程秋平　刘晓瑜　谢　慰严　森刘芝俐　田　园　张　洁蒋学余△

（1.湖南省岳阳市中医院，湖南　岳阳414000；2.湖南中医药大学针推学院，湖南　长沙410208）

【Abstract】Objectives：To explore the optimal treatment scheme of discogenic low back pain by investigate the clinical curative effect of needle warming moxibustion combined with posture adjustment nursing. Methods：80 cases of patients were random ly divided into 2 groups.40 cases in the observation group were treated with needle warming moxibustion combined with posture adjustment nursing.Another 40 cases in the control group were treated with routing nursing combined with needle warming moxibustion.Two groups were treated once a day.One treatment course was 10 days.After 3 courses of treatment，the two groups were respectively evaluated in the degree of pain and the Oswestry disability index.The effect indexes were compared before and after treatment between groups.Results：The difference was statistically significant between the observation group and the control group in the degree of pain，Oswestry disability index and improvement rate of pain score（P＜0.05）.Conclusion：Needle warming moxibustion combined with posture adjustment nursing has a better clinical effect than routing nursing combined with needle warming moxibustion.So posture adjustment nursing has a high clinical practical value and application significance in the clinical treatment on discogenic low back pain.

【Key words】Discogenic low back pain；Posture adjustment nursing；Needle warming moxibustion

温针灸结合体位调整护理法治疗椎间盘源性下腰痛临床观察*

程秋平1刘晓瑜1谢慰1严森1刘芝俐1田园2张洁2蒋学余1△

（1.湖南省岳阳市中医院，湖南岳阳414000；2.湖南中医药大学针推学院，湖南长沙410208）

目的观察温针灸结合体位调整护理法治疗椎间盘源性下腰痛的临床疗效。方法将80例患者随机分为观察组和对照组，各40例。观察组患者采用温针灸结合体位调整护理法进行治疗，对照组则采用常规护理结合温针灸进行治疗，每日1次，10 d为1个疗程。连续治疗3个疗程后，两组患者分别进行疼痛程度、Oswestry功能障碍指数评分、临床疗效比较。结果椎间盘源性下腰痛观察组患者与对照组治疗后临床疗效、Oswestry功能障碍指数及疼痛积分改善率比较均差异具有统计学意义（P＜0.05）。结论温针灸结合体位调整护理疗效优于温针灸结合常规护理法。

椎间盘源性下腰痛体位调整护理温针灸

【Abstract】Objectives：To explore the optimal treatment scheme of discogenic low back pain by investigate the clinical curative effect of needle warming moxibustion combined with posture adjustment nursing. Methods：80 cases of patients were random ly divided into 2 groups.40 cases in the observation group were treated with needle warming moxibustion combined with posture adjustment nursing.Another 40 cases in the control group were treated with routing nursing combined with needle warming moxibustion.Two groups were treated once a day.One treatment course was 10 days.After 3 courses of treatment，the two groups were respectively evaluated in the degree of pain and the Oswestry disability index.The effect indexes were compared before and after treatment between groups.Results：The difference was statistically significant between the observation group and the control group in the degree of pain，Oswestry disability index and improvement rate of pain score（P＜0.05）.Conclusion：Needle warming moxibustion combined with posture adjustment nursing has a better clinical effect than routing nursing combined with needle warming moxibustion.So posture adjustment nursing has a high clinical practical value and application significance in the clinical treatment on discogenic low back pain.

【Key words】Discogenic low back pain；Posture adjustment nursing；Needle warming moxibustion

椎间盘源性下腰痛是除外腰椎间盘突出症、腰椎管狭窄等的腰椎间盘退行性疾病，其源于椎间盘自身的疼痛，有别于椎间盘突出压迫神经根所带来的根性痛［1］。其主要临床症状为不过膝的下腰部及腰腿部的非放射性牵扯痛。椎间盘源性下腰痛的发病率呈逐年上升的趋势，而且发病年龄也存在着年轻化的趋势。目前临床已进行了大量有关其发病机制以及诊断方法的研究，同时也提出了各种中西医治疗措施，都存在着一定的效果，但是少有合理科学的护理方法治疗腰椎间源性下腰痛以及改善症状的相关文献报道。……