针刺少阳经特定穴治疗偏头痛急性发作即时效应不同时程即时总体疗效缓解率评定的观察

目的 观察针刺刺少阳经特定穴治疗偏头痛急性发作即时效应不同时程即时总体疗效缓解率,评价其临床疗效.方法 采用随机、对照、单盲的研究方法,将符合纳入标准的90例偏头痛患者分为治疗组A组(少阳经特定穴组)、对照组B组(非经非穴1组)和对照组C组(非经非穴2组),每组各30例,均针刺治疗30 min.分别记录患者治疗前和治疗后0.5,2,4,24h的视觉模拟评分(VAS评分)和头痛强度,以判定即时疗效.结果 少阳经特定穴组24h完全缓解率明显高于非经非穴1组(P＜0.01),各时相缓解率均高于非经非穴2组(P＜0.01).结论 针刺少阳经特定穴能有效缓解偏头痛的急性发作,即时疗效明显优于非经非穴,值得进一步推广应用.     

针刺少阳经特定穴对偏头痛患者近期VAS评分头痛强度及MSQ评分的临床观察

目的 观察针刺少阳经特定穴对偏头痛患者近期视觉模拟评分(Visual analogue scale,VAS)、头痛强度及近期偏头痛生活品质问卷(Migraine specific quality of life questionnaire,MSQ)量表计分的影响.方法 将60例偏头痛患者随机分为治疗组和对照组,每组30例.治疗组针刺角孙、外关、阳陵泉、丘墟穴,对照组针刺非经非穴,每次治疗30 min,每周5次,共治疗4周,观察治疗前后两组患者偏头痛强度、VAS评分、MSQ量表计分等指标变化,判断两组近期临床疗效.结果 与对照组相比,治疗组疗效比较差异有统计学意义(P＜0.01),治疗组VAS计分、头痛强度比较差异均有统计学意义(P＜0.01),治疗组功能受限、功能障碍、情感评分比较差异均有统计学意义(P＜0.01).结论 针刺少阳经特定穴对偏头痛患者有明显近期疗效,能改善患者的临床症状及生活质量,疗效优于针刺非经非穴.     

针刺少阳经特定穴对偏头痛患者脑动脉血流速度的影响

目的观察针刺手少阳三焦经和足少阳胆经特定穴对偏头痛患者脑血流速度的影响，并探讨其可能的作用机制。方法将60例偏头痛患者随机分为两组，少阳经特定穴组30例，非经非穴组30例，均采取同样的针刺治疗方法，进行对照观察。在TCD的显示下，分别记录针刺前后的脑动脉血流速度。结果针刺少阳经特定穴组的患者脑血流速度明显改善，而非经非穴对照组未见有明显改变，经统计学处理两组有统计学意义（P〈0．05）。结论针刺少阳经特定穴对偏头痛患者的脑动脉血流速度有较好双向调节作用。     

针刺少阳经特定穴对慢性偏头痛患者脑神经元代谢影响的研究

目的:探求针刺少阳经特定穴对慢性偏头痛病人脑神经元代谢的影响。方法:慢性偏头痛病人60例,随机分为治疗组治疗组30例,针刺少阳经特定穴;对照组30例,针刺非经非穴。两组病人均在针刺治疗前后进行头痛程度评估、PAG区1H-MRS分析。结果:经针刺治疗后,治疗组较对照组头痛程度减轻,(P0.05);针刺治疗后,治疗组较对照组PAG区NAA/Cr升高,(P0.05),两组病人针刺治疗前后PAG区Cho/Cr均无明显差异(P0.05)。结论:慢性偏头痛病人经针刺少阳经特定穴后PAG区存在神经元代谢活化,可能逆转PAG区异常减弱的疼痛抑制功能。     

针刺少阳经特定穴治疗偏头痛的临床疗效观察

目的:评估针刺少阳经特定穴治疗无先兆偏头痛的临床疗效。方法:将符合纳入标准的90名无先兆偏头痛受试者,随机分为少阳经特定穴组(真穴组)、非经非穴组(假穴组)和等待治疗组(等待组),分别给予真穴组和假穴组为期4周20次针刺治疗,而等待组观察4周不予治疗,以头痛天数为主要评价指标,以头痛对生活质量、情绪影响为次要指标,评估针刺镇痛的临床疗效和安全性。结果:头痛天数真穴组明显减少(4.11±2.24)天,假穴组无显著改善(0.53±3.16)天,等待组增加(-4.40±4.38)天,真穴组对头痛天数的改善优于假穴组与等待组。偏头痛生活品质问卷评分(MSQ)与抑郁情绪的改善,真穴组优于假穴组与等待组。结论:针刺少阳经特定穴治疗偏头痛的临床疗效优于非经非穴和等待治疗。     

