Clinical Study on Tendons Layer Overall Release Treatment by Needle Knife for Third Lumbar Transverse Process Syndrome
10.3969/j.issn.1005-5304.2018.03.007
- VernacularTitle:针刀经筋层整体松解治疗第三腰椎横突综合征临床研究
- Author:
Jun-Wei AN
1
;
Hai-Bo WU
;
Jing-Rui DUAN
;
Yun-Fei ZHANG
;
Ji-Wei ZHANG
;
Hong-Sheng ZHAN
;
Dong-Yu CHEN
Author Information
1. 上海中医药大学附属曙光医院石氏伤科医学中心
- Keywords:
third lumbar transverse process syndrome;
needle knife;
tendons layer overall release treatment
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2018;25(3):30-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of tendons layer overall release treatment by needle knife for the third lumbar transverse process syndrome (TLTPS). Methods Totally 66 cases of TLTPS patients were divided into control group and experimental groups by using random number table method, with 33 cases in each group. L3 spinous process opened 3 cm looking for tenderness. Control group received lumbar transverse pressure tender point knife release treatment. On the basis of control group, experimental group received tendons layer overall release treatment by needle knife. Both control group and experimental group received treatment once. VAS and ODI before treatment and after treatment of 1, 2 and 3 months were observed. Clinical efficacy was evaluated. Adverse reactions and complications were observed. Results The experimental group and control group lost 1 and 2 cases, respectively. Compared with before treatment, the VAS and ODI in both groups after treatment decreased (P<0.05). After treatment, the VAS and ODI in the experimental group were lower than those of the control group, with statistical significance (P<0.05). The total effective rate of clinical efficacy was 96.88% (31/32) in the experimental group and 93.55% (29/31) in the control group, with experimental group better than the control group (Z=-2.756, P=0.006). There were no adverse reactions or complications in both groups. Conclusion Tendons layer overall release treatment combined with lumbar transverse pressure tender point knife release treatment for TLTPS can significantly improve the clinical efficacy of TLTPS, with long effects.
