超声引导下铍针治疗第三腰椎横突综合征临床观察  

Clinical observation of ultrasound-guided beryllium needle in the treatment of the third lumbar transverse process syndrome

作　　者：刘鹏群 朱立国[2] 陈忻[2] 谭贵红 刘志伟 银河[2] 金哲峰[2] LIU Peng-qun;ZHU Li-guo;CHEN Xin;TAN Gui-hong;LIU Zhi-wei;YIN He;JIN Zhe-feng(Bejing University of Chinese Medicine,Beijing 100029,China;No.2 Department of Spine,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院望京医院脊柱二科,北京100102

出　　处：《北京中医药》2023年第6期607-610,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202003);北京市中医药科技发展资金项目(JJ-2020-73)。

摘　　要：目的观察超声引导下铍针治疗第三腰椎横突综合征(TLVTPS)的临床有效性、安全性。方法选择2021年2月—2022年2月就诊于中国中医科学院望京医院的TLVTPS患者60例,采用随机数字表法将患者分为超声组、对照组,各30例。超声组给予超声引导下铍针治疗,对照组采用经验痛点操作法进行铍针治疗。对比2组治疗前后视觉模拟评分法(VAS)评分、腰椎功能障碍指数(ODI)评分、各方向腰椎活动度及治疗次数、不良反应。结果治疗前,2组VAS、ODI评分比较差异无统计学意义(P>0.05);治疗1、2、3、4周,2组VAS、ODI评分均较治疗前下降(P<0.05),且超声组VAS、ODI评分均低于对照组(P<0.05)。治疗后2组腰椎活动度均较治疗前增加(P<0.05),且治疗后超声组各方向腰椎活动度均较对照组大(P<0.05)。超声组治疗1、2、3、4次分别有1、21、7、1例;对照组治疗1、2、3、4次分别有0、6、17、7例。2组比较差异有统计学意义(P<0.05)。2组均未发生严重不良事件。结论超声引导下铍针治疗第三腰椎横突综合征可显著改善患者的疼痛症状及腰椎活动度,安全性高。Objective To observe the clinical efficacy and safety of ultrasound-guided beryllium needle in the treatment of the third lumbar transverse process syndrome(TLVTPS).Methods Sixty patients with TLVTPS who were treated in Wangjing Hospital of China Academy of Chinese Medical Sciences from February 2021 to February 2022 were selected and divided into ultrasound group and control group using the random number table method,with 30 cases in each group.The ultrasound group was visualized under ultrasound guidance for beryllium needle treatment;the control group was treated with beryllium needle using the empirical pain point manipulation method.Visual analogue scale(VAS)score,lumbar dysfunction index(ODI)score,lumbar mobility in all directions,treatment times and adverse reactions were compared between the two groups before and after treatment.Results Before treatment,there was no significant difference in VAS and ODI scores between the two groups(P>0.05).After 1,2,3 and 4 weeks of treatment,the scores of VAS and ODI in both groups decreased(P<0.05),VAS and ODI score in ultrasound group were significantly lower than those in control group(P<0.05).After treatment,the lumbar mobility of the two groups was increased compared with that before treatment(P<0.05),and the lumbar mobility of the ultrasound group in all directions after treatment was greater than that of the control group(P<0.05).In the ultrasound group,there were 1 case,21 case,7 case and 1 case after 1,2,3 and 4 treatments respectively.There were 0,6,17 and 7 cases in the control group treated for 1,2,3 and 4 times respectively.The difference between the two groups was statistically significant(P<0.05).Serious adverse events did not occur in both groups.Conclusion Ultrasound-guided beryllium needle in the treatment of the third lumbar transverse process syndrome can improve the symptoms of patients with high safety.

关 键 词：第三腰椎横突综合征 超声 铍针 

分 类 号：R274.9[医药卫生—中西医结合]