尺胫针联合围刺滞动针法治疗腰三横突综合征临床观察

Clinical Observation on the Treatment of Third Lumbar Transverse Process Syndrome by Ulnar-tibial Acupuncture Combined with Peripheral Acupuncture and Stagnant Moving Needle Method

目的观察尺胫针联合围刺滞动针法治疗腰三横突综合征的临床疗效。方法将72例腰三横突综合征患者随机分为观察组与对照组各36例。观察组采用尺胫针法联合围刺滞动针法治疗,对照组给予普通针刺治疗。两组患者于治疗前后使用视觉疼痛模拟量表(VAS)评估腰部疼痛程度,使用日本骨科学会下腰痛评分表(JOA)对腰背部功能和下肢功能进行评分,使用电子压痛仪测量压痛阈值的变化。结果治疗后观察组治愈率83.33%、总有效率97.22%,显著优于对照组的22.22%和61.11%(P<0.01)。与治疗前相比,JOA评分两组均升高(P<0.05),观察组优于对照组(P<0.05)。治疗后两组VAS评分均降低(P<0.01),观察组明显优于对照组(P<0.05);治疗后两组压痛阈值均升高(P<0.05),观察组优于对照组(P<0.05)。结论尺胫针联合围刺滞动针法治疗腰三横突综合征疗效显著,可有效缓解疼痛。

Objective:To observe the clinical efficacy of ulnar-tibial acupuncture combined with peripheral acupuncture and stagnant moving needle method in treating third lumbar transverse process syndrome. Methods:A total of 72 patients with third lumbar transverse process syndrome were randomly divided into an observation group and a control group,with 36 cases in each group. The observation group was treated with ulnar-tibial acupuncture combined with peripheral acupuncture and stagnant moving needle method,while the control group was treated with ordinary acupuncture. Before and after treatment,the visual pain analog scale(VAS)was used to evaluate the degree of low back pain,the Japanese Orthopaedic Association(JOA)was used to score the low back function and lower limb function,and the electronic tenderness instrument was used to measure the changes of the tenderness threshold. Results:After treatment,the cure rate of the observation group was 83.33%,and the total effective rate was 97.22%,which were significantly better than 22.22% and 61.11% of the control group(P < 0.01).Compared with before treatment,the JOA scores in both groups were increased(P < 0.05),and the observation group was better than the control group(P < 0.05);after treatment,the VAS scores in both groups were decreased(P < 0.01),and the observation group was significantly better compared with the control group(P < 0.05);the tenderness thresholds of the two groups were increased after treatment(P < 0.05),and the observation group was better than the control group(P < 0.05). Conclusion:The ulnar-tibial acupuncture combined with peripheral acupuncture and stagnant moving needle method has a significant effect on the treatment of the third lumbar transverse process syndrome,which can effectively relieve pain and is worthy of clinical application.