Guo Chang-Qing, Dong Fu-Hui, Li Shi-Liang, Qiao Jin-Lin, Jiang Zhao-Ia, Liu Nai-Gang, Chen Zhan-Lu
Acupuncture-Moxibustion and Tuina College, Beijing University of CM, Beijing 100029, China.
Zhongguo Zhen Jiu. 2012 Jul;32(7):617-20.
To explore the mechanism of acupotomy lysis in treatment of the third lumbar vertebrae transverse process syndrome.
One hundred and eighty patients were randomly assigned into an acupotomy group and an electroacupuncture (EA) group, 90 cases in each group. The acupotomy group was treated with acupotomy on the tip of the 3rd lumbar vertebrae transverse process (tender point) combination with massage manipulation of hyperflexion and hyperextension on the waist, once a week for 3 weeks. The EA group was treated with EA at bilateral Shenshu (BL 23), Yaoyangguan (GV 3), Ashi point (local tender point) and ipsilateral Weizhong (BL 40), 3 times a week for 3 weeks. The 500 g pressure displacement and the energy absorption ratio were measured by JZL-II soft tissue tension meter and the clinical effect was evaluated by JOA low back pain scale before treatment, after treatment and 6 months after treatment.
After treatment and at follow-up visit, the 500 g pressure displacement in the acupotomy group increased significantly (both P < 0.01), but it was decreased significantly in the EA group (P < 0.05, P < 0.01). The energy absorption ratio in the acupotomy group after treatment and at follow-up visit increased significantly (both P < 0.01), and in the EA group, there was no significant difference after treatment as compared with that before treatment (P > 0.05), but it was increased significantly at follow-up visit (P < 0.01). The total therapeutic level distribution in the acupotomy group was better than that in the EA group after treatment and 6 months after treatment (P < 0.05, P < 0.01).
Acupotomy therapy can significantly increase the 500 g pressure displacement and the energy absorption ratio of the local soft tissue around the third lumbar vertebrae transverse process, decrease the local soft tissue tension so as to alleviate pain. The clinical effect of the acupotomy is superior to that of electroacupuncture.
探讨小针刀松解术治疗第三腰椎横突综合征的作用机制。
将180例患者随机分为小针刀组和电针组，每组90例。小针刀组采用小针刀松解第三腰椎横突尖部（压痛点），并结合腰部过屈过伸按摩手法治疗，每周1次，共3周。电针组取双侧肾俞（BL 23）、腰阳关（GV 3）、阿是穴（局部压痛点）及患侧委中（BL 40）进行电针治疗，每周3次，共3周。采用JZL-II型软组织张力仪测量500 g压力下的位移及能量吸收比值，并于治疗前、治疗后及治疗后6个月采用JOA腰痛量表评估临床疗效。
治疗后及随访时，小针刀组500 g压力下的位移显著增加（均P <０.０１），而电针组则显著减小（P <０.０５，P <０.０１）。小针刀组治疗后及随访时能量吸收比值显著增加（均P <０.０１），电针组治疗后与治疗前比较差异无统计学意义（P >０.０５），随访时显著增加（P <０.０１）。治疗后及治疗后6个月，小针刀组总疗效分布优于电针组（P <０.０５，P <０.０１）。
小针刀疗法可显著增加第三腰椎横突周围局部软组织500 g压力下的位移及能量吸收比值，降低局部软组织张力，从而缓解疼痛。小针刀疗法的临床疗效优于电针疗法。
