筋骨针松解术联合揉拨推拿治疗腰三横突综合征疗效研究  

Clinical efficacy on lumbar tritransverse process syndrome by Jingu acupuncture combined with pain point rubbing and massage

作　　者：阴祖新 郝唯 吴海峥 马彦旭[1] 程五中[1] YIN Zuxin;HAO Wei;WU Haizheng;MA Yanxu;CHENG Wuzhong(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《陕西中医》2025年第3期407-411,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：首都卫生发展科研专项项目(首发2020-2-2231);京津冀协同创新共同体建设专项课题(19245709D);北京市属医院科研培育计划项目(PZ2023015)。

摘　　要：目的:探讨筋骨针松解术联合痛点揉拨推拿手法对腰三横突综合征的临床疗效及对患者腰椎功能、炎症因子等的影响。方法:选取70例腰三横突综合征患者,按治疗方案进行分组。两组在常规治疗基础上,对照组采取痛点揉拨推拿手法,联合组在对照组基础上行筋骨针松解术治疗。对比两组临床疗效、疼痛程度、腰椎功能、腰椎关节活动度、炎症因子指标。结果:联合组治疗总有效率为94.29%高于对照组的77.14%(P<0.05)。治疗后,联合组患者疼痛视觉模拟评分(VAS)、Oswestry(ODI)评分低于对照组,差异有统计学意义(均P<0.05)。联合组患者日本骨科协会(JOA)评分、腰椎前屈、后伸活动角度高于对照组,差异有统计学意义(均P<0.05)。联合组患者血清白介素-6、前列腺素E2、5-羟色胺水平低于对照组,差异有统计学意义(均P<0.05)。结论:筋骨针松解术联合痛点揉拨推拿手法治疗腰三横突综合征临床疗效较好,可改善患者疼痛程度、腰椎功能、腰椎关节活动度,降低炎症因子。Objective:To investigate clinical effect of sinew needle relaxation combined with pain point kneading,massage on lumbar tritransverse process syndrome and effects on lumbar function and inflammatory factors.Methods:70 patients with lumbar triple transverse syndrome were selected according to different treatment plans.On the basis of conventional treatment,the control group were treated with pain-point kneading and tuina manipulation,and the combined group treated with fascial needle release on the basis of the control group.The two groups were compared in terms of clinical efficacy,pain level,lumbar spine function,lumbar spine joint mobility and inflammatory factor indexes.Results:The total effective rate in the combined group 94.29%was significantly higher than that in the control group 77.14%(P<0.05).After treatment,the visual analog scale(VAS)and Oswestry(ODI)scores of the combined group were lower than those in the control group,differences statistically significant(all P<0.05).The Japanese orthopedic association(JOA)score,flexion and extension activities of the combined group were higher than those in the control group,differences statistically significant(all P<0.05).The levels of Interleukin-6,prostaglandin E2 and 5-hydroxytryptamine in the serum of the combined group were lower than those in the control group,differences statistically significant(all P<0.05).Conclusion:Clinical effect of muscle and bone acupuncture combined with massage manipulation of pain points in the treatment of lumbar triple transverse process syndrome was remarkable,which could improve pain degree,lumbar function,lumbar joint mobility and reduce level of inflammatory factors.

关 键 词：腰三横突综合征 筋骨针松解术 痛点揉拨推拿手法 炎症因子 腰椎功能 疼痛程度 

分 类 号：R681.55[医药卫生—骨科学]