Volume 19 Issue 2
Feb.  2021
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ZHOU Xiao-fang, FANG Qun, GU Min-Jie, LUO Han-bing, ZHANG Xu-ping, GUO Fang-fang, CUI Juan. Effect of Duhuo Jisheng Decoction combined with large area moxibustion on analgesic effect and quality of life of cold-damp type lumbar disc herniation[J]. Chinese Journal of General Practice, 2021, 19(2): 298-301. doi: 10.16766/j.cnki.issn.1674-4152.001793
Citation: ZHOU Xiao-fang, FANG Qun, GU Min-Jie, LUO Han-bing, ZHANG Xu-ping, GUO Fang-fang, CUI Juan. Effect of Duhuo Jisheng Decoction combined with large area moxibustion on analgesic effect and quality of life of cold-damp type lumbar disc herniation[J]. Chinese Journal of General Practice, 2021, 19(2): 298-301. doi: 10.16766/j.cnki.issn.1674-4152.001793

Effect of Duhuo Jisheng Decoction combined with large area moxibustion on analgesic effect and quality of life of cold-damp type lumbar disc herniation

doi: 10.16766/j.cnki.issn.1674-4152.001793
Funds:

 2019ZA066

  • Received Date: 2020-06-02
    Available Online: 2022-02-19
  •   Objective  To research the effect of Duhuo Jisheng Decoction combined with large area moxibustion on the analgesic effect and quality of life of cold and damp type lumbar disc herniation, and provide the evidence for clinical application.  Methods  A total of 90 patients with cold-damp type lumbar disc herniation admitted to the Third Affiliated Hospital of Zhejiang University of Chinese Medicine from January 2018 to October 2019 were randomly divided into control group and treatment group by using the random number table method, with 45 patients in each group. The control group was treated with Duhuo Jisheng Decoction oral treatment, and the treatment group was treated with large area moxibustion (fire dragon moxibustion) on the basis of the control group. The clinical efficacy, visual analogue (VAS) score, modified Japanese Orthopedic Association lower back pain (M-JOA) score, quality of life score, and adverse reactions were evaluated before and after treatment in both groups.  Results  After 14 days of treatment, the clinical effective rate of the treatment group was 95.56% and the control group was 77.78%, the difference was statistically significant (P < 0.05). The VAS scores were (2.56±0.69) and (3.82±0.83) respectively, which were lower than those before treatment (all P < 0.001), and the treatment group was significantly lower than the control group (P < 0.001). The M-JOA score was (23.11±3.55) and (20.36±3.39) respectively, which was significantly higher than that before treatment (P < 0.001), and the treatment group was better than the control group (P < 0.001). The scores of physical function, health status, emotional function and social function in the treatment group were 85.49±1.82, 84.42±1.75, 82.84±5.68 and 81.49±11.46, respectively, which were better than those of the control group (63.44±3.24, 62.47±2.90, 62.76±2.31 and 62.96±1.83, respectively, all P < 0.001).  Conclusion  Duhuo Jisheng Decoction combined with large scale moxibustion treatment of cold-damp type lumbar disc herniation can significantly improve clinical symptoms, effectively improve the quality of life, and have good safety.

     

