【摘要】：目的:比較針刺脊椎關(guān)節(jié)突關(guān)節(jié)及橫突為主與常規(guī)針刺治療第3腰椎橫突綜合征的臨床療效差異。方法:將80例患者隨機(jī)分為觀察組和對照組,每組40例。觀察組予針刺脊椎關(guān)節(jié)突關(guān)節(jié)及橫突、臀大肌臀上皮神經(jīng)入臀點(diǎn)及委中穴,對照組予常規(guī)針刺氣海俞、L_2~L_4夾脊穴、臀大肌臀上皮神經(jīng)入臀點(diǎn)及委中穴,兩組均每天治療1次,每周治療6次,共治療2周。觀察兩組患者治療前、治療后及治療后6個(gè)月的視覺模擬評分(VAS)、日本骨科協(xié)會(huì)下腰痛評分(JOA評分)和簡體中文版Oswestry功能障礙指數(shù)評分(SC-ODI),并評價(jià)兩組臨床療效。結(jié)果:觀察組的總有效率為95.0%(38/40),高于對照組的82.5%(33/40,P0.05);兩組治療后及治療后6個(gè)月VAS評分、SC-ODI評分均較治療前下降,JOA評分較治療前升高(均P0.05);治療后及治療后6個(gè)月觀察組VAS評分、SC-ODI評分均低于對照組(均P0.05),JOA評分高于對照組(P0.05)。結(jié)論:針刺脊椎關(guān)節(jié)突關(guān)節(jié)及橫突為主治療第3腰椎橫突綜合征療效較好,可明顯減輕患者疼痛,改善腰椎功能活動(dòng),提高患者生活質(zhì)量,優(yōu)于常規(guī)針刺。
[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.
【作者單位】： 臨湘市中醫(yī)院針灸推拿科;湖南中醫(yī)藥大學(xué)針灸推拿學(xué)院;
【基金】：湖南省中醫(yī)藥科研計(jì)劃項(xiàng)目:2017140
【分類號】：R246.9

【相似文獻(xiàn)】

相關(guān)期刊論文 前3條

1 王安民;;淺談脊柱后關(guān)節(jié)紊亂證治[J];按摩與導(dǎo)引;1988年04期

2 楊云才;;抬肩頂推法治療胸椎后關(guān)節(jié)紊亂56例[J];云南中醫(yī)中藥雜志;2013年05期

3 莫亞仿;;抱按定點(diǎn)糾正胸椎后關(guān)節(jié)紊亂[J];浙江中醫(yī)藥大學(xué)學(xué)報(bào);2007年04期

相關(guān)會(huì)議論文 前3條

1 沈玉杰;陳麗麗;沈啟飛;;小關(guān)節(jié)內(nèi)外側(cè)間距與針刀入路[A];2011年全國第三屆微創(chuàng)針刀學(xué)術(shù)年會(huì)論文匯編[C];2011年

2 詹紅生;;手法的力學(xué)效應(yīng)研究進(jìn)展[A];第11屆全國中西醫(yī)結(jié)合骨傷科學(xué)術(shù)研討會(huì)論文匯編[C];2003年

3 楊云才;;抬肩頂推法治療胸椎后關(guān)節(jié)紊亂[A];第十三次中醫(yī)推拿學(xué)術(shù)年會(huì)暨推拿手法治療脊柱相關(guān)疾病高級培訓(xùn)班論文匯編[C];2012年

，

本文編號：2336459