| 针刺联合水针治疗第3腰椎横突综合征临床疗效观察 |
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| 引用本文： | 郑康华,吴明霞.针刺联合水针治疗第3腰椎横突综合征临床疗效观察[J].中国针灸,2019(1):28-32. |
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| 作者姓名： | 郑康华 吴明霞 |
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| 作者单位： | 福建中医药大学附属第二人民医院东二环院区康复科;福建中医药大学附属第二人民医院针灸科 |
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| 摘 要： | 目的:观察针刺联合水针与单纯针刺治疗第3腰椎横突综合征的临床疗效差异。方法:将100例患者随机分为观察组和对照组,每组50例。对照组予常规针刺治疗,穴取委中、阿是穴、夹脊(L2~L4)、肾俞,每日治疗1次,每周治疗6d,连续治疗2周;观察组在对照组基础上,予5号注射针头松解剥离第3腰椎横突及关节突上压痛点,松解剥离后注射丹参注射液,每处1 mL,每7天注射1次,治疗2周。分别于治疗前、治疗后、随访半年观察两组患者视觉模拟评分(VAS)、日本骨科协会(JOA)评分和功能障碍指数(ODI)评分,并比较两组临床疗效。结果:观察组完成48例,脱落2例;对照组完成47例,脱落3例。两组治疗总有效率分别为91.7%(44/48)、76.6%(36/47),差异有统计学意义(P<0.05)。两组治疗后和随访半年后,VAS评分、ODI评分均较治疗前下降,JOA评分较治疗前升高(均P<0.05),且观察组VAS评分、ODI评分均低于对照组(均P<0.05),JOA评分高于对照组(P<0.05)。结论:针刺联合水针治疗第3腰椎横突综合征疗效较好,能显著改善患者腰椎功能,且疼痛症状明显缓解,优于常规针刺治疗。
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| 关 键 词： | 第3腰椎横突综合征 针刺 水针 腰椎关节突 横突 |
Efficacy of acupuncture combined with hydro-acupuncture for transverse processes syndrome of the third lumbar vertebra |
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| ZHENG Kang-hua,WU Ming-xia.Efficacy of acupuncture combined with hydro-acupuncture for transverse processes syndrome of the third lumbar vertebra[J].Chinese Acupuncture & Moxibustion,2019(1):28-32. |
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| Authors: | ZHENG Kang-hua WU Ming-xia |
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| Institution: | (Department of Rehabilitation,the East Second Ring Branch of the Second People's Hospital of Fujian University of TCM,Fuzhou 350011,China;Department of Acupuncture and Moxibustion,the Second People's Hospital of Fujian University of TCM,Fuzhou 350003) |
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| Abstract: | ZHENG Kang-hua;WU Ming-xia(Department of Rehabilitation,the East Second Ring Branch of the Second People's Hospital of Fujian University of TCM,Fuzhou 350011,China;Department of Acupuncture and Moxibustion,the Second People's Hospital of Fujian University of TCM,Fuzhou 350003) |
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| Keywords: | transverse processes syndrome of the third lumbar vertebra acupuncture hydro-acupuncture articular process of lumbar vertebra transverse process |
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