第三腰椎横突综合征中医治疗新进展.docVIP

第三腰椎横突综合征中医治疗新进展 　　DOI：10.16662/j.cnki.1674-0742.2017.07.196 [摘要] 为更好治疗第三腰椎横突综合征，作者分析近一年来文献中介绍的该病的中医治疗方法和治疗效果。结果表明，经方肾着汤、氧水穴位注射、小针刀、浮针疗法、毫火针结合针刺、毫火针+新医正骨、合谷刺加温针辅以刺络拔罐、新医正骨结合针刺、刃针结合拔罐、小针刀配合手法、小针刀联合神经阻滞术、推拿结合针灸拔罐、联合应用郑氏按摩十三法与针灸和牵拉放松法、刺络拔罐配合TDP照射、针罐结合以及骨通贴配合定向透药治??第三腰椎横突综合征的效果较为满意。医生应根据患者实际选择适宜的治疗方法，使患者早日康复 [关键词] 第三腰椎横突综合征；治疗方法；治疗效果 [中图分类号] R26 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0196-03 New Progress of TCM Treatment for Transverse Process Syndrome of Third Lumbar Vertebra JIANG Jing-shi Department of TCM， Yushulinzi Central Health Center， Pingquan， Hebei Province， 067505 China [Abstract] In order to better treat the transverse process syndrome of third lumbar vertebra， the paper introduces the TCM method and effect in recent one year， and the results show that the effect of classical prescription kidney fixity decoction， oxygen water acupuncture point injection， small needle knife， fu’s acupuncture， milli-fire needle combined with acupuncture， milli-fire needle combined with new medicine bone setting， pricking blood with cupping， new medicine bone setting combined with acupuncture， knife needle combined with cupping therapy， needle knife therapy， small needle knife combined with nerve block， massage combined with cupping， Zheng thirteen massage methods and acupuncture and pulling relaxed method and pricking blood with cupping combined with TDP irradiation is satisfactory， and the doctors should choose the proper treatment method according to the practical condition of patients thus promoting the early recovery of patients. [Key words] Transverse process syndrome of third lumbar vertebra； Treatment method； Treatment effect 腰椎活动中心是第三腰椎，横突最长，在外力影响下其尖端易出现损伤。因急慢性损伤出现腰痛和下肢疼痛，腰部活动障碍等症状，称为第三腰椎横突综合征，多见于体型瘦长的青年人。目前临床治疗方法主要包括针刀、推拿、针灸、穴位注射、微创手术，各有优劣势。一般症状较轻者，针灸、按摩、理疗及外敷药物和口服消炎镇痛药物均有效；保守治疗无效且反复再发或长期不愈者，可采用手术切除过长的横突尖和周围炎性组织，术中可松解受压的股外侧皮神经，一般可彻底治愈。作者对近一年来文献中介绍的治疗方法和治疗效果予以综述 1 中药治疗和穴位注射 1.1 经方肾着汤 原涟靖[1]应用经方肾着汤治疗96例寒湿型第三腰椎横突综合征患者，结果表明治疗前后VAS评分分别为（6.