缺血性按压手法治疗第3腰椎横突综合征临床观察

Efficacy of ischemic compression technique on the third lumbar transverse process syndrome

目的评价缺血性按压手法治疗第3腰椎横突综合征的临床疗效。方法采用随机对照研究方案,将在解放军总医院海南分院康复理疗科门诊就诊的62例第3腰椎横突综合征患者,按随机数字表法分为治疗组和对照组,每组31例。治疗组患者使用缺血性按压手法治疗,对照组患者使用热磁治疗,均治疗2周。采用视觉模拟量表(VAS)和Oswestry功能障碍指数(ODI)对两组治疗前后的数据进行记录,同时进行组内及组间的疗效比较。结果两组患者治疗前VAS评分及ODI评分的组间比较,差异无统计学意义(P>0.05),具有可比性。两组治疗后VAS评分及ODI评分的组内比较,差异有统计学意义(P<0.05);治疗后VAS评分及ODI评分差值的组间比较,差异有统计学意义(P<0.05)。结论缺血性按压手法对第3腰椎横突综合征有较好的治疗作用。

Objective To evaluate clinical therapeutic effect of ischemic compression technique on the third lumbar transverse process syndrome. Methods A random and control method was adopted. Sixty-two cases of the third lumbar transverse process syndrome were randomly divided into treatment group（ n = 31） and control group（ n = 31）. Sixty-two outpatients were collected from the department of Rehabilitation and Physical Medicine of Hainan Branch of Chinese PLA General hospital. The patients in the treatment group were treated with ischemic compression,and patients in the control group were treated with hot magnet. The course of treatment was 2weeks. Using visualized analogue scale（ VAS） and Oswestry disability index（ ODI） recorded test data in the two groups before and after treatment,meanwhile contrasted with therapeutic effect of within group and between groups. Results The scores of VAS and ODI were improved in both groups after treatment（ P〈0. 05）,and the difference after treatment was more in the treatment group than in the control group（ P〈0. 05）. Conclusion Ischemic compression is more effective with the third lumbar transverse process syndrome than hot magnet.