温针灸联合推拿治疗第3腰椎横突综合征疗效观察

Curative effect of warm acupuncture combined with massage in the treatment of the third lumbar transverse process syndrome

目的观察温针灸联合推拿对第3腰椎横突综合征患者的治疗效果。方法选择2019年1月至2020年3月在西安电子科技大学医院接受治疗的80例第3腰椎横突综合征患者进行研究。按照抽签法分为研究组和对照组,每组40例。对照组采用推拿治疗,研究组采用推拿加温针灸治疗。两组均治疗两个疗程,每7 d为一个疗程。治疗两个疗程后比较两组患者的治疗效果、治疗前后视觉模拟评分法(VAS)、Oswestry腰椎功能障碍指数(ODI)、日本骨科协会评分方法(JOA)评分、临床症状及复发率、炎症因子白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C-反应蛋白(hs-CRP)水平。结果研究组患者的治疗总有效率为92.5%,明显高于对照组的72.5%,差异具有统计学意义(P<0.05);治疗后,研究组患者的VAS评分和ODI评分分别为(2.85±0.46)分、(13.98±1.09)分,明显低于对照组的(4.90±0.63)分、(20.06±2.17)分,JOA评分为(21.03±3.62)分,明显高于对照组的(15.72±3.09)分,症状体征评分为(0.89±0.23)分,明显低于对照组的(2.06±0.37)分,差异均具有统计学意义(P<0.05);研究组患者的复发率为7.5%,明显低于对照组的30.0%,差异具有统计学意义(P<0.05);治疗后,研究组患者的IL-6、TNF-α、hs-CRP水平分别为(27.02±7.65)pg/mL、(15.34±3.23)pg/mL、(3.02±0.41)mg/L,明显低于对照组的(36.72±10.23)pg/mL、(20.61±4.15)pg/mL、(4.75±0.65)mg/L,差异均具有统计学意义(P<0.05)。结论温针灸联合推拿可有效改善第3腰椎横突综合征患者的疼痛,降低炎症水平,恢复腰椎功能,临床效果显著。

Objective To study the curative effect of warm acupuncture combined with massage in the treatment of the third lumbar transverse process syndrome.Methods Eighty patients with third lumbar transverse process syndrome who received treatment in Hospital of Xi’an University of Electronic Science and Technology from January2019 to March 2020 were selected for this study.According to the method of drawing lots,they were divided into study group(n=40)and control group(n=40).The control group was treated with massage,and the study group was treated with massage and warm acupuncture.The therapeutic effect,VAS,ODI,JOA scores,clinical symptoms,recurrence rate,and levels of inflammatory factors[interleukin-6(IL-6),tumor necrosis factor(TNF-α),high sensitivity C-reactive protein[(hs-CRP)]were compared between the two groups.Results After treatment,the total effective rate of the study group was 92.85%,which was significantly higher than 72.50%in the control group(P<0.05).After treatment,the VAS and ODI scores of study group were(2.85±0.46)points,(13.98±1.09)points,which were significantly lower than(4.90±0.63)points,(20.06±2.17)points of the control group(P<0.05);the JOA score of the study group was(21.03±3.62)points,which was significantly lower than(15.72±3.09)points in the control group(P<0.05);the symptom score was(0.89±0.23)points,which was significantly lower than(2.06±0.37)points of the control group(P<0.05);the recurrence rate of the study group was 7.5%,significantly lower than 30.0%in the control group(P<0.05).After treatment,the levels of IL-6,TNF-α,hs-CRP in the study group were(27.02±7.65)pg/mL,(15.34±3.23)pg/mL,(3.02±0.41)mg/L,which were significantly lower than(36.72±10.23)pg/mL,(20.61±4.15)pg/mL,(4.75±0.65)mg/L in the control group(P<0.05).Conclusion Warm acupuncture can effectively improve the pain of patients with third lumbar transverse process syndrome,reduce the level of inflammation,and restore lumbar function,with significant clinical effect.