形气辨证指导针刺治疗第三腰椎横突综合征的疗效分析

目的观察形气辨证指导针刺治疗第三腰椎橫突综合征的疗效。方法选择2019年4月至2020年12月针灸推拿门诊第三腰椎橫突综合征患者100例,随机分成观察组与对照组,各50例观察组采用形气辨证指导的针刺疗法;对照组采用常规针刺法治疗。治疗1个疗程(10次),比较两组患者治疗效果,及治疗前后视觉模拟评分(VAS)、日本骨科协会(JOA)下腰痛评分、Oswestry功能障碍指数(SC-ODI)评分。结果观察组总有效率92.00%,对照组总有效率75.51%,观察组优于对照组,差异有统计学意义(P<0.05)两组第三腰椎橫突综合征患者治疗后VAS、JOA和SC-ODI评分均较治疗前降低,差异有统计学意义(P<0.01);观察组在改善患者VAS、JOA和SC-ODI评分方面均优于对照组,差异有统计学意义(P<0.05):结论形气辨证指导针灸治疗第三腰椎橫突综合征的临床疗效确切,能较好改善腰部疼痛及功能活动,适宜推广应用。

Objective To observe the clinical effect of acupuncture guided by syndrome differentiation of shape and Qi on the treatment of the third lumbar transverse process syndrome.Methods 100 patients with the third lumbar transverse process syndrome in our hospital from April 2019 to December 2020 were randomly divided into treatment group(50 cases)and control group(50 cases).The treatment group was treated with acupuncture guided by syndrome differentiation of shape and Qi,while the control group was treated with conventional acupuncture.After a course of treatment for 10 times,the effects of the two groups were observed and compared,and the visual analogue scale(VAS),Japanese Orthopedic Associarion(JOA)low back pain score,Oswestry disability index(sc-odi)score before and after treatment were compared.Results The total effective rate of the treatment group was 92.00%(46/50),and that of the control group was 75.51%(37/49).The treatment group was better than the control group,and the difference was st«itistically significant(P<0.05).There were significant differences between the two groups(P<0.05).Conclusion The clinical effect of acupuncture and moxibustion guided by shape Qi syndrome differentiation in the treatment of the third lumbar transverse process syndrome is exact,It can better improve the lumbar pain and flinctional activities,and is suitable for popularization and application.