针刺脊椎关节突关节及横突为主治疗第3腰椎横突综合征:随机对照研究
发布时间：2018-11-16 19:41
【摘要】：目的:比较针刺脊椎关节突关节及横突为主与常规针刺治疗第3腰椎横突综合征的临床疗效差异。方法:将80例患者随机分为观察组和对照组,每组40例。观察组予针刺脊椎关节突关节及横突、臀大肌臀上皮神经入臀点及委中穴,对照组予常规针刺气海俞、L_2~L_4夹脊穴、臀大肌臀上皮神经入臀点及委中穴,两组均每天治疗1次,每周治疗6次,共治疗2周。观察两组患者治疗前、治疗后及治疗后6个月的视觉模拟评分(VAS)、日本骨科协会下腰痛评分(JOA评分)和简体中文版Oswestry功能障碍指数评分(SC-ODI),并评价两组临床疗效。结果:观察组的总有效率为95.0%(38/40),高于对照组的82.5%(33/40,P0.05);两组治疗后及治疗后6个月VAS评分、SC-ODI评分均较治疗前下降,JOA评分较治疗前升高(均P0.05);治疗后及治疗后6个月观察组VAS评分、SC-ODI评分均低于对照组(均P0.05),JOA评分高于对照组(P0.05)。结论:针刺脊椎关节突关节及横突为主治疗第3腰椎横突综合征疗效较好,可明显减轻患者疼痛,改善腰椎功能活动,提高患者生活质量,优于常规针刺。
[Abstract]:Objective: to compare the clinical effect of acupuncture on the third lumbar vertebrae transverse process syndrome. Methods: 80 patients were randomly divided into observation group and control group with 40 cases in each group. The observation group was treated with acupuncture of the articular process joint and transverse process of the spine, the gluteus maximus gluteus epithelial nerve entering the hip point and the Weizhong point. The control group was treated with routine acupuncture at the points of Qihaichu, L_2~L_4 Jiaji, gluteus maximus and the gluteus maximus into the gluteal point and the Weizhong point. The two groups were treated once a day and 6 times a week for 2 weeks. The visual analogue score (VAS),) and Oswestry dysfunction index (SC-ODI) of the Japanese Orthopaedic Association before, after and 6 months after treatment were observed in both groups. The clinical efficacy of the two groups was evaluated. Results: the total effective rate of the observation group was 95.0% (38 / 40), which was higher than that of the control group (82.5%) (33 / 40). After treatment and 6 months after treatment, VAS score, SC-ODI score and JOA score in both groups were lower than those before treatment (P0.05). After treatment and 6 months after treatment, the VAS score and SC-ODI score in the observation group were lower than those in the control group (P0.05), JOA score was higher than that in the control group (P0.05). Conclusion: the treatment of the third lumbar transverse process syndrome with acupuncture on the articular process and transverse process is effective, which can relieve the pain, improve the function of the lumbar vertebrae and improve the quality of life of the patients, which is superior to that of the routine acupuncture in the treatment of the third lumbar vertebrae transverse process syndrome.
【作者单位】： 临湘市中医院针灸推拿科;湖南中医药大学针灸推拿学院;
【基金】：湖南省中医药科研计划项目:2017140
【分类号】：R246.9
本文编号：2336459
[Abstract]:Objective: to compare the clinical effect of acupuncture on the third lumbar vertebrae transverse process syndrome. Methods: 80 patients were randomly divided into observation group and control group with 40 cases in each group. The observation group was treated with acupuncture of the articular process joint and transverse process of the spine, the gluteus maximus gluteus epithelial nerve entering the hip point and the Weizhong point. The control group was treated with routine acupuncture at the points of Qihaichu, L_2~L_4 Jiaji, gluteus maximus and the gluteus maximus into the gluteal point and the Weizhong point. The two groups were treated once a day and 6 times a week for 2 weeks. The visual analogue score (VAS),) and Oswestry dysfunction index (SC-ODI) of the Japanese Orthopaedic Association before, after and 6 months after treatment were observed in both groups. The clinical efficacy of the two groups was evaluated. Results: the total effective rate of the observation group was 95.0% (38 / 40), which was higher than that of the control group (82.5%) (33 / 40). After treatment and 6 months after treatment, VAS score, SC-ODI score and JOA score in both groups were lower than those before treatment (P0.05). After treatment and 6 months after treatment, the VAS score and SC-ODI score in the observation group were lower than those in the control group (P0.05), JOA score was higher than that in the control group (P0.05). Conclusion: the treatment of the third lumbar transverse process syndrome with acupuncture on the articular process and transverse process is effective, which can relieve the pain, improve the function of the lumbar vertebrae and improve the quality of life of the patients, which is superior to that of the routine acupuncture in the treatment of the third lumbar vertebrae transverse process syndrome.
【作者单位】： 临湘市中医院针灸推拿科;湖南中医药大学针灸推拿学院;
【基金】：湖南省中医药科研计划项目:2017140
【分类号】：R246.9
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