针刀与针刺治疗第三腰椎横突综合征疗效比较

Comparison of Clinical Efficacy Between Needle Scalpel and Acupuncture Therapies for Transverse Process Syndrome of Third Lumbar Vertebra

目的:比较针刀与针刺治疗第三腰椎横突综合征的临床疗效。方法:将80例第三腰椎横突综合征患者随机分成针刀组和针刺组(各40例),分别采用针刀治疗和针刺治疗,疗程2周;观察两组临床疗效和治疗前后腰部疼痛评分(VAS)及腰椎Oswestry功能障碍指数(ODI)评分变化。结果:针刀组的临床疗效优于针刺组(P<0.05);治疗后两组腰部疼痛评分和ODI评分均较治疗前显著降低(P<0.05),且针刀组腰部疼痛评分降低幅度大于针刺组(P<0.05)。结论:针刀治疗第三腰椎横突综合征疗效确切,且改善腰部疼痛作用优于针刺治疗。

Objective ： To compare the clinical efficacy of needle scalpel therapy and acupuncture therapy in the treatment of transverse process syndrome of third lumbar vertebra. Methods ： Eighty subjects were randomized into two groups ： treatment group in which 40 cases were treated by needle scalpel therapy and control group in which 40 cases were treated by acupuncture therapy, with a course of two weeks. The clinical efficacy, lumbar pain score （VAS） and Oswestry dysfunction index （ODi） were observed. Results ： The clinical efficacy was better in the treatment group than in the control group （ P 〈 0.05 ） ; the lumbar pain score and ODI were decreased after treatment in both groups（ P 〈 0.05 ）, with more significant decrease in larnbar pain score in the treatment group than in the control group（ P 〈0.05 ）. Conclusion： Needle scalpel therapy is quite effective for transverse process syndrome of the third lumbar vertebra, with better result than acupuncture in relieving pain.