CAJ | 학술논문

目的：探讨点压手法并功能锻炼治疗第三腰椎横突综合征的临床疗效。方法：2013年11月—2014年12月，门诊采用点压手法治疗第三腰椎横突综合征患者89例，男53例，女36例；年龄20～59岁，中位数39岁；均有不同程度腰部疼痛，不能久坐久立，第三腰椎横突位置查体可见明显压痛，均可触及1～2.3 cm硬性结节条索状物，其中单侧患者37例，双侧患者62例；病程1 d～6年，中位数1.2年，有外伤或扭伤史者19例。采用疼痛视觉模拟评分法（visualanaloguescale，VAS）对第1次治疗前、1个疗程后患者自觉腰痛情况及第三腰椎横突处压痛进行评价。疗程结束后2周予随访，观察治疗情况。结果：本组89例患者，治愈38例，有效51例，总有效率100%；治疗后患者自觉腰痛和第三腰椎横突处压痛均有明显改善(P均＜0．05)；疗程结束后2周予随访，腰痛加重10例，经手法再次治疗，腰痛减轻。结论：点压手法并功能锻炼治疗第三腰椎横突综合征疗效显著，治疗方法简单易学，在临床中值得广泛推广。
목적：탐토점압수법병공능단련치료제삼요추횡돌종합정적림상료효。방법：2013년11월—2014년12월，문진채용점압수법치료제삼요추횡돌종합정환자89례，남53례，녀36례；년령20～59세，중위수39세；균유불동정도요부동통，불능구좌구립，제삼요추횡돌위치사체가견명현압통，균가촉급1～2.3 cm경성결절조색상물，기중단측환자37례，쌍측환자62례；병정1 d～6년，중위수1.2년，유외상혹뉴상사자19례。채용동통시각모의평분법（visualanaloguescale，VAS）대제1차치료전、1개료정후환자자각요통정황급제삼요추횡돌처압통진행평개。료정결속후2주여수방，관찰치료정황。결과：본조89례환자，치유38례，유효51례，총유효솔100%；치료후환자자각요통화제삼요추횡돌처압통균유명현개선(P균＜0．05)；료정결속후2주여수방，요통가중10례，경수법재차치료，요통감경。결론：점압수법병공능단련치료제삼요추횡돌종합정료효현저，치료방법간단역학，재림상중치득엄범추엄。
Objective:To investigate the point, a pproach and func tional training clinical e fficacy third lumbar transverse proc ess syndrome. M ethods:N ovember 2013 ~ 2014 December manipulative therapy c linic uses pointpre ssure of the third l umbar transverse process syndrome in 89 patients, 53 males and 36 females;aged 20 to 59 years, median 39 years;all there are varying degrees of back pain, can notbe sedentary for a long, third lumbar transverse position Physical examination revealed tenderness, may reach 1~2.3 cm strip of hard nodules, 37 patients diagnosed, 62 patients with bilateral cases;1d~ 6 years, median 1.2 years, there is a history of trauma or sprain 19 cases.Using pain visual analogue scale (visualanaloguescale,VAS) for the firsttime before treatment, after a course of conscious patients with low back pain cases and the third lumbar transverse process tenderness evaluated. Two weeks after the end of treatmentto follow-up observation of treatment. R esults:89 patients c ured 38 cases, e ffective 51 cases, i neffective 0 cases, the total efficiency of 10 0%;a fter treatmentof low ba ck pa in patients c onscious and third l umbar transverse proc ess tenderness w ere s ignificantly i mproved ( P<0.05 ); two weeks af ter the end of treatmentto fol low-up,10 c ases of l ow ba ck pa in a ggravated,by the way r e-treatment, l ow b ack pain relief. Conclusion:The pointpressure techniques and exercise therapy third lumbar transverse process syndrome significantly, treatmentis easy to learn, should be popularized in clinic.