针刺透穴法治疗肝阳上亢型偏头痛疗效观察

目的 观察针刺透穴法治疗肝阳上亢型偏头痛的临床疗效.方法 将60例患者随机分为针刺透穴组和常规针刺组各30例.2组治疗前后分别进行头痛综合评分,比较2种治疗方法对肝阳上亢型偏头痛患者各个治疗阶段头痛综合评分的影响,分析2种方法对肝阳上亢型偏头痛的疗效.结果 针刺透穴组和常规针刺组治疗后偏头痛综合评分较治疗前均有明显改善(P＜0.05),2组间疗效分别为93.33％和83.33％,经统计学处理疗效无显著性差异(P＞0.05);但2组在治疗5次和10次后对偏头痛综合评分的改善程度比较,差异具有统计学意义(P＜0.05),均是针刺透穴组优于常规针刺组;2组治疗结束后3个月随访偏头痛综合评分与疗程刚结束时比较差异无统计学意义(P＞0.05),即治疗结束后3个月2组的患者情况稳定.结论 针刺透穴法和常规针刺法均可有效治疗肝阳上亢型偏头痛,而且远期疗效稳定.但治疗初期针刺透穴法疗效更明显.     

针刺透穴法治疗肝阳上亢型偏头痛疗效观察

目的观察针刺透穴法治疗肝阳上亢型偏头痛的临床疗效。方法将60例患者随机分为针刺透穴组和常规针刺组各30例。2组治疗前后分别进行头痛综合评分,比较2种治疗方法对肝阳上亢型偏头痛患者各个治疗阶段头痛综合评分的影响,分析2种方法对肝阳上亢型偏头痛的疗效。结果针刺透穴组和常规针刺组治疗后偏头痛综合评分较治疗前均有明显改善(P0.05),2组间疗效分别为93.33%和83.33%,经统计学处理疗效无显著性差异(P0.05);但2组在治疗5次和10次后对偏头痛综合评分的改善程度比较,差异具有统计学意义(P0.05),均是针刺透穴组优于常规针刺组;2组治疗结束后3个月随访偏头痛综合评分与疗程刚结束时比较差异无统计学意义(P0.05),即治疗结束后3个月2组的患者情况稳定。结论针刺透穴法和常规针刺法均可有效治疗肝阳上亢型偏头痛,而且远期疗效稳定。但治疗初期针刺透穴法疗效更明显。     

本经取穴治疗肝阳上亢型无先兆偏头痛的疗效评价研究

目的评价本经取穴及非经非穴治疗肝阳上亢型无先兆偏头痛的疗效差异。方法将28例肝阳上亢型无先兆偏头痛患者随机分成两组,经穴组14例,针刺患侧角孙、外关、阳陵泉及丘墟四穴,非经非穴组14例,针刺患侧四个非经非穴点,两组均每天治疗1次,共10次,治疗前后及入组3个月分别以视觉/直观模拟量表(Visual Analogue Scale,VAS)及偏头痛患者生活品质问卷(MSQ)评价。结果 (l)近期疗效:两组头痛VAS计分、MSQ计分治疗后明显优于治疗前(P<0.05),治疗后两组间比较显示,经穴组VAS计分、MSQ计分均优于非经非穴组(P<0.05);(2)远期疗效:入组3个月随访经穴组VAS计分、MSQ计分均优于治疗前(P<0.05),非经非穴组则与治疗前无差异(P>0.05)。结论该经取穴治疗肝阳上亢型无先兆偏头痛的即时、远期疗效均优于非经非穴组。     

