针刀与刺血治疗第3腰椎横突综合征疗效观察  

Observation on therapeutic effect of the third lumbar transverse process syndrome treated with acupotomy and blood pricking therapy

作　　者：温优良[1] 何萃[1] 黄敏[1] 梁兴森[1] 

机构地区：[1]广东省第二人民医院康复理疗科,广州510317

出　　处：《中国针灸》2012年第4期345-348,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:探寻治疗第3腰椎横突综合征的较佳疗法。方法:将90例患者随机分为针刀组、刺血组及联合组,每组30例。针刀组采用针刀松解患侧第3腰椎横突尖等3个点后再辅以手法治疗,刺血组取气海俞或委中穴行刺血治疗,联合组予针刀松解和刺血两种疗法联合应用。3组患者于治疗前及治疗后即刻、治疗后1周使用简体中文版Oswestry功能障碍指数(SCODI)和疼痛视觉模拟评分(VAS)进行疗效评价。结果:治疗后即刻,各组患者VAS评分与治疗前比较均有降低(均P<0.05),且联合组低于其他两组(均P<0.05),但SCODI评分除联合组(P<0.05)外,其余两组与治疗前比较差异无统计学意义(均P>0.05)。治疗后1周,各组患者SCODI评分、VAS评分均较治疗后即刻降低(均P<0.05),且联合组低于其他两组(均P<0.05)。结论:针刀松解和刺血均是治疗第3腰椎横突综合征的有效疗法,可有效改善疼痛和腰活动功能,且两者联合应用疗效更为显著。Objective To explore the better treatment for the third lumbar transverse process syndrome.Methods Ninety cases were randomly divided into an acupotomy group,a blood pricking group and a combined therapy group,thirty cases in each group.In acupotomy group,three points such as the third lumbar transverse process point were released with acupotomy,and then Tuina was applied.In blood pricking group,blood pricking therapy was applied at Qihaishu（BL 24） or Weizhong（BL 40）.In combined therapy group,both of releasing with acupotomy and blood pricking were applied.The therapeutic effects of three groups were evaluated by of simplified Chinese version of the Oswestry Disability Index（SCODI） and Visual Analogue Scale（VAS） before,immediately after treatment and 1 week after treatment.Results After treatment,compared with scores sofore treatment,VAS scores were all reduced（both P0.05）,and it in combined therapy group was lower than those in other groups（both P0.05）;SCODI scores showed no significant differences in groups（both P0.05） except in combined therapy group（P0.05）.One week after treatment,compared with scores immediately after treatment,SCODI scores and VAS scores were reduced in each group（all P0.05）,and the scores in combined therapy group were lower than those in other two groups（both P0.05）.Conclusion Releasing with acupotomy and blood pricking are the effective therapies for the third lumbar transverse process syndrome,can remarkably relieve the pain and improve movement function of lumbus,and the therapeutic effect is more obvious.

关 键 词：第3腰椎横突综合征 针刀 刺血疗法 OSWESTRY功能障碍指数 

分 类 号：R246.2[医药卫生—针灸推拿学]