针刀松解法治疗第3腰椎横突综合征的随机对照试验

Randomized control clinical study on third lumbar transverse process syndrome treated by knife needle

目的:从生物力学角度探讨针刀松解法对第3腰椎横突综合征的治疗效果。方法:2007年3-12月,采用随机数字表将第3腰椎横突综合征患者分为针刀治疗组34例和电针对照组35例,分别进行针刀、电针治疗,各治疗3周。治疗组男12例,女22例;平均年龄(42.33±7.86)岁。对照组男16例,女19例;平均年龄(44.73±10.34)岁。治疗前、后分别对下肢生物力学、局部张力及压痛指数进行观察,按"JOA下腰痛评分系统"进行疗效评价。结果:完成试验者共60例,治疗组经针刀治疗,其软组织局部张力明显低于对照组(P=0.00004),治疗组患者步态稳定性明显强于对照组,压痛指数治疗组改善较大。在疗效评价上,治疗组治疗结果为优18例,良9例,可3例,差0例。结论:针刀松解法可明显起到减张、镇痛作用,对第3腰椎横突综合征症状及体征的改善优于电针对照组,且疗效安全可靠。

Objective：To evaluate the therapeutic effects of knife needle on third lumbar transverse process syndrome. Methods：From 2007.3 to 2007.12, patients were divided into treatment group and control group according to the random digits table, 34 and 35 patients respectively. Patients in both groups were separately treated for 3 weeks,with knife needle in treatment group and electroacupuncture in control group. In treatment group, 12 patients were male and 22 patients were female, the average age was （42.33±7.86）years. In control group, 16 patients were male and 19 patients were female,the average age was （44.73±10.34）years. The changes of biomechanics ,local tension and tenderness index were observed and recorded respectively before and after the therapy,and the results obtained from two groups were then compared with each other. The JOA score was used to evaluate the clinical effect. Results：Sixty patients finished the clinical observation. The treatment efficacy was evaluated according to the JOA score in 60 eases. The soft tissue tension in treatment group was lower than that in the control group （P=0.000 04）. Excellent result was found in 18 cases,good in 9 cases,fair in 3 cases and poor in 0 case. Conclusion： Tension relaxation by needle knife can effectively improve the clinical symptoms and signs of third lumbar transverse process syndrome.