中医治疗第三腰椎横突综合征的研究进展
|
摘要
第三腰椎横突综合征是骨伤科临床常见病,主要表现为腰臀腿部的疼痛,临床上治疗此病方法多种多样,各有侧重。其治疗重点在于松解粘连、缓解局部肌肉紧张、恢复力学平衡、解除压迫,进而缓解疼痛、改善功能。笔者通过查阅2013~2017年相关文献,对近5年第三腰椎横突综合征的治疗方法和疗效进行分析总结,发现传统中医治疗此病效果显著。但仍存在一定问题,临床医生在诊治过程中应根据患者的实际情况选择适宜的治疗方法,使患者早日康复。
The third lumbar transverse process syndrome that mainly manifests as pain in waist-hip and legs is a common disease in orthopedics department, and there are a variety of treatments for this disease which focus on different emphasis. Its treatment should be focused on releasing adhesion, relieving regional muscle tension, restoring mechanical equilibrium and removing oppression so as to relieve pain and improve functions. By consulting relevant literatures from 2013 to 2017, the author has analyzed and summarized the treatment methods for the third lumbar transverse process syndrome and their therapeutic effects in recent 5 years, and has found that traditional Chinese medicine is remarkably effective on the disease.However, there still exist some problems, doctors should choose appropriate treatments based on the actual condition of patients in the process of diagnosis and treatment, to make patients recovered soon.
The third lumbar transverse process syndrome that mainly manifests as pain in waist-hip and legs is a common disease in orthopedics department, and there are a variety of treatments for this disease which focus on different emphasis. Its treatment should be focused on releasing adhesion, relieving regional muscle tension, restoring mechanical equilibrium and removing oppression so as to relieve pain and improve functions. By consulting relevant literatures from 2013 to 2017, the author has analyzed and summarized the treatment methods for the third lumbar transverse process syndrome and their therapeutic effects in recent 5 years, and has found that traditional Chinese medicine is remarkably effective on the disease.However, there still exist some problems, doctors should choose appropriate treatments based on the actual condition of patients in the process of diagnosis and treatment, to make patients recovered soon.
引文
[1]贺艳刚,批书高.浮针治疗第三腰椎横突综合征30例[J].中医外治杂志,2015,24(6):37-38.
[2]杨茜,王莉莉,刘虹源.“苍龟探穴法”治疗腰三横突综合征[J].新疆中医药,2014,32(5):47-49.
[3]简千.火针疗法治疗第三腰椎横突综合征的临床研究[D].广州中医药大学,2015.
[4]高莹,杨建,韩秀珍,等.阳陵泉倒马针法治疗腰三横突综合征[J].吉林中医药,2013,33(4):413-414.
[5]王馨,董宝强,林星星.针刺激痛点治疗第三腰椎横突综合征的随机对照研究[J].江西中医药大学学报,2017,29(2):63-67.
[6]康武林,袁普卫,刘德玉,等.朱长庚教授手法治疗第三腰椎横突综合征临床观察[J].四川中医,2014,32(10):147-149.
[7]王玉华,杨建.浅谈经筋病的推拿治疗[J].湖南中医杂志,2013,29(8):98-99.
[8]李江波,陈美丽.定点(向)侧扳合柔性舒筋手法治疗腰椎横突综合征126例[J].中医中药,2013,3(16):90-91.
[9]吕成超.推拿弹拨手法治疗第三腰椎横突综合征临床疗效比较观察[D].广州中医药大学,2014.
[10]郭建峰.手指点穴及中药贴敷治疗腰三横突综合症[J].中国中医骨伤科杂志,2011,19(1):37.
[11]仇军.痛点弹拨法治疗第三腰椎横突综合征疗效观察[J].亚太传统医药,2013,9(5):92-93.
[12]李荣强.单纯汉章针刀治疗腰三横突综合征的疗效观察[J].临床合理用药杂志,2013,6(24):98.
[13]李庐娟.针刀治疗腰三横突综合征的疗效观察[J].内蒙古中医药,2015,(9):65.
[14]张立勇,邵湘宁,彭文桂.微针刀“十字”形松解法配合手法治疗腰三横突综合征46例[J].中医药信息,2014,31(2):99-101.
[15]王伟,刘华辉,王莹,等.小针刀配合手法治疗第三腰椎横突综合征40例观察[J].实用中医药杂志,2016,32(3):240-241.
[16]莫光德.小针刀联合臭氧注射治疗第三腰椎综合征75例[J].广西中医药,2014,37(2):60-61.
[17]周鑫,陈付艳.铍针治疗腰三横突综合征疗效观察[J].山西中医,2015,31(8):30-32.
[18]刘翔,王力.温通止痛贴治疗腰三横突综合征30例[J].江西中医药,2015,(5):43-44.
[19]张梦雨,田江波.内服联合外敷弓台疗腰三三横突综合征69例[J].中医临床研究,2016,8(11):125-126.
[20]融恺,吕发明.中医贴敷治疗第三腰椎横突综合征临床疗效观察[J].新疆中医药,2014,32(5):29-31.
[21]邱晓琼,刘雪峰,马艳伟,等.地龙散联合芒针深刺阿是穴治疗第三腰椎横突综合征疗效观察[J].现代中西医结合杂志,2017,26(10):1108-1110.