电针针刺锥体区治疗偏头痛临床研究

目的观察电针针刺锥体区治疗偏头痛的临床疗效。方法采用随机数字表法将120例偏头痛患者分为锥体区组、常规针灸组、西药组、非经非穴组各30例。锥体区组针刺锥体区(玉枕至天柱连线),常规针灸组双侧常规取穴,非经非穴组针刺锥体区旁开2寸,均予电针,8~20 m A,2/100 Hz疏密波,每次30 min,每日1次;西药组予双氯芬酸钠肠溶片,每次50 mg,每日2次,口服。均连续治疗10 d。观察治疗前后视觉模拟评分法(VAS)评分、中医症状积分、焦虑自评量表评分(SAS)和抑郁自评量表评分(SDS),分析临床疗效。结果锥体区组总有效率为93.33%,明显优于常规针灸组(86.67%)、西药组(70.00%)和非经非穴组(63.33%),差异有统计学意义(χ2=24.440,P=0.004)。与本组治疗前比较,4组治疗后VAS评分、中医症状积分均明显下降(P0.05)。锥体区组治疗后VAS评分明显低于其他3组(P0.05),中医症状积分明显低于西药组及非经非穴组(P0.05)。与本组治疗前比较,非经非穴组SDS评分及其他3组的SAS、SDS评分均明显降低,差异有统计学意义(P0.05),锥体区组治疗后SAS、SDS评分明显低于其他3组(P0.05)。结论电针针刺锥体区治疗偏头痛疗效显著,可减少不良情绪的发生。     

基于推拿治疗偏头痛随机对照试验的枢经特异性研究

目的:评价推拿少阳经、阳明经、太阳经、非经非穴治疗偏头痛疗效的差异。方法:将160例偏头痛患者随机分为4组,每组40例,少阳经推拿组、阳明经推拿组和太阳经推拿组分别在相应经脉上进行推拿,非经非穴推拿组在少阳经旁开1寸处进行推拿,观察患者治疗前后症候积分,颅内动脉平均血流速度,评价各组临床疗效。结果:治疗30 d后,少阳经组各条动脉平均血流速度较治疗均前减缓(P0.05),阳明经组R-MCA、R-ACA、L-ACA平均血流速度较治疗前减缓(P0.05),太阳经组R-ACA、L-ACA、LPCA、BA平均血流速度较治疗前减缓(P0.05),非经非穴组RMCA和R-PCA平均血流速度较治疗前减缓(P0.05);少阳经组治疗后各动脉平均血流速度较其他3组低(P0.05);4组患者临床症状积分较治疗前均有改善(P0.05),少阳经组与其他3组比较临床症状积分降低幅大(P0.05)。结论:推拿少阳经穴位较推拿阳明经、太阳经和非经非穴能更有效改善偏头痛患者颅内血流速度和临床症状,初步论证少阳经治疗偏头痛具有特异性。     

辨经刺井结合"三风一针"对无先兆偏头痛急性期即时镇痛及脑血流速的影响

目的观察辨经刺井结合“三风一针”对无先兆偏头痛患者急性期即时镇痛及脑血流速的影响。方法将60例无先兆偏头痛急性期患者随机分为治疗组和对照组。观察组采用辨经刺井穴结合“三风一针”透刺治疗,对照组予以常规针刺治疗。对比分析两组患者治疗前和治疗后各时间节点视觉模拟评分(VAS)评分值。对比分析两组无先兆偏头痛急性期经络辨证分型头痛治疗前及治疗后30 min时间节点VAS评分值。对比分析两组患者治疗前后基底动脉(BA)、双侧椎动脉颅内段(VA)、双侧大脑中动脉(MCA)、双侧大脑前动脉(ACA)、双侧大脑后动脉(PCA)的平均流速值(MFV)。结果观察组患者各时间节点VAS评分均低于对照组(P<0.05)。观察组各经头痛VAS分值均低于对照组(P<0.05)。观察组患者MCA、PCA、BA、VA的MFV改善显著优于对照组(P<0.05),对ACA的MFV改善方面两者差异无统计学意义(P>0.05)。结论辨经刺井结合“三风一针”透刺法对急性期无先兆偏头痛患者有较好即时镇痛作用,并可改善患者脑血流速度。     

