点压手法并功能锻炼治疗第三腰椎横突综合征89例疗效观察  

89 cases Clinical observation points, approach and functional exercise for treatment of the third lumbar transverse process syndrome

作　　者：王保锁[1] 邸宝林 林红猛 

机构地区：[1]北京市大兴区红星医院,北京100076

出　　处：《中医临床研究》2015年第18期131-133,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨点压手法并功能锻炼治疗第三腰椎横突综合征的临床疗效。方法:2013年11月—2014年12月,门诊采用点压手法治疗第三腰椎横突综合征患者89例,男53例,女36例;年龄20~59岁,中位数39岁;均有不同程度腰部疼痛,不能久坐久立,第三腰椎横突位置查体可见明显压痛,均可触及1~2.3 cm硬性结节条索状物,其中单侧患者37例,双侧患者62例;病程1 d^6年,中位数1.2年,有外伤或扭伤史者19例。采用疼痛视觉模拟评分法(visualanaloguescale,VAS)对第1次治疗前、1个疗程后患者自觉腰痛情况及第三腰椎横突处压痛进行评价。疗程结束后2周予随访,观察治疗情况。结果:本组89例患者,治愈38例,有效51例,总有效率100%;治疗后患者自觉腰痛和第三腰椎横突处压痛均有明显改善(P均<0.05);疗程结束后2周予随访,腰痛加重10例,经手法再次治疗,腰痛减轻。结论:点压手法并功能锻炼治疗第三腰椎横突综合征疗效显著,治疗方法简单易学,在临床中值得广泛推广。Objective：To investigate the point, a pproach and func tional training clinical e fficacy third lumbar transverse proc ess syndrome. M ethods：N ovember 2013 ～ 2014 December manipulative therapy c linic uses pointpre ssure of the third l umbar transverse process syndrome in 89 patients, 53 males and 36 females;aged 20 to 59 years, median 39 years;all there are varying degrees of back pain, can notbe sedentary for a long, third lumbar transverse position Physical examination revealed tenderness, may reach 1～2.3 cm strip of hard nodules, 37 patients diagnosed, 62 patients with bilateral cases;1d～ 6 years, median 1.2 years, there is a history of trauma or sprain 19 cases.Using pain visual analogue scale （visualanaloguescale,VAS） for the firsttime before treatment, after a course of conscious patients with low back pain cases and the third lumbar transverse process tenderness evaluated. Two weeks after the end of treatmentto follow-up observation of treatment. R esults：89 patients c ured 38 cases, e ffective 51 cases, i neffective 0 cases, the total efficiency of 10 0%;a fter treatmentof low ba ck pa in patients c onscious and third l umbar transverse proc ess tenderness w ere s ignificantly i mproved （ P〈0.05 ）; two weeks af ter the end of treatmentto fol low-up,10 c ases of l ow ba ck pa in a ggravated,by the way r e-treatment, l ow b ack pain relief. Conclusion：The pointpressure techniques and exercise therapy third lumbar transverse process syndrome significantly, treatmentis easy to learn, should be popularized in clinic.

关 键 词：第三腰椎横突综合征 腰痛 手法 功能锻炼 

分 类 号：R244.8[医药卫生—针灸推拿学]