冷えや湿気を伴う非特異的腰痛に対する長蛇灸の効果

[Effect of long-snake moxibustion on nonspecific low back pain with symptom of cold and dampness].

• Xiu-Wu Hu
• Li-Mei Tang
• Chen-Ying Deng
• Hui Huang
• Hang Liu
• Ping Huang
• Xiao-Ming Jiang
• Jie Gao
• Xiao-Yan Zhu
• Fen-Fen Qiu

抄録

目的:

冷えや湿気を伴う非特異的腰痛(NLBP)に対する長蛇灸と生姜分割灸の臨床効果を比較することを目的とした。

OBJECTIVE: To compare the clinical therapeutic effect of long-snake moxibustion and ginger-partitioned moxibustion at point on nonspecific low back pain (NLBP) with symptom of cold and dampness.

方法:

120名の患者を長蛇灸群、芦点群、待合群に無作為に割り付け、それぞれ40名ずつとした。長蛇灸群では大瑞（GV14）からガバナの雅州（GV2）まで、芦点群では患部のポイントに1回40分ずつ、1日おきに1回、計8回の生姜割り灸を施した。待機治療群では介入は行わず、試験後に長蛇灸を行いました。治療前後の安静時・活動時の視覚アナログスケール（VAS）スコア、Oswestry disability index（ODI）スコア、冷え性・湿潤症状のスコアを3群で観察したところ、長蛇灸は1日1回40分、1日1回、計8回の治療が可能でした。

METHODS: A total of 120 patients were randomized into a long-snake moxibustion group, an ashi point group and a waiting for treatment group, 40 cases in each one. Ginger-partitioned moxibustion was applied from Dazhui (GV 14) to Yaoshu (GV 2) of governor vessel in the long-snake moxibustion group, and was applied at point of affected area in the ashi point group, 40 min each time, once every other day and totally 8 times were required. No intervention was adopted in the waiting for treatment group, and after the trial, long-snake moxibustion was applied. Before and after treatment, the visual analogue scale (VAS) scores of rest and activity, the Oswestry disability index (ODI) score and the score of cold and dampness symptom were observed in the 3 groups.

結果:

治療前と比較して、治療後の安静・活動性のVASスコア、ODIスコア、寒さ・湿気症状のスコアは長蛇灸群と芦点群で減少しました（<0.05）。治療後、長蛇灸群と芦点群では治療待ち群に比べて上記指標の変動が大きく(<0.05)、長蛇灸群では芦点群に比べて上記指標の変動が大きく(<0.05)なっていました。

RESULTS: Compared before treatment, the VAS scores of rest and activity, the ODI scores and the scores of cold and dampness symptom after treatment were decreased in the long-snake moxibustion group and the ashi point group (<0.05). After treatment, the variations of the above indexes in the long-snake moxibustion group and the ashi point group were larger than those in the waiting for treatment group (<0.05), and the variations of the above indexes in the long-snake moxibustion group were larger than those in the ashi point group (<0.05).

結論:

長蛇灸は非特異的腰痛患者の疼痛、機能障害、冷え性・湿潤症状を効果的に改善することができ、その改善は点での生姜分割灸よりも優れていることが示唆された。

CONCLUSION: Long-snake moxibustion can effectively improve the pain, dysfunction and the symptom of cold and dampness in patients with nonspecific low back pain, and the improvement is superior to the ginger-partitioned moxibustion at point.