扬刺温针灸治疗L3横突综合征临床研究  

Clinical Study on Central-Square Needling Technique of Warming-Needle Moxibustion for L3 Transverse Process Syndrome

作　　者：张丽丽 ZHANG Lili

机构地区：[1]丽水市第二人民医院康复科,浙江丽水323000

出　　处：《新中医》2022年第22期126-128,共3页New Chinese Medicine

摘　　要：目的:观察扬刺温针灸治疗L横突综合征的临床疗效。方法:选取80例L横突综合征患者,按随机数字表法分为对照组和观察组各40例。对照组给予常规针刺治疗,观察组给予扬刺温针灸治疗。观察2组临床疗效,以及治疗前后临床体征评分和麦吉尔(McGill)疼痛问卷表评分、患侧肌层厚度变化。结果:治疗后,观察组临床总有效率为97.5%,对照组为82.5%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组McGill疼痛问卷表评分、临床体征评分比较,差异无统计学意义(P>0.05);治疗后,2组McGill疼痛问卷表评分、临床体征评分均较治疗前降低(P<0.05),且观察组2项评分均低于对照组(P<0.05)。治疗前,2组患侧肌层厚度比较,差异无统计学意义(P>0.05);治疗后,2组患侧肌层厚度均较治疗前降低(P<0.05),且观察组患侧肌层厚度小于对照组(P<0.05)。结论:扬刺温针灸治疗L横突综合征能显著改善患者临床体征,减轻疼痛以及局部软组织水肿,疗效优于常规针刺治疗。Objective:To observe the clinical effect of central-square needling technique of warmingneedle moxibustion on Ltransverse process syndrome. Methods:A total of 80 patients with Ltransverse process syndrome were selected and divided into the control group and the observation group according to the random number table method, with 40 cases in each group. The control group was treated with conventional acupuncture,and the observation group was treated with central-square needling technique of warming-needle moxibustion. The clinical effects, scores of clinical signs, scores of McGill Pain Questionnaire and the changes of the thickest muscle layer of the affected side before and after treatment were observed in the two groups. Results: After treatment, the total effective rate was 97.5% in the observation group and 82.5% in the control group, the difference being significant(P<0.05). Before treatment,there was no significant difference in the scores of McGill Pain Questionnaire and clinical signs between the two groups(P>0.05);after treatment,the scores of McGill Pain Questionnaire and clinical signs in the two groups were decreased when compared with those before treatment(P<0.05),and the above two scores in the observation group were lower than those in the control group(P<0.05). Before treatment,there was no significant difference in the muscle thickness of affected side between the two groups(P>0.05);after treatment,the muscle thickness of the affected side in both groups was decreased when compared with that before treatment(P<0.05),and the muscle thickness of the affected side in the observation group was smaller than that in the control group(P<0.05). Conclusion: Central-square needling technique of warming-needle moxibustion has a significant effect on improving the clinical signs of patients with L3transverse process syndrome,which can reduce pain and local soft tissue edema and has a better curative effect than conventional acupuncture.

关 键 词：L3横突综合征 腰痛 扬刺温针灸 阿是穴 麦吉尔疼痛问卷表 

分 类 号：R681.53[医药卫生—骨科学]