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  • [1]
    王丹, 汤宇. 腰椎间盘突出症保守治疗的中医辨证分型护理[J]. 山西医药杂志, 2019, 48(6): 743-745. doi: 10.3969/j.issn.0253-9926.2019.06.045
    [2]
    李妍, 姚啸生. 中西医治疗腰椎间盘突出症研究概况[J]. 辽宁中医药大学学报, 2016, 18 (4) : 231-234. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB201604075.htm
    [3]
    何锦, 唐东昕, 吴晓勇, 等. 苗医弩药液联合温针灸治疗腰椎间盘突出症临床疗效及安全性评估[J]. 中华中医药学刊, 2019, 37(10): 2478-2482. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS201910043.htm
    [4]
    池蓉蓉. 穴位按摩配合中药汤剂治疗腰椎间盘突出症的临床观察[J]. 中国中医药科技, 2018, 25(5): 713-714. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYY201805036.htm
    [5]
    陈锋, 吴晓飞, 闫乾, 等. 腰椎间盘突出症中医证候学研究[J]. 辽宁中医药大学学报, 2019, 21(12): 13-16. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB201912004.htm
    [6]
    吴小慧, 刘菲. 推拿配合火龙灸治疗寒湿型腰椎间盘突出症[J]. 湖北民族学院学报(医学版), 2018, 35(1): 24-27. https://www.cnki.com.cn/Article/CJFDTOTAL-FBMZ201801008.htm
    [7]
    ZHANG W, WANG S, ZHANG R, et al. Evidence of chinese herbal medicine duhuo jisheng decoction for knee osteoarthritis: a systematic review of randomised clinical trials [J]. BMJ Open, 2016, 6(1): e00R973. http://europepmc.org/articles/PMC4716222?pdf=render
    [8]
    莫伟, 许金海, 叶洁, 等. 腰椎间盘突出症中医治疗方法的研究进展[J]. 中国中医急症, 2016, 25(3): 474-476. doi: 10.3969/j.issn.1004-745X.2016.03.031
    [9]
    苏农. 中药汤剂和中医骨伤手法联合治疗腰椎间盘突出的疗效和疼痛评分观察[J]. 齐齐哈尔医学院学报, 2019, 40(10): 1252-1253. doi: 10.3969/j.issn.1002-1256.2019.10.029
    [10]
    陈愉, 刘绍凡, 徐敏敏, 等. 独活寄生汤联合塞来昔布胶囊治疗老年寒湿型腰椎间盘突出的疗效[J]. 中国老年学杂志, 2017, 37(10): 2508-2510. doi: 10.3969/j.issn.1005-9202.2017.10.072
    [11]
    吴萍, 钱丽敏. 火龙灸配合穴位按摩治疗寒湿痹阻型腰椎间盘突出症的效果分析[J]. 中医临床研究, 2019, 11(26): 104-106. doi: 10.3969/j.issn.1674-7860.2019.26.040
    [12]
    国家中医药管理局. 中医病证诊断疗效标准[M]. 北京: 国家中医药管理局, 2017: 214.
    [13]
    ONYIA C U, MENON S K. The debate on most ideal technique for managing recurrent lumbar disc herniation: a short review[J]. Br J eurosurg, 2017, 31(6): 701-708. doi: 10.1080/02688697.2017.1368451
    [14]
    林咏梅, 仇嘉. 独活寄生汤治疗腰椎间盘突出症的研究进展[J]. 云南中医中药杂志, 2019, 40(7): 79-81. doi: 10.3969/j.issn.1007-2349.2019.07.033
    [15]
    梁立君. 独活寄生汤加减联合中医骨伤手法按摩治疗腰椎间盘突出症的疗效[J]. 中国医药指南, 2018, 16(34): 177-178. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201834138.htm
    [16]
    孙明亮, 高翔, 李黎, 等. 圣愈汤加独活寄生汤联合中医定向透药治疗老年人腰椎间盘突出症临床疗效观察[J]. 中华全科医学, 2019, 17(8): 1356-1359. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201908031.htm
    [17]
    黄秉纲, 曾武雄, 张佳俊, 等. 独活寄生汤配合整骨理筋疗法治疗肝肾亏虚型腰椎间盘突出症38例[J]. 中医外治杂志, 2018, 27(4): 16-17. doi: 10.3969/j.issn.1006-978X.2018.04.007
    [18]
    李科. 小针刀联合独活寄生汤治疗腰椎间盘突出症临床疗效观察[J]. 现代诊断与治疗, 2019, 30(12): 1997-1998, 2115. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD201912015.htm
    [19]
    董画千, 谢薇, 黄小梅, 等. 火龙灸临床研究进展[J]. 中西医结合护理(中英文), 2019, 5(5): 65-69. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL201905017.htm
    [20]
    周小芳, 方群, 章旭萍, 等. 基于寒湿型腰椎间盘突出症镇痛效应评价的火龙灸灸量优选研究[J]. 中华全科医学, 2020, 18(9): 1570-1572. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202009039.htm
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