刘海永 张瑾 王然 张玉国 肖宝玉 金光明 陈柯

[摘要] 目的 觀察跪取伏兔穴配合正骨治疗腰三横突综合征的效果。 方法 选取2018年10月—2019年10月于河北省三河市医院就诊的70例腰三横突综合征患者为研究对象。按照随机对照的原则，将70例患者分为观察组和对照组，每组35例。观察组采用跪取伏兔穴配合正骨法治疗，对照组则单纯采用正骨法进行治疗，15 d为1个疗程。通过疼痛评分量表（VAS）、腰痛评分量表（JOA）、中医疗效标准3种方法对其进行疗效评价与比较分析。结果 治疗前两组一般资料比较，差异无统计学意义（P > 0.05）;治疗后，两组VAS评分均较治疗前降低，且观察组低于对照组（均P < 0.05）;两组JOA评分均较治疗前升高，且观察组高于对照组（均P < 0.05）;观察组总有效率高于对照组，差异有统计学意义（P < 0.05）。 结论 跪取伏兔穴配合正骨治疗腰三横突综合征，效果更为显著，优于单纯正骨治疗。

[关键词] 跪取伏兔穴;毫针针刺;正骨治疗;腰三横突综合征

[中图分类号] R246.9          [文献标识码] A          [文章编号] 1673-7210（2020）07（c）-0088-04

Clinical observation of kneeling and taking Futu acupoint combined with bone setting in the treatment of the syndrome of lumbar three transverse process syndrome

LIU Haiyong1   ZHANG Jin1   WANG Ran2   ZHANG Yuguo3   XIAO Baoyu4   JIN Guangming5   CHEN Ke6

1.Department of Traditional Chinese Medicine， Sanhe Hospital， Hebei Province， Sanhe   065200， China; 2.the Fifth Department of Internal Medicine， Sanhe Hospital， Hebei Province， Sanhe   065200， China; 3.Department of Radiology， Sanhe Hospital， Hebei Province， Sanhe   065200， China; 4.Department of Orthopaedics， Sanhe Hospital of Traditional Chinese Medicine， Hebei Province， Sanhe   065200， China; 5.Department of Traditional Chinese Medicine of Yanda Hospital， Hebei Province， Sanhe   065201， China; 6.Department of Infection Control， Yanjiao People′s Hospital， Hebei Province， Sanhe   065200， China

[Abstract] Objective To observe the efficacy of kneeling and taking Futu acupoint combined with bone setting in the treatment of the syndrome of lumbar three transverse process syndrome. Methods Seventy patients with lumbar three-transverse process syndrome who were admitted to Sanhe Hospital in Hebei Province from October 2018 to October 2019 were selected as the subjects. They were divided into the observation group and the control group according to the principle of randomized control， with 35 cases in each group. The observation group was treated by kneeling Futu acupoint combined with bone setting therapy， while the control group was treated with bone-setting technique. A total of 15 days was a course of treatment. The efficacy was evaluated and compared with visual analogue scale （VAS） score， low back pain scale （JOA） and traditional Chinese medicine efficacy criteria. Results Before the treatment， the general data of the two groups were compared， the differences were not statistically significant （P > 0.05）. After treatment， VAS scores in both groups were lower than those before treatment， and the observation group was lower than that in the control group （all P < 0.05）. JOA scores in both groups were higher than those before treatment， and the observation group was higher than that in the control group （all P < 0.05）. The total effective rate of the observation group was higher than that of the control group， with statistically significant difference （P < 0.05）. Conclusion The effect of kneeling Futu acupoint combined with bone setting is more significant in the treatment of lumbar three transverse process syndrome， which is better than the single bone setting treatment.

[Key words] Kneeling and taking Futu acupoint; Acupuncture; Bone setting treatment; Lumbar third transverse process syndrome

第三腰椎横突综合征，主要表现为一侧或两侧腰部的疼痛，有时疼痛症状也会涉及到臀部或下肢，其主要特征为第三腰椎横突部位的局限性压痛以及腰部前屈活动受限[1]，是在临床诊疗上一种比较常见的疾病。本病在青壮年体力劳动者群体中较为多发，但是随着人们近年来生活习惯的改变，运动量逐渐减少，长期久坐或者坐姿不良等因素，使本病的发病人数逐年增多，发病的群体也更加广泛[2]。中医理论认为，腰三横突综合征属于“腰痛”“筋伤”“痹证”的范畴，多是由于腰部的急、慢性损伤致使脉络受损，经络不通，出现血瘀气滞，而后机体又受到风寒湿邪侵袭，导致机体内血脉凝滞，气血运行受阻，“不通则痛”，发为本病[3]。在腰……