超短波联合彩超引导下小针刀治疗腰3横突综合征疗效观察

Clinical observation of ultrashort wave combined with small needle scalpel guided by color ultrasound in the treatment of third lumbar transverse process syndrome

目的:观察超短波联合彩超引导下小针刀对腰3(L3)横突综合征的临床疗效。方法:选取赣州市人民医院康复医学科诊断为单侧L3横突综合征且身体质量指数(BMI)≥25的患者40例,随机分为治疗组和对照组,每组20例。治疗组行彩超引导下定位+小针刀+超短波治疗,对照组行常规定位+小针刀+超短波治疗。比较两组患者治疗前、小针刀治疗后及超短波治疗1疗程后(或治疗终点)的疼痛视觉模拟评分(VAS)、简体中文版功能评分指数(SC-FRI)。结果:治疗组小针刀治疗后、超短波治疗后VAS评分及SC-FRI指数低于对照组,差异有统计学意义(P<0.05);治疗组后一时间节点VAS评分及SC-FRI指数低于前一时间节点,差异有统计学意义(P<0.05)。对照组超短波治疗后VAS评分及SC-FRI指数低于治疗前及小针刀治疗后,差异有统计学意义(P<0.05),而小针刀治疗后VAS评分及SC-FRI指数较治疗前无明显改变,差异无统计学意义(P>0.05)。结论:彩超引导下能精准定位BMI≥25的L3横突综合征患者的L3横突,且超短波联合彩超引导下行小针刀治疗,对腰3横突综合征具有更好的治疗效果。

Objective:To observe the clinical effect of ultrashort wave combined with small needle scalpel guided by color ultrasound in the treatment of third lumbar transverse process syndrome.Methods:Forty cases diagnosed with third lumbar transverse process syndrome in one side and body mass index(BMI)≥25 in department of Rehabilitation Medicine of Ganzhou people,s hospital were selected,and they were randomly divided into treatment group and control group,with 20 cases in each group.The treatment group received small needle scalpel guided by color ultrasound ultrashort wave therapy,while the control group received small needle scalpel guided by conventional positioning and ultrashort wave therapy.The visual analogue scale(VAS)and the simplified Chinese version of functional rating index(SC-FRI)were evaluated before treatment,after small needle scalpel treatment and after 1 course of ultrashort wave treatment(or the treatment endpoint).Results:The VAS score and SC-FRI index were significantly lower in the treatment group than those in the control group after small needle scalpel treatment and ultrashort wave treatment,with statistical significance(P<0.05).The VAS score and SC-FRI index were significantly lower at next time point than that at the previous time point in the treatment group,with statistical significance(P<0.05).In the control group,the VAS score and SC-FRI index were significantly lower after 1 course of ultrashort wave treatment(or the treatment endpoint)than that before treatment and after small needle scalpel treatment,with statistical significance(P<0.05).However,the VAS score and SC-FRI index after small needle scalpel treatment had no significant change compared with those before treatment,with no statistical significance(P>0.05).Conclusion:Guided by colour ultrasound can precise positioning the third lumbar transverse of the patient with third lumbar transverse process syndrome and BMI≥25.The ultrashort wave combined with small needle scalpel guided by color ultrasound has a better therapeutic effect on third lumbar transverse process syndrome.