温针疗法治疗第三腰椎横突综合征的临床观察
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作者Author单位AddressE-Mail
徐福 XU Fu 浙江省中医院针灸科,浙江 杭州 310006 Department of Acupuncture,the TCM Hospital of Zhejiang,Hangzhou 310006,Zhejiang,China xufu36@126.com 
期刊信息:《中国骨伤》2010年,第23卷,第6期,第440-443页
DOI:10.3969/j.issn.1003-0034.2010.06.014
基金项目:
中文摘要:

目的:观察温针、电针和体针3种疗法对第三腰椎横突综合征的疗效差异。

方法:自2007年至2009年门诊收治的120例患者分3组治疗,每组40例:温针组、电针组和体针组。温针组男23例,女17例,平均年龄(34.2±6.7)岁,平均病程(14.3±4.6)个月;电针组男26例,女14例,平均年龄(35.1±7.1)岁,平均病程(15.6±4.9)个月;体针组男23例,女17例,平均年龄(35.7±6.5)岁,平均病程(15.2±5.1)个月。3组分别采用温针疗法(第三腰椎横突处)、电针疗法(第三腰椎横突处)和体针疗法,同时配合功能锻炼,以安全性、疗效性(包括痊愈率与压痛指数)和依从性为观察指标进行临床观察,同时对痊愈病例行3~6个月的随访观察。

结果:温针组痊愈32例,好转8例,无效0例;电针组痊愈22例,好转15例,无效3例;体针组痊愈18例,好转16例,无效6例。温针组疗效优于电针组和体针组。治疗后VAS评分:温针组平均(1.78±0.99)分,电针组平均(3.54±1.03)分,体针组平均(3.62±0.72)分,温针组评分低于电针组和体针组。

结论:温针疗法对第三腰椎横突综合征的治疗具有操作简便、疗效显著、安全性依从性高、复发率低的优点,值得推广应用。
【关键词】腰痛  第三腰椎横突综合征  温针疗法  电针  针灸疗法
 
Needle warming therapy for the treatment of syndrome of the transverse process of the third lumbar vertebra
ABSTRACT  

Objective: To observe the curative effects of three methods for the treatment of the third lumbar vertebrae syndrome,the treatment methods including needle warming therapy,electroacupuncture and body acupuncture treatments.

Methods: From 2007 to 2009,120 patients were divided into three groups randomly:needle warming therapy group,electroacupuncture treatment group and body acupuncture treatment group. Among 40 patients in the needle warming therapy group,23 patients were male and 17 patients were female;the average age was(34.2±6.7) years;and the mean during of disease was(14.3±4.6) months;the patients were treated with warm needle at the third lumbar vertebrae. Among 40 patients in electroacupuncture treatment group,26 patients were male and 14 patients were female;the average age was(35.1±7.1) years; and the mean during of disease was(15.6±4.9) months;the patients were treated with electric acupuncture at the third lumbar vertebrae. Among 40 patients in body acupuncture treatment group,23 patients were male and 17 patients were female; the average age was (35.7±6.5) years; and the mean during of disease was(15.2±5.1) months;the patients were treated with body acupuncture at the third lumbar vertebrae. The safety,efficacy including the recovery rate and the tenderness index and compliances of the treatments were observed,and the VAS scores were used to evaluate the therapeutic effects. The healed patients were followed up ranged from 3 to 6 months.

Results: In the needle warming therapy group,32 patients got an excellent result, 8 good and 0 bad;in electroacupuncture treatment group,above data were 22,15 and 3;and in body acupuncture treatment group,the data were 18,16 and 6. The therapeutic effects of needle warming therapy was better than that of electroacupuncture or body acupuncture treatment. The VAS scores of the needle warming therapy group,electroacupuncture treatment group and body acupuncture treatment group were(1.78±0.99),(3.54±1.03) and(3.62±0.72) separately, and the score of the needle warming therapy group was lower than that of electroacupuncture treatment group or body acupuncture treatment group.

Conclusion: The needle warming therapy for the treatment of the third lumbar vertebrae syndrome has follow advantages:simple operation,effective and safe,lower recurrence rate,which is worth of using widely.
KEY WORDS  Low back pain  3rd lumbar vertebrae syndrome  Needle warming therapy  Electroacupuncture  Acupuncture-moxibustion
 
引用本文,请按以下格式著录参考文献:
中文格式:徐福.温针疗法治疗第三腰椎横突综合征的临床观察[J].中国骨伤,2010,23(6):440~443
英文格式:XU Fu.Needle warming therapy for the treatment of syndrome of the transverse process of the third lumbar vertebra[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(6):440~443
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