毫火针宣通法治疗偏头痛疗效观察

目的:观察毫火针宣通法治疗偏头痛的临床疗效。方法:将90例偏头痛患者随机分为对照组和治疗组。对照组患者口服盐酸氟桂利嗪胶囊,治疗组在对照组基础上给予毫火针宣通法治疗,治疗4周。比较两组治疗前后视觉模拟评分法(VAS)评分、头痛持续时间、中度以上头痛发作天数、偏头痛特异生活质量问卷(MSQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果:治疗4周后,治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前两组患者头痛持续时间、中度以上头痛发作天数及VAS、MSQ、SAS、SDS评分比较,差异无统计学意义(均P>0.05)。两组患者治疗4周后、治疗后1个月、治疗后3个月头痛持续时间,中度以上头痛发作天数及VAS、SAS、SDS评分均降低,MSQ评分则升高,差异有统计学意义(均P<0.05)。治疗组各时间点头痛持续时间、中度以上头痛发作天数及VAS、SAS、SDS评分均低于对照组,MSQ评分高于对照组,差异有统计学意义(均P<0.05)。结论:毫火针宣通法治疗偏头痛疗效较好,可减轻患者疼痛,缩短疼痛持续时间,减少疼痛发作天数,提高患者生活质量。     

Study of electroacupuncture with different frequencies for the treatment of headache and anxiety-depression symptoms in patients with migraine: A randomized clinical trial: 不同频率电针改善偏头痛患者头痛及焦虑抑郁症状的差异性研究-随机临床试验

ObjectiveTo observe the effects of electroacupuncture (EA) with varied frequencies on headache and anxiety-depression symptoms in patients with migraine and to screen optimal frequency of EA for patients with such conditions.DesignSingle-center, randomized, controlled clinical trial was designed, and the outcome assessors and statisticians were blinded. The patients with migraine were randomized into 2 Hz EA group, 100 Hz EA group and sham-stimulation group. In each group, the changes in migraine attacks, days with headache, the scores of visual analogy scale (VAS), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and migraine-specific quality-of-life questionnaire (MSQ), as well as the dosage of analgesics were observed at the baseline, during treatment, in 1, 2 and 3 months of follow-up separately.SettingPatients were enrolled in the Third Affiliated Hospital of Zhejiang Chinese Medical University, between 1^st August 2018 and 31^st July 2021.ParticipantsSixty-five migraine patients with or without aura.InterventionsIn the EA groups, the acupoints were bilateral Fengchi (GB20), Gongxue (Extra), Sizhukong (TE23), Taiyang (EX-HN5), Shuaigu (GB8), Waiguan (TE5) and Yanglingquan (GB34). Electric stimulation was exerted at GB20 and Gongxue (Extra), with 2 Hz and 100 Hz separately. In the sham-stimulation group, the shallow acupuncture was operated at the sites 1 cm lateral to GB20 and Gongxue (Extra), and on the radial side of TE5 and GB34. The output wires were cut off after attached to the acupoints. The patients in each group received the treatment 3 times weekly, once every two days, for consecutive 4 weeks. The complete intervention was composed of 12 treatments.Main outcome measuresChanges in numbers of migraine attacks at treatment phase (week 1 to week 4) from the baseline(week -4 to week 0) in patients of each groupResults(1) Changes in migraine attacks and days with headache: In the 2 Hz EA and 100 Hz EA groups, the changes for migraine attacks and days of headache were higher significantly when compared with that in the sham-stimulation group at the same time stage (P < 0.05). There was no statistical difference between two EA groups. (2) Changes of VAS score: In the 2 Hz EA and 100 Hz EA groups, the changes of VAS score were significantly higher when compared with that in the sham-stimulation group at the same time stage (P < 0.05). There was no statistical difference between two EA groups. (3) Assessment of anxiety and depression: The differences in the changes of SAS and SDS scores had no statistical significance in patients of each group at each assessment stage (P > 0.05). (4) Assessment on the quality of life: Compared with the sham-stimulation group at the same time stage, the improvement in MSQ score was increased significantly during treatment in patients of the 2 Hz EA and 100 Hz groups (P < 0.05). There was no statistical difference between two EA groups. (5) Assessment on safety and compliance: The patients of each group had sound compliance. There was no adverse events during trial, suggesting promising safety of treatment.ConclusionEA may effectively reduce the migraine attacks, and the days and intensity of headache, presenting promising safety. However, there was no significant improvement on anxiety-depression symptoms, and no significant difference between high and low frequencies of EA treatment in relieving headache and anxiety/depression symptoms in the patients with migraine.Trial registrationChiCTR1800017259     

