Wen You-Liang, He Cui, Huang Min, Liang Xing-Sen
Department of Rehabilitation Physiotherapy, The Second People's Hospital of Guangdong Province, Guangzhou 510317, China.
Zhongguo Zhen Jiu. 2012 Apr;32(4):345-8.
To explore the better treatment for the third lumbar transverse process syndrome.
Ninety cases were randomly divided into an acupotomy group, a blood pricking group and a combined therapy group, thirty cases in each group. In acupotomy group, three points such as the third lumbar transverse process point were released with acupotomy, and then Tuina was applied. In blood pricking group, blood pricking therapy was applied at Qihaishu (BL 24) or Weizhong (BL 40). In combined therapy group, both of releasing with acupotomy and blood pricking were applied. The therapeutic effects of three groups were evaluated by of simplified Chinese version of the Oswestry Disability Index (SCODI) and Visual Analogue Scale (VAS) before, immediately after treatment and 1 week after treatment.
After treatment, compared with scores sofore treatment, VAS scores were all reduced (both P < 0.05), and it in combined therapy group was lower than those in other groups (both P < 0.05); SCODI scores showed no significant differences in groups (both P > 0.05) except in combined therapy group (P<0. 05). One week after treatment, compared with scores immediately after treatment, SCODI scores and VAS scores were reduced in each group (all P < 0.05), and the scores in combined therapy group were lower than those in other two groups (both P < 0.05).
Releasing with acupotomy and blood pricking are the effective therapies for the third lumbar transverse process syndrome, can remarkably relieve the pain and improve movement function of lumbus, and the therapeutic effect is more obvious.
探讨第三腰椎横突综合征的更佳治疗方法。
将90例患者随机分为针刀组、刺血组和综合治疗组，每组30例。针刀组采用针刀松解第三腰椎横突点等三个穴位，然后进行推拿。刺血组在气海俞（BL 24）或委中（BL 40）进行刺血疗法。综合治疗组同时采用针刀松解和刺血疗法。在治疗前、治疗后即刻及治疗后1周，采用简化中文版Oswestry功能障碍指数（SCODI）和视觉模拟评分法（VAS）对三组的治疗效果进行评估。
治疗后，与治疗前评分相比，三组VAS评分均降低（均P<0.05），且综合治疗组低于其他两组（均P<0.05）；除综合治疗组外，各组SCODI评分差异无统计学意义（均P>0.05）（P<0.05）。治疗后1周，与治疗后即刻评分相比，各组SCODI评分和VAS评分均降低（均P<0.05），且综合治疗组评分低于其他两组（均P<0.05）。
针刀松解和刺血是治疗第三腰椎横突综合征的有效疗法，能显著缓解疼痛，改善腰部运动功能，且综合治疗效果更明显。
