摘要
目的:观察针刺联合水针与单纯针刺治疗第3腰椎横突综合征的临床疗效差异。方法:将100例患者随机分为观察组和对照组,每组50例。对照组予常规针刺治疗,穴取委中、阿是穴、夹脊(L2~L4)、肾俞,每日治疗1次,每周治疗6d,连续治疗2周;观察组在对照组基础上,予5号注射针头松解剥离第3腰椎横突及关节突上压痛点,松解剥离后注射丹参注射液,每处1 mL,每7天注射1次,治疗2周。分别于治疗前、治疗后、随访半年观察两组患者视觉模拟评分(VAS)、日本骨科协会(JOA)评分和功能障碍指数(ODI)评分,并比较两组临床疗效。结果:观察组完成48例,脱落2例;对照组完成47例,脱落3例。两组治疗总有效率分别为91.7%(44/48)、76.6%(36/47),差异有统计学意义(P<0.05)。两组治疗后和随访半年后,VAS评分、ODI评分均较治疗前下降,JOA评分较治疗前升高(均P<0.05),且观察组VAS评分、ODI评分均低于对照组(均P<0.05),JOA评分高于对照组(P<0.05)。结论:针刺联合水针治疗第3腰椎横突综合征疗效较好,能显著改善患者腰椎功能,且疼痛症状明显缓解,优于常规针刺治疗。
Objective To observe the clinical efficacy differences between acupuncture combined with hydro-acupuncture and acupuncture alone for transverse processes syndrome of the third lumbar vertebra. Methods One hundred patients were randomly divided into an observation group and a control group, 50 cases in each one. The patients in the control group were treated with regular acupuncture at Weizhong(BL 40), ashi points, Jiaji(L2~L4) and Shenshu(BL 23);the acupuncture was given once a day, six treatments per week for consecutive 2 weeks. Based on the acupuncture treatment in the control group, in the observation group the No.5 injection needle was applied to relieve the tenderness points on the transverse process and articular process of the third lumbar vertebra, followed by hydro-acupuncture with Danshen injection(1 mL per point, 7 days per injection for 2 weeks). The visual analogue scale(VAS), Japanese Orthopaedic Association(JOA) scale and Oswestry disability index(ODI) were observed before treatment, after treatment and during six-month follow-up visit in the two groups. In addition, the clinical efficacy was compared between the two groups. Results Forty-eight patients completed treatment and 2 patients dropped off in the observation group, while 47 patients completed treatment and 3 patients dropped off in the control group. The total effective rate was 91.7%(44/48) in the observation group, which was significantly superior to 76.6%(36/47) in the control group(P<0.05). Compared before treatment, the VAS and ODI in the two groups were reduced after treatment and during six-month follow-up visit, while the JOA was increased(all P<0.05);the VAS and ODI in the observation group was lower than that in the control group, while JOA in the observation group was higher than that in the control group(all P<0.05). Conclusion Acupuncture combined with hydro-acupuncture are effective for transverse processes syndrome of the third lumbar vertebra, and could significantly improve lumbar function and relieve the pain symptoms, which is superior to regular acupuncture.
作者
郑康华
吴明霞
ZHENG Kang-hua;WU Ming-xia(Department of Rehabilitation,the East Second Ring Branch of the Second People's Hospital of Fujian University of TCM,Fuzhou 350011,China;Department of Acupuncture and Moxibustion,the Second People's Hospital of Fujian University of TCM,Fuzhou 350003)
出处
《中国针灸》
CAS
CSCD
北大核心
2019年第1期28-32,共5页
Chinese Acupuncture & Moxibustion
关键词
第3腰椎横突综合征
针刺
水针
腰椎关节突
横突
transverse processes syndrome of the third lumbar vertebra
acupuncture
hydro-acupuncture
articular process of lumbar vertebra
transverse process
