广州医药 ›› 2025, Vol. 56 ›› Issue (8): 1117-1121.DOI: 10.20223/j.cnki.1000-8535.2025.08.015

• 论著 • 上一篇    下一篇

刃针联合关节错缝术治疗第三腰椎横突综合征的回顾分析

黄演宁, 薛丹   

  1. 华南理工大学附属第二医院(广州市第一人民医院)中医科(广东广州 510180)
  • 收稿日期:2025-03-06 出版日期:2025-08-20 发布日期:2025-09-17

A retrospective analysis of blade needle combined with joint misalignment therapy in third lumbar verterbrae transverse process syndrome

HUANG Yanning, XUE Dan   

  1. Department of Traditional Chinese Medicine,Guangzhou First People's Hospital,the Second Affiliated Hospital of South China University of Technology ,Guangzhou 510180,China
  • Received:2025-03-06 Online:2025-08-20 Published:2025-09-17

摘要: 目的 分析刃针联合关节错缝术治疗第三腰椎横突综合征(TLVTPS)的疗效。方法 采用视觉模拟评分法、Oswestry功能障碍指数评分以及腰部活动度,分析2023年1月至10月于广州市第一人民医院就诊的274例TLVTPS患者。其中,对照组(137例)采用刃针治疗,观察组(137例)采用刃针联合关节错缝术,比较两组疗效。结果 观察组的视觉模拟评分(0.46分)和Oswestry功能障碍指数评分(10.32分)低于对照组(P<0.05);同时,腰部活动差(53.69 cm)高于对照组(P<0.05);此外,痊愈及显效率83.93%(115/137)和总有效率93.42%(128/137)高于对照组(P<0.05)。结论 刃针联合关节错缝术可有效缓解TLVTPS患者疼痛,改善腰部功能,疗效显著。

关键词: 第三腰椎横突综合征, 刃针治疗, 关节错缝术

Abstract: Objective To analyze the therapeutic effect of blade needle combined with joint misalignment therapy in third lumbar verterbrae transverse process syndrome(TLVTPS).Methods This study retrospectively analyzed 274 TLVTPS patients from January 2023 to October 2023 in Guangzhou First People's Hospital,using the Visual Analogue Score,Oswestry Disability Index scores,and lumbar range of motion.Among them,the control group(137 patients)were treated with blade needle therapy,while the observation group(137 patients)were treated with blade needle therapy combined with joint misalignment therapy.Results The Visual Analogue Score(0.46)and Oswestry Disability Index scores(10.32)of the observation group were lower than that of the control group(P<0.05).Meanwhile,the lumbar range of motion(53.69 cm)was higher than that of the control group(P<0.05).Moreover,the recovery and effective rate was 83.93%(115/137)and the total effective rate was 93.42%(128/137),which were higher than that of the control group(P<0.05).Conclusions The combination of blade needle therapy and joint dislocation manipulation alleviate pain effectively,improve lumbar function,and is clinically effective in patients with TLVTPS.

Key words: third lumbar verterbrae transverse process syndrome, blade needle therapy, joint misalignment therapy