【摘要】 目的:探讨针刀对第三腰椎横突综合征的治疗效果。方法:将第三腰椎横突综合征患者180例按区组随机法分为针刀治疗组、阻滞组及针刺对照组,分别进行针刀、阻滞及针刺治疗。治疗前、后分别按“腰椎疾患治疗成绩评分表”评分,对测评结果进行统计学分析。结果:治疗前后成绩评分,针刀组治疗前(9.6±2.7)分,治疗后(23.0±5.7)分,改善指数0.56±0.61;阻滞组治疗前(9.9±2.8)分,治疗后(15.1±7.1)分,改善指数0.33±0.27;针刺组治疗前(9.7±2.9)分,治疗后(13.2±6.5)分,改善指数0.24±0.21。3组治疗前后评分,针刀治疗组优于阻滞及针刺对照组(P<0.001,t=18.32,5.65,4.21);3组疗效比较,针刀治疗组明显优于阻滞及针刺对照组(P<0.01,χ2=38.1,41.1);3组治疗后评分均比治疗前分值差异有显著性意义(P<0.001,t=6.39,11.85)。结论:与阻滞、针刺治疗组相比,针刀是保守治疗第三腰椎横突综合征值得采用的有效方法之一。更多还原

【Abstract】 AIM:To evaluate the therapeutic efficacy of acupotomology in treatment of the third lumber vertebrae transverse process syndrome. METHODS:One hundred and eighty patients with syndrome of the third lumber vert ebrae transverse process, 107 males and 73 females, aged 17-71 years old, inclu ding 126 cases of unilateral lumbago, 54 cases of bilateral lumbago, were random ly divided into 3 groups of 60 patients each: acupotomology group, blockade grou p and acupuncture group.Rating Scale curative effect on disease in lumber was co nducted in patients before and after treatment, and then statistically analyzed in results. RESULTS:The scores of the scale were (9.6±2.7) and (23.0±5.7) before and aft er treatment in the acupotomology group respectively, 9.9±2.8 and (15.1±7.1) i n the blockade group respectively, (9.7±2.9) and (13.2±6.5) in the acupuncture group respectively. The amelioration exponent was (0.56±0.61), (0.33±0.27) an d (0.24±0.21) in the three groups respectively. The score of the acupotomology group after treatment was higher than that of the blockade and acupuncture group s respectively(t=18.32,5.65,4.21, P< 0.001). The therapeutic efficacy of the a cupotomology group was significantly better than that of the blockade and acupun cture groups respectively(χ2=38.1, 41.1, P< 0.01). The scores before treatmen t were significantly higher than those after treatment in the three groups respe ctively(t=6.39, 11.85, P< 0.001).更多还原