针刀联合隔药灸气海穴治疗腰三横突综合征

Clinical Efficacy of Needle Knife Combined with Ginger Partition Moxibustion at Qihai Acupoint for Treatment of Third Lumbar Vertebrae Transverse Process Syndrome

【目的】观察小针刀联合隔药灸气海穴治疗腰三横突综合征的临床疗效。【方法】将60例腰三横突综合征患者随机分为治疗组和对照组,每组各30例。治疗组采用小针刀联合隔药灸气海穴治疗,对照组采用常规针刺治疗,比较2组患者治疗前后腰椎疼痛视觉模拟量表(VAS)评分和腰椎功能日本骨科学会评分法(JOA)评分的变化情况,评估2种方法在治疗腰三横突综合征方面的临床疗效。【结果】(1)治疗后,2组患者VAS、JOA评分均较治疗前明显改善(P<0.01),且治疗组的改善作用优于对照组(P<0.01)。(2)治疗后,治疗组的痊愈率和总有效率分别为40.00%、96.67%,对照组分别为26.67%、83.33%,治疗组的痊愈率、总有效率和总体疗效均优于对照组,差异均有统计学意义(P<0.05)。【结论】针刀联合隔药灸气海穴治疗腰三横突综合征的临床疗效确切,其疗效优于传统针灸疗法。

Objective To observe the clinical effect of small needle knife combined with ginger partition moxibustion at Qihai(CV6)acupoint for the treatment of the third lumbar vertebrae transverse process syndrome.Methods The sixty patients with the third lumbar vertebrae transverse process syndrome were randomly divided into treatment group and control group,30 cases in each group. The treatment group was treated with small needle knife combined with ginger partition moxibustion at Qihai acupoint, while the control group was treated with routine acupuncture. The lumbar pain visual analogue scale(VAS)scores and lumbar function Japanese Orthopedic Association(JOA)scores in the two groups before and after treatment were compared. The clinical efficacy of the two methods for the treatment of lumbago tritransverse process syndrome was evaluated. Results (1)After treatment, the VAS and JOA scores in the two groups were improved(P<0.05 compared with that before treatment),the improvement in treatment group was better than that in the control group(P<0.01).(2)After treatment,the curative rate and the total effective rate in the treatment group were 40.00%,96.67%,those in the, 83.33%efficacy in the treatment group were superior to those in the control group,the difference being significant(P<0.05). Conclusion Acupotomy combined with ginger partition moxibustion at Qihai point has a definite clinical effect on treating the third lumbar vertebrae transverse process syndrome,being better than traditional acupuncture therapy.