针刺激痛点治疗第三腰椎横突综合征的随机对照研究

发布时间：2018-02-26 18:13

本文关键词： 激痛点经穴第三腰椎横突综合征随机对照试验　出处：《江西中医药大学学报》2017年02期 　论文类型：期刊论文

【摘要】：目的:观察针刺激痛点治疗第三腰椎横突综合征的疗效与安全性。方法:采用随机单盲对照设计,选取78例第三腰椎横突综合征患者,随机分为激痛点组和经穴组,每组39例。激痛点组对患者进行激痛点触诊,依据患者疼痛部位,选取竖脊肌、多裂肌、腰方肌、髂腰肌、臀大肌、臀中肌、臀小肌、梨状肌等相应肌肉的激痛点进行针刺;经穴组取大肠俞、委中、腰三横突阿是穴。两组均1次/天,5天为1个疗程,中间休息2天,治疗4个疗程后进行评价。观察两组患者治疗前后和随访(只观察治愈患者,治愈后6月)Owestry功能指数与VAS分值,不良反应发生率和评价疗效。结果:(1)疗效评价方面,激痛点组优于经穴组(P0.05);(2)两组治疗后Owestry功能指数较治疗前明显下降(均P0.05),且激痛点组优于经穴组(P0.05);但随访时Owestry功能指数经穴组却优于激痛点组(P0.05);(3)两组治疗后VAS分值较治疗前明显下降(均P0.05),且激痛点组优于经穴组(P0.05);但随访时VAS分值经穴组却优于激痛点组(P0.05);(4)激痛点组与经穴组针刺不良反应发生率分别为12.8%(5/39)和5.1%(2/39),差异有统计学意义,但均为一过性,对症处理后未再出现。结论:针刺激痛点能够有效治疗第三腰椎横突综合征,可以及时缓解疼痛、改善功能。
[Abstract]:Objective: to observe the efficacy and safety of acupuncture on the treatment of transverse process syndrome of the third lumbar vertebrae. Methods: 78 patients with transverse process syndrome of the third lumbar vertebra were randomly divided into two groups: excitatory pain point group and meridian point group. 39 patients in each group were treated with irritating pain point palpation. According to the position of pain, the muscles of erector spinal muscle, polyfissure muscle, psoas muscle, iliopsoas muscle, gluteus maximus muscle, gluteus medius muscle, gluteus minor muscle and piriformis muscle were selected for acupuncture. The acupoints group was treated with Dachang Yu, Beizhong, waist three transverse process Ashi points. The two groups were treated once a day for 5 days as a course of treatment, rest for 2 days, and evaluated after 4 courses of treatment. The patients in both groups were observed before and after treatment and followed up (only the cured patients were observed). In June, the scores of Owestry function index and VAS, the incidence of adverse reactions and the efficacy were evaluated. After treatment, the Owestry function index in the excitatory pain point group was significantly lower than that in the pre-treatment group (all P 0.05, and the excitatory pain point group was better than that in the meridian acupoint group, P 0.05), but the Owestry function index in the meridian group was better than that in the excitatory pain point group after treatment. Compared with before treatment, the incidence of side effects of acupuncture in the acupoint group and the meridian group was significantly lower than that before treatment (all P 0.05N, and the excitatory pain point group was better than that in the meridian point group (P 0.05), but the VAS score in the meridian acupoint group was better than that in the excitatory pain point group (P 0.05).) the incidence of side effects of acupuncture in the acupoint group and the meridian group was 12.80.39% and 5.10.39%, respectively, and the difference was statistically significant. Conclusion: acupuncture can effectively treat the third lumbar transverse process syndrome, relieve pain and improve the function in time.
【作者单位】：大连理工大学医院;辽宁中医药大学;
【基金】：沈阳市科技计划项目(F14-232-6-03)
【分类号】：R246.9

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