不同地域腰痛患者临床特征差异性及针灸综合治疗的疗效评价OA
Differences in Clinical Features Between Patients with Low Back Pain from Different Regions and Clinical Effect of Comprehensive Acupuncture and Moxibustion Treatment
目的 观察不同地域腰痛患者临床特征的差异性及针灸综合治疗的疗效.方法 回顾性分析2022年7月至2023年7月安徽中医药大学第二附属医院骨科、老年病科门诊与中国援柬埔寨中医医疗队在柬埔寨考斯玛医院中医科门诊接受针灸综合治疗的腰痛患者454例,采用随机数字表法将符合纳入标准的患者按地域不同分为对照组(中国安徽地域)与观察组(柬埔寨金边地域);对两组患者中医证候分型的分布特点进行分析,评估针灸综合疗法对两组患者视觉模拟评分(visual analog scale,VAS)和Oswestry功能障碍指数(Oswestry disability index,ODI)量表评分的影响.结果 本研究中腰痛的中医分型分为寒湿证、瘀血证、湿热证、肝肾亏虚证4型;中国安徽地域患者以瘀血证居多(占57.89％),其他依次为肝肾亏虚证(占24.56％)、寒湿证(占10.96％)、湿热证(占6.58％);柬埔寨金边地域患者以湿热证居多(占40.27％),其他依次为肝肾亏虚证(占27.43％)、瘀血证(占23.89％)、寒湿证(占8.41％);两组患者中医证候分型分布比较,差异有统计学意义(P＜0.05).两组治疗后VAS评分、ODI量表评分均较治疗前显著减少(P＜0.05);两组VAS评分、ODI量表评分比较,差异均无统计学意义(P＞0.05).结论 不同地域、不同气候及不同饮食习惯会导致腰痛发病的中医证型存在差异,针灸综合疗法具有相似的临床疗效,具有普适性.
Objective To investigate the differences in clinical features between patients with low back pain from different re-gions,as well as the clinical effect of comprehensive acupuncture and moxibustion treatment.Methods A retrospective analy-sis was performed for 454 patients with low back pain who received comprehensive acupuncture and moxibustion treatment in Department of Orthopedics and Department of Geriatrics in The Second Affiliated Hospital of Anhui University of Chinese Medicine and the outpatient service of Department of Traditional Chinese Medicine in Cosma Hospital of Cambodia from July 2022 to July 2023,and the patients who met the inclusion criteria were divided into control group(the patients from Anhui Province of China)and the observation group(the patients from Phnom Penh of Cambodia)according to their regions.The two groups were analyzed in terms of the distribution characteristics of TCM syndrome types and the effect of comprehensive acupuncture and mox-ibustion treatment on Visual Analogue Score(VAS)and Oswestry Disability Index(ODI)scores of the two groups of patients.Results There were 4 TCM syndrome types of low back pain in this study,i.e.,cold-dampness syndrome,blood stasis syndrome,damp-heat syndrome,and deficiency of liver and kidney.For the patients from Anhui Province of China,57.89％had blood stasis syn-drome,24.56％had deficiency of liver and kidney,10.96％had cold-dampness syndrome,and 6.58％had damp-heat syndrome;for the patients from Phnom Penh of Cambodia,40.27％had damp-heat syndrome,27.43％had deficiency of liver and kidney,23.89％had blood stasis syndrome,and 8.41％had cold-dampness syndrome.There was a significant difference in the distribution of TCM syndrome types between the two groups(P＜0.05).After treatment,both groups had significant reductions in VAS and ODI scores(P＜0.05),and there were no significant differences in VAS and ODI scores between the two groups(P＞0.05).Conclusion Differ-ent regions,different climates,and different eating habits may lead to the different TCM syndrome types of low back pain,and com-prehensive acupuncture and moxibustion treatment has a similar clinical effect in patients with different TCM syndrome types.
吴炳坤;朱俊琛;汪静;马幸福;杨佳;苏毅
安徽中医药大学第二附属医院,安徽 合肥 230061安徽中医药大学第二附属医院,安徽 合肥 230061安徽中医药大学第二附属医院,安徽 合肥 230061安徽中医药大学第二附属医院,安徽 合肥 230061安徽中医药大学第二附属医院,安徽 合肥 230061安徽中医药大学第二附属医院,安徽 合肥 230061
临床医学
腰痛中国安徽区域柬埔寨金边区域中医证候影响因素
Low back painAnhui Province of ChinaPhnom Penh of CambodiaTraditional Chinese medicine symptomsInfluencing factors
《安徽中医药大学学报》 2025 (3)
46-50,5
国家中医药管理局出国任务通知书(国中医药国际通[2022]85号)安徽省"十四五"省级中医优势特色专科(皖中医药服务秘[2021]71号)
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