壮医药线点灸治疗偏头痛疗效观察

目的:观察壮医药线点灸治疗偏头痛的疗效和不良反应。方法:将120例偏头痛患者随机分为药线组和药物组。药线组60例用壮医药线点灸疗法治疗,药物组60例口服麦角胺咖啡因片治疗,两组均连续治疗30天。观察患者头痛积分变化和不良反应,并进行疗效评价。结果:两组患者治疗后头痛积分较治疗前降低,差异均有统计学意义(均P<0.05);治疗后两组间头痛积分比较,差异无统计学意义(P>0.05);药线组总有效率为93.3%(56/60),药物组总有效率为90.0%(54/60),两组疗效比较,差异无统计学意义(P>0.05);药线组无任何不良反应,药物组有20例出现面红、上腹部不适等症状。结论:壮医药线点灸治疗偏头痛与药物疗效相当,但无不良反应。     

补阳还五汤在老年股骨转子间骨折关节置换术围手术期中的应用研究

目的:观察补阳还五汤在老年股骨转子间骨折关节置换术围手术期中的应用效果。方法:选取42例老年股骨转子间骨折患者,按随机数字表法分对照组和治疗组各21例。2组均行关节置换术治疗,对照组围手术期实施快速康复外科管理,治疗组在对照组基础上予以补阳还五汤治疗。比较2组术后视觉模拟评分法(VAS)评分、髋关节功能评分(Harris评分)、并发症发生率、住院时间及住院费用。结果:术后6 h、3 d、7 d,2组VAS评分均较术前明显降低(P<0.05)。术后3 d、7 d,治疗组VAS评分均明显低于同期对照组(P<0.05)。术后7 d、30 d,2组Harris评分均较术后当天明显升高(P<0.05),治疗组Harris评分均明显高于同期对照组(P<0.05)。治疗组并发症发生率为9.52%,与对照组的19.05%比较,差异无统计学意义(P>0.05)。治疗组住院时间明显短于对照组(P<0.05)。2组住院费用比较,差异无统计学意义(P>0.05)。结论:补阳还五汤能加快老年股骨转子间骨折关节置换术患者术后髋关节功能恢复,减轻疼痛,缩短住院时间,安全性好。     

Clinical observation on acupuncture at points of Shaoyang meridians plus moving cupping on the neck and shoulder for migraine

Objective

To observe the efficacy of acupuncture at points of Shaoyang meridians plus moving cupping on neck and shoulder for migraine.

Methods

A total of 64 migraine cases were randomly allocated into an observation group and a control group, 32 cases in each group. Random number table method was used in allocation. Acupuncture at points of Shaoyang meridians and cupping on neck and shoulder were used for cases in the observation group, which contain acupuncture 5 times a week and cupping once a week. Oral flunarizine hydrochloride capsules were used for cases in the control group, 10 mg for each dose, 1 dose a day. 2 weeks constitutes a course of treatment. The patients were treated for two courses of treatment in both groups. After that, the changes of visual analogue scale (VAS) and the migraine disability assessment questionnaire (MIDAS) were observed, as well as the clinical efficacy.

Results

The total effective rate and recovery and marked effective rate in the observation group were 93.8% and 71.0% respectively, versus 78.1% and 43.8% in the control group, showing statistical significant differences (both P<0.05). There were significant decreases in VAS and MIDAS scores after treatments in both groups (both P<0.05). VAS and MIDAS scores in the observation group were significantly different from those in the control group (both P<0.05).

Conclusion

Combining acupuncture at points of Shaoyang meridians and cupping on neck and shoulder can relieve headache and reduce influence of migraine on life. It can produce a better efficacy than oral flunarizine hydrochloride capsules in treating migraine patients.

