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Triple needling plus moxibustion and Tanbo-plucking tender points for the third lumbar vertebra transverse process syndrome

齐刺加灸结合痛点弹拨治疗第三腰椎横突综合征

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Abstract

Objective

To observe the clinical efficacy of triple needling plus moxibustion and Tanbo-plucking tender points in treating the third lumbar vertebra transverse process syndrome.

Methods

Totally 108 patients with the third lumbar vertebra transverse process syndrome were randomized into two groups, 56 cases in the observation group were intervened by triple needling method plus moxibustion and Tanbo-plucking tender points; 52 cases in the control group were by acupuncture plus moxibustion. The pain rating index (PRI), visual analogue scale (VAS), and present pain intensity (PPI) from the short-form McGill pain questionnaire (SF-MPQ) were observed before and after intervention for comparing the therapeutic efficacy.

Results

The total effective rate was 96.4% in the observation group versus 76.9% in the control group, and the difference was statistically significant (P<0.05). After intervention, the sensory-PRI, affective-PRI, total-PRI, VAS, and PPI scores were markedly changed in both groups (P<0.05). The difference in comparing the change of clinical sign score was statistically significant between the two groups (P<0.05). The follow-ups performed 4 weeks and 8 weeks after treatment showed that there were significant differences in comparing the relapse rate between the two groups (P<0.05).

Conclusion

Triple needling plus moxibustion and Tanbo-plucking tender points can produce a better efficacy in treating the third lumbar vertebra transverse process syndrome than acupuncture plus moxibustion alone, and the relapse rate is relatively low.

摘要

目的

观察齐刺加灸结合痛点弹拨治疗第三腰椎横突综合征的临床疗效。

方法

将108例第三腰椎横突综合征患者随机分为两组, 观察组56例予齐刺、 艾灸及痛点弹拨治疗; 对照组52例予针刺、 艾灸治疗。 观察治疗前后两组患者简化McGill疼痛问卷(short-form McGill pain questionnaire, SF-MPQ)中疼痛分级指数(pain rating index, PRI), 视觉模拟量表(visual analogue scale, VAS)及现有疼痛强度(present pain intensity, PPI)评分的变化, 并进行疗效比较。

结果

观察组总有效率为96.4%, 对照组为76.9%, 两组总有效率差异有统计学意义(P<0.05)。 两组患者治疗前后PRI感觉分、 PRI情感分、 PRI总分、 VAS评分、 PPI评分的差值比较, 差异均有统计学意义(P<0.05)。 两组治疗前后临床体征评分差值比较, 差异有统计学意义(P<0.05)。 治疗后4星期及治疗后8星期, 两组复发率差异均有统计学意义(P<0.05)。

结论

齐刺加灸结合痛点弹拨治疗第三腰椎横突综合征疗效优于针刺加灸治疗, 且复发率低。

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Authors and Affiliations

  1. Huajing Township, Xuhui District, Shanghai, Community Health Service Center, Shanghai, 200231, China

    Qing Guo  (郭清), Yu Hua  (华宇), Jia-fu Song  (宋加富) & Hai-qin Wang  (王海琴)

  2. Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200030, China

    Feng Sheng  (盛锋)

  3. Tongji Hospital, Tongji University, Shanghai, 200065, China

    Xia Liu  (刘霞)

Authors
  1. Qing Guo  (郭清)
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  2. Yu Hua  (华宇)
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  3. Feng Sheng  (盛锋)
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  4. Jia-fu Song  (宋加富)
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  5. Hai-qin Wang  (王海琴)
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  6. Xia Liu  (刘霞)
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Correspondence to Qing Guo  (郭清).

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Guo, Q., Hua, Y., Sheng, F. et al. Triple needling plus moxibustion and Tanbo-plucking tender points for the third lumbar vertebra transverse process syndrome. J. Acupunct. Tuina. Sci. 13, 99–104 (2015). https://doi.org/10.1007/s11726-015-0830-1

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  • DOI: https://doi.org/10.1007/s11726-015-0830-1

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