长针恢刺联合水针治疗对第三腰椎横突综合征的影响  

Effect of Long-needling Recovery Needling Combined with Water Acupuncture Treatment on Transverse Process Syndrome of Third Lumbar Vertebra

作　　者：杜诚恳[1] 吴铅淡 DU Chengken;WU Qiandan(不详;Quanzhou Orthopedic-Traumatological Hospital of Fujian Traditional Chinese Medicine University,Quanzhou 362000,China)

机构地区：[1]福建中医药大学附属泉州市正骨医院,福建泉州362000

出　　处：《中外医学研究》2023年第11期33-37,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨长针恢刺联合水针治疗对第三腰椎横突综合征的影响。方法:选取2019年3月—2021年12月福建中医药大学附属泉州市正骨医院推拿二科收治的80例第三腰椎横突综合征患者。根据随机数表法将其分为B组与A组,各40例。B组采用水针治疗,A组在水针治疗基础上联合长针恢刺治疗。比较两组治疗前、治疗1个疗程及治疗后1个月疼痛状况,治疗前、治疗1个疗程腰椎功能及日常功能、腰椎活动度、炎症因子,复发率。结果:治疗1个疗程及治疗后1个月,A组视觉模拟评分法(VAS)评分低于B组,差异有统计学意义(P<0.05)。治疗1个疗程,A组日本骨科协会评估治疗腰椎评分(JOA)评分高于B组,Oswestry功能障碍指数(ODI)评分低于B组,腰椎前屈、后伸活动度均大于B组,差异有统计学意义(P<0.05)。治疗1个疗程,A组超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平均低于B组,差异有统计学意义(P<0.05)。A组复发率低于B组,差异有统计学意义(χ^(2)=5.165,P=0.023)。结论:长针恢刺联合水针治疗可有效改善第三腰椎横突综合征患者的疼痛状况,提高腰椎功能,减轻炎症反应,降低复发率。Objective:To investigate the effect of long-needling recovery needling combined with water acupuncture treatment on transverse process syndrome of third lumbar vertebra.Method:From March 2019 to December 2021,80 patients with transverse process syndrome of third lumbar vertebra in the Second Department of Massage of Quanzhou Orthopedic-Traumatological Hospital of Fujian Traditional Chinese Medicine University were selected.According to the random number table method,they were divided into group B and group A,40 cases in each group.Group B was treated with water acupuncture,and group A was treated with long-needling recovery needling on the basis of water acupuncture treatment.The pain status before treatment,1 course of treatment and 1 month after treatment,lumbar function and daily function,lumbar range of motion,inflammatory factors before treatment and 1 course of treatment and recurrence rate were compared between the two groups.Result:One course of treatment and 1 month after treatment,the visual analogue scale(VAS)score of group A were lower than those of group B,and the differences were statistically significant(P<0.05).One course of treatment,the Japanese orthopaedic association evaluation and treatment lumbar spine score(JOA)score in group A was higher than that in group B,the Oswestry disability index(ODI)score was lower than that in group B,and the lumbar flexion and extension range of motion were greater than those in group B,and the differences were statistically significant(P<0.05).One course of treatment,the levels of high-sensitivity C-reactive protein(hs-CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)in group A were lower than those in group B,and the differences were statistically significant(P<0.05).The recurrence rate of group A was lower than that of group B,the difference was statistically significant(χ^(2)=5.165,P=0.023).Conclusion:Long-needling recovery needling combined with water acupuncture treatment can effectively improve the pain condition of patients with transverse pr

关 键 词：长针恢刺 水针 第三腰椎 横突综合征 

分 类 号：R246.9[医药卫生—针灸推拿学]