摘要
目的:比较不同灸量配合齐刺法治疗第三腰椎横突综合征的临床疗效,寻找治疗该病的优选方案,以期探讨针灸临床治疗的量效关系。方法:将符合纳入标准的90名第三腰椎横突综合征患者按随机数字表分为试验组1、试验组2和对照组,每组各30例。三组均给予齐刺法治疗,随后试验组分别温针治疗40min和60min,对照组温针治疗20min,比较三组临床疗效。结果:治疗后,三组VAS评分、JOA评分,与本组治疗前比较,差异均有统计学意义(P<0.05),温针灸配合齐刺法能更有效减轻患者腰痛程度,改善患者腰椎功能;试验组1、试验组2VAS、JOA评分、有效率与对照组比较,差异有统计学意义(P<0.05),治疗40min和60min疗效优于治疗20min;试验组1和试验组2疗效比较,差异无统计学意义(P﹥0.05),治疗40min与治疗60min的疗效无差异性。结论:温针灸(治疗40min)配合齐刺法治疗第三腰椎横突综合征疗效肯定,更宜于临床推广。
Objective:To compare the clinical efficacy of moxibustion in different quantities combined with triple puncture in the treatment of transverse process syndrome of third lumbar vertebra,and to find a clinical optimization plan for the treatment of this disease,to explore the dose-effect relationship of acupuncture and moxibustion.Methods:90 patients with transverse process syndrome of third lumbar vertebra who meet the inclusion criteria were randomly divided into test group 1,test group 2 and control group with 30 patients in each group.All the patients in three groups were treated with triple puncture method,then the two test groups were respectively treated with moxibustion with warming needle for 40 minutes and 60 minutes,and the control group was treated with moxibustion with warming needle for 20 minutes,and to compare the clinical efficacy of the three groups.Results:After the treatment,compared the Visual Analogue Score(VAS)and Japanese Orthopedic Association Scores(JOA)for the three group,the difference was statistically significant(P<0.05),indicating that the therapy could relieve the pain and improve the lumbar vertebral function.The efficacy of moxibustion with warming needle for 40 minutes and 60 minutes was superior to that for 20 minutes.There was no significant difference between the test group 1 and the test group 2(P>0.05),which illustrated that the curative effects in the two groups were similar.Conclusion:The Clinical efficacy of moxibustion with warming needle for 40 minutes combined with triple puncture method in the treatment of third lumbar vertebra transverse process syndrome is definitive and suitable for clinical promotion.
作者
何佳
周红娟
张焕琨
秦少福
HE Jia;ZHOU Hong-juan;ZHANG Huan-kun;QIN Shao-fu(Traditional Chinese Medical Hospital of Luohu District in Shenzhen,Shenzhen 518021,China)
出处
《江西中医药大学学报》
2019年第3期68-71,共4页
Journal of Jiangxi University of Chinese Medicine
关键词
灸量
齐刺法
第三腰椎横突综合征
临床疗效
量效关系
Moxibustion
Triple Puncture Method
The Third Lumbar Vertebrae Transverse Process Syndrome
Clinical Efficacy
Dose-effect Relationship
