摘要
【目的】观察温针傍刺法结合功能训练治疗气滞血瘀型第三腰椎横突综合征的临床疗效。【方法】将72例气滞血瘀型第三腰椎横突综合征患者随机分为治疗组和对照组,每组各36例,治疗组给予温针傍刺法结合功能训练治疗,对照组给予常规针刺治疗。1周为1个疗程,连续治疗2个疗程。治疗2周后,评价2组临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分的变化情况,以及日本骨科协会评估治疗分数(JOA)的变化情况。【结果】(1)治疗1、2周后,2组患者的VAS评分均较治疗前明显改善,差异有统计学意义(P<0.05);且治疗组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗1、2周后,2组患者的JOA评分均明显改善(P<0.05),且治疗组在改善JOA评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗组疼痛改善总有效率为100.00%(36/36),对照组为77.78%(28/36)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。(4)治疗组功能改善总有效率为97.22%(35/36),对照组为80.56%(29/36)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】温针傍刺法结合功能训练治疗气滞血瘀型第三腰椎横突综合征,能明显改善患者的临床症状,临床疗效显著。
Objective To observe clinical efficacy of warm needling plus proximate needling technique in the treatment of third lumbar vertebral transverse vertebral process syndrome(TLVTPS)of qi stagnation and blood stasis syndrome.Methods Seventy-two patients with TLVTPS of qi stagnation and blood stasis were randomly divided into the treatment group and the control group,36 cases in each group.The treatment group was treated with warm needling plus proximate needling technique combined with functional training,and the control group was treated with conventional acupuncture.One week as a course and the treatment lasting two consecutive courses.After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes of visual analogue scale(VAS)scores and the Japanese Orthopaedic Association evaluation score(JOA)were observed before and after treatment.Results(1)After 1 and 2 weeks of treatment,VAS scores in the two groups were significantly improved compared with those before treatment,with statistical significance(P<0.05);the improvement of VAS score in the treatment group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).(2)After 1 and 2 weeks of treatment,the JOA scores in the two groups were significantly improved(P<0.05),and the improvement of JOA scores in the treatment group was significantly superior to that of the control group,with statistical significance(P<0.05).(3)The total effective rate of pain improvement was 100.00%(36/36)in the treatment group and 77.78%(28/36)in the control group.The curative effect of the treatment group was superior to that of the control group,the difference being statistically significant(P<0.05).(4)The total effective rate of functional improvement was 97.22%(35/36)in the treatment group and 80.56%(29/36)in the control group.The curative effect of the treatment group was superior to that of the control group,the difference being statistically significant(P<0.05).Conclusion The warm needling plus pro
作者
傅航
高干
蓝旭
FU Hang;GAO Gan;LAN Xu(Dept.of Traditional Chinese Medicine,Dongguan Eighth People’s Hospital,Dongguan 523325 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第10期2168-2173,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
东莞市社会科技局科研课题(编号:202050715028367)。
关键词
温针傍刺法
功能训练
第三腰椎横突综合征
气滞血瘀型
临床观察
warm needling plus proximate needling technique
functional training
third lumbar vertebral trans verse process syndrome
qi stagnation and blood stasis type
clinical observation
