(P<0.05),长蛇灸组、针刺组阳虚质量表评分显著降低(P<0.05)。与药物组比较,长蛇灸组、针刺组患者ODI显著降低(P<0.05)。与针刺组和药物组比较,长蛇灸组阳虚质量表评分显著降低(P<0.05)。长蛇灸组有效率为93.33%(28/30),针刺组有效率为86.67%(26/30),药物组有效率为73.33%(22/30),长蛇灸组临床疗效显著优于针刺组和药物组(P<0.05)。结论:长蛇灸治疗寒湿型腰痛疗效显著,能够减轻患者疼痛,改善其功能障碍和体质状态。