[22]杨振发.超短波、手法配合负压放血疗法治疗腰三横突综合征[J].中国中医药咨讯,2011,3(23):112.
[23]王海松,任小珊,田井亮.针刀配合关节松动术治疗第三腰椎横突综合征临床研究[J].亚太传统医药,2015,11(23):107-108.
[24]唐浩敏.综合康复治疗腰三横突综合征临床观察[J].内蒙古中医药,2014,33(22):50-51.
[25]殷光磊.针灸配合拔罐治疗腰三横突综合征45例[J].辽宁中医杂志,2014,41(4):790-791.
[26]单锐军.推拿结合针灸拔罐治疗第三腰椎横突综合征40例[J].基层医学论坛,2016,20(31):4435-4436.
[27]于红艳.超声波引导下水针刀配合消炎镇痛药液+臭氧治疗第三腰椎横突综合征的临床研究[J].中外医疗,2017,36(7):175-177.
[28]麦超常.电针治疗第三腰椎横突综合征的临床研究[D].南方医科大学,2013.
[2]杨茜,王莉莉,刘虹源.“苍龟探穴法”治疗腰三横突综合征[J].新疆中医药,2014,32(5):47-49.
[3]简千.火针疗法治疗第三腰椎横突综合征的临床研究[D].广州中医药大学,2015.
[4]高莹,杨建,韩秀珍,等.阳陵泉倒马针法治疗腰三横突综合征[J].吉林中医药,2013,33(4):413-414.
[5]王馨,董宝强,林星星.针刺激痛点治疗第三腰椎横突综合征的随机对照研究[J].江西中医药大学学报,2017,29(2):63-67.
[6]康武林,袁普卫,刘德玉,等.朱长庚教授手法治疗第三腰椎横突综合征临床观察[J].四川中医,2014,32(10):147-149.
[7]王玉华,杨建.浅谈经筋病的推拿治疗[J].湖南中医杂志,2013,29(8):98-99.
[8]李江波,陈美丽.定点(向)侧扳合柔性舒筋手法治疗腰椎横突综合征126例[J].中医中药,2013,3(16):90-91.
[9]吕成超.推拿弹拨手法治疗第三腰椎横突综合征临床疗效比较观察[D].广州中医药大学,2014.
[10]郭建峰.手指点穴及中药贴敷治疗腰三横突综合症[J].中国中医骨伤科杂志,2011,19(1):37.
[11]仇军.痛点弹拨法治疗第三腰椎横突综合征疗效观察[J].亚太传统医药,2013,9(5):92-93.
[12]李荣强.单纯汉章针刀治疗腰三横突综合征的疗效观察[J].临床合理用药杂志,2013,6(24):98.
[13]李庐娟.针刀治疗腰三横突综合征的疗效观察[J].内蒙古中医药,2015,(9):65.
[14]张立勇,邵湘宁,彭文桂.微针刀“十字”形松解法配合手法治疗腰三横突综合征46例[J].中医药信息,2014,31(2):99-101.
[15]王伟,刘华辉,王莹,等.小针刀配合手法治疗第三腰椎横突综合征40例观察[J].实用中医药杂志,2016,32(3):240-241.
[16]莫光德.小针刀联合臭氧注射治疗第三腰椎综合征75例[J].广西中医药,2014,37(2):60-61.
[17]周鑫,陈付艳.铍针治疗腰三横突综合征疗效观察[J].山西中医,2015,31(8):30-32.
[18]刘翔,王力.温通止痛贴治疗腰三横突综合征30例[J].江西中医药,2015,(5):43-44.
[19]张梦雨,田江波.内服联合外敷弓台疗腰三三横突综合征69例[J].中医临床研究,2016,8(11):125-126.
[20]融恺,吕发明.中医贴敷治疗第三腰椎横突综合征临床疗效观察[J].新疆中医药,2014,32(5):29-31.
[21]邱晓琼,刘雪峰,马艳伟,等.地龙散联合芒针深刺阿是穴治疗第三腰椎横突综合征疗效观察[J].现代中西医结合杂志,2017,26(10):1108-1110.
[22]杨振发.超短波、手法配合负压放血疗法治疗腰三横突综合征[J].中国中医药咨讯,2011,3(23):112.
[23]王海松,任小珊,田井亮.针刀配合关节松动术治疗第三腰椎横突综合征临床研究[J].亚太传统医药,2015,11(23):107-108.
[24]唐浩敏.综合康复治疗腰三横突综合征临床观察[J].内蒙古中医药,2014,33(22):50-51.
[25]殷光磊.针灸配合拔罐治疗腰三横突综合征45例[J].辽宁中医杂志,2014,41(4):790-791.
[26]单锐军.推拿结合针灸拔罐治疗第三腰椎横突综合征40例[J].基层医学论坛,2016,20(31):4435-4436.
[27]于红艳.超声波引导下水针刀配合消炎镇痛药液+臭氧治疗第三腰椎横突综合征的临床研究[J].中外医疗,2017,36(7):175-177.
[28]麦超常.电针治疗第三腰椎横突综合征的临床研究[D].南方医科大学,2013.