     

改良三通疗法治疗脑卒中后肩痛的临床疗效观察

目的：观察改良三通疗法治疗脑卒中后的临床疗效。方法：将118例符合纳入标准的病例随机分为观察组58列、对照组60例。两组患者根据病情给予常规药物对症治疗,观察组采用改良三通疗法治疗,对照组采用现代康复治疗,分别观察两组治疗总疗效、治疗前后VAS、Fugl-Meyer评分。结果：观察组总有效率(89.66%)与对照组总有效率(78.33%)比较,差异有统计学意义(P<0.05),两组患者VAS、FMA评分与本组治疗前比较,差异均有统计学意义(P<0.05)；两组VAS评分治疗前后差值比较,差异有统计学意义(P<0.05)；两组FMA评分治疗前后差值比较,差异无统计学意义(P>0.05)。结论：观察组疗效优于对照组,且在改善VAS评分上优于对照组。     

独活寄生汤治疗腰椎间盘突出症椎间孔镜术后临床研究

目的:观察椎间孔镜术后采用独活寄生汤治疗腰椎间盘突出症的临床疗效。方法:将腰椎间盘突出症进行椎间孔镜术后的120例患者,按照随机分组的原则分为对照组与观察组各60例。对照组在术后给予常规抗生素抗感染治疗,观察组在常规抗感染治疗基础上,联用独活寄生汤中西医结合治疗。比较2组在治疗前后腰椎功能改善情况,采用日本骨科协会评估治疗(JOA)评分进行比较;比较2组治疗前后疼痛视觉模拟评分(VAS)改变情况;比较2组总体疗效。结果:治疗前,2组JOA评分比较,差异无统计学意义(P>0.05)。治疗后,2组腰椎功能均得到改善,JOA评分均下降,但与对照组相比,观察组JOA评分更优,差异有统计学意义(P<0.05)。治疗前,2组疼痛VAS评分比较,差异无统计学意义(P>0.05)。治疗1个月后、治疗3个月后,2组患者疼痛均得到改善,但与对照组相比,观察组VAS评分更优,差异有统计学意义(P<0.05)。与对照组相比,观察组总疗效更优,差异有统计学意义(P<0.05)。结论:在椎间孔镜术的基础上,联合独活寄生汤治疗腰椎间盘突出症,可取得明显疗效,效果优于单独手术治疗,可改善患者腰椎功能,缓解术后疼痛,减少因手术带来的痛苦,改善患者生活质量。     

雷火灸法治疗脑卒中后疲劳的临床疗效研究

目的:观察雷火灸神阙、足三里对卒中后疲劳的临床疗效。方法:纳入脑卒中后疲劳患者共73例,随机分为2组,治疗组(n=40)和对照组(n=33)。2组患者均接受常规传统康复训练,而治疗组则在此基础上予以雷火灸神阙、双侧足三里穴,1次/d,共计15 d。使用疲劳严重程度量表(Fatigue Severity Scale,FSS)、个人疲劳强度(Checklist Individual Strength,CIS)和疲劳影响量表(Fatigue Consequance Sub-scale,FIS)对2组患者治疗前后的疲劳情况进行评估。结果:治疗后,治疗组在FSS、CIS及FIS的评分均有不同程度的降低,具有统计学意义(P0.05);对照组的FIS评分也较治疗前降低,具有统计学意义(P0.05),但是FSS、CIS的评分均数虽较治疗前降低,但无统计学意义(P0.05)。组间比较显示,治疗组在治疗后的FSS、CIS及FIS的评分均较对照组有统计学意义(P0.05)。结论:采用雷火灸神阙和足三里能够降低脑卒中后疲劳程度,改善个人疲劳状况,同时能减低疲劳对于患者生活的影响。     

正清风痛宁定点注射联合冲击波治疗腰骶部移行椎的回顾性研究

目的:观察正清风痛宁定点注射联合冲击波治疗腰骶部移行椎的临床疗效。方法:采用回顾性研究方法,收集2014年9月~2017年12月腰骶部移行椎患者的相关临床资料共60例,根据不同的治疗方法分为A、B、C三组,A组(16例)予曲安奈德注射液封闭治疗,B组(24例)予正清风痛宁定点注射治疗,C组(20例)采用正清风痛宁定点注射联合冲击波治疗。比较三组临床疗效,并观察治疗前后疼痛视觉模拟评分法(VAS)评分、下腰痛JOA量表评分。结果:治疗后,两组患者的VAS、JOA评分均较治疗前改善(P<0.01),且C组治疗后的VAS、JOA评分显著改善于A组(P<0.05),A、B组比较差异无统计学意义(P>0.05);C组总有效率明显高于A组(P<0.05),A、B组总有效率比较差异无统计学意义(P>0.05)。结论:正清风痛宁定点注射联合冲击波治疗可有效缓解腰骶部移行椎患者的疼痛症状、改善腰骶部功能。