点压手法并功能锻炼治疗第三腰椎横突综合征 89例疗效观察
点压手法并功能锻炼治疗第三腰椎横突综合征
89例疗效观察
89 cases Clinical observationpoints, approach and functional exercise
for treatment of the thirdlumbar transverse process syndrome
王保锁 邸宝林 林红猛
（北京市大兴区红星医院，北京，100076）
中图分类号：R244.8 文献标识码：A 文章编号：1674-7860（2015）18-0131-03 证型：AGB
【摘 要】目的：探讨点压手法并功能锻炼治疗第三腰椎横突综合征的临床疗效。方法：2013年11月—2014年12月，门诊采用点压手法治疗第三腰椎横突综合征患者89例，男53例，女36例；年龄20～59岁，中位数39岁；均有不同程度腰部疼痛，不能久坐久立，第三腰椎横突位置查体可见明显压痛，均可触及1～2.3 cm硬性结节条索状物，其中单侧患者37例，双侧患者62例；病程1 d～6年，中位数1.2年，有外伤或扭伤史者19例。采用疼痛视觉模拟评分法（visualanaloguescale，VAS）对第1次治疗前、1个疗程后患者自觉腰痛情况及第三腰椎横突处压痛进行评价。疗程结束后2周予随访，观察治疗情况。结果：本组89例患者，治愈38例，有效51例，总有效率100%；治疗后患者自觉腰痛和第三腰椎横突处压痛均有明显改善(P均＜0．05)；疗程结束后2周予随访，腰痛加重10例，经手法再次治疗，腰痛减轻。结论：点压手法并功能锻炼治疗第三腰椎横突综合征疗效显著，治疗方法简单易学，在临床中值得广泛推广。
【关键词】第三腰椎横突综合征；腰痛；手法；功能锻炼
【Abstract】Objective: To investigate the point, approach andfunctional training clinical efficacy third lumbar transverse process syndrome.Methods: November 2013 ~ 2014 Decembermanipulative therapy clinic uses point pressure of the third lumbar transverseprocess syndrome in 89 patients, 53 males and 36 females; aged 20 to 59 years,median 39 years; all there are varying degrees of back pain, can not besedentary for a long, third lumbar transverse position Physical examinationrevealed tenderness, may reach 1 ~ 2.3 cm strip of hard nodules, 37 patients diagnosed, 62 patientswith bilateral cases; 1d ~ 6 years, median 1.2 years, there is a history oftrauma or sprain 19 cases.Using pain visual analogue scale(visualanaloguescale,VAS) for the first time before treatment, after a courseof conscious patients with low back pain cases and the third lumbar transverseprocess tenderness evaluated. Two weeks after the end of treatment to follow-upobservation of treatment. Results: 89 patients cured 38 cases, effective 51cases, ineffective 0 cases, the total efficiency of 100%; after treatment oflow back pain patients conscious and third lumbar transverse process tendernesswere significantly improved (P<0.05); two weeks after the end of treatment to follow-up,10 cases of low back painaggravated,by the way re-treatment, low back pain relief. Conclusion: The pointpressure techniques and exercise therapy third lumbar transverse processsyndrome significantly, treatment is easy to learn, should be popularized inclinic.
【Keywords】Functionaltraining;Third lumbar transverse process syndrome;Low back pain;Manipulation
doi:10.3969/j.issn.1674-7860.2015.18.067
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