推拿结合针灸治疗第三腰椎横突综合征的疗效观察。

选取北京市平谷区马坊社区卫生服务中心2015年1月至2020年4月收治的第三腰椎横突综合征患者65例，按照随机数表法将其分为试验组33例，对照组32例。对照组采用常规化的针灸治疗，试验组采用手法联合针灸治疗措施，针灸治疗方略和对照组同，均治疗2周。2组患者治疗前后视觉模拟评分法(VAS)比较采用自身配对t检验；采用χ²检验比较2组患者的治疗总有效率和治疗依从率。

(1)VAS评分：治疗前对照组VAS评分(7.40±0.20)分，试验组为(7.30±0.80)分，2组VAS评分比较差异无统计学意义(t＝1.890，P>0.05)，具有可比性；治疗后，对照组VAS评分(5.10±0.20)分，试验组为(3.70±0.20)分，试验组较对照组显著降低(t＝2.449，P<0.05)；(2)治疗依从性对比：试验组十分依从19例，配合依从13例，不依从1例，依从性为96.97%(32/33)，对照组十分依从12例，配合依从13例，不依从7例，依从性为78.13%(25/32)，试验组依从性高于对照组，且差异有统计学意义(χ²＝5.345，P<0.05)；(3)患者治疗总有效率比较：试验组显效20例，有效13例，无效0例，治疗总有效率100.00%(33/33)；对照组显效15例，有效13例，无效4例，总有效率87.50%(28/32)，试验组治疗总有效率高于对照组，且差异有统计学意义(χ²＝4.395，P<0.05)。

采用手法联合针灸治疗第三腰椎横突综合征患者的疗效、治疗依从性和VAS评分结果优于常规针灸治疗，表明2种治疗方法结合对患者病痛缓解程度俱佳，建议研究推广。

To observe the curative effect of massage combined with acupuncture in the treatment of the third lumbar transverse process syndrome.

A total of 65 patients with third lumbar transverse process syndrome admitted to Mafang Community Health Service Center of Pinggu District of Beijing from January 2015 to April 2020 were selected and divided into a control group and an experimental group by the computer random method. The experimental group had 33 patients and the control group had 32 patients. The control group was treated with conventional acupuncture and moxibustion treatment, while the experimental group was treated with massage combined with acupuncture and moxibustion treatment, and the acupuncture and moxibustion treatment strategy was the same asthat ofthe control group. At two weeks of treatment, the visual analogue scale (VAS) was used to compare patients in two groups before and after treatment. The total effective rate and treatment compliance rate were compared between the two groups by χ² test.

(1) VAS scores: Before treatment, the VAS score of the control group was (7.40±0.20), and that of the experimental group was (7.30±0.80). The difference between the two groups was not statistically significant (t=1.890, P > 0.05), which was comparable. After treatment, the VAS score in the control group was (5.10±0.20) points, and that in the experimental group was (3.70±0.20) points. The VAS score in the experimental group was significantly lower than that in the control group (t=2.449, P<0.05). (2) Comparison of the treatment compliance: In the experimental group, there were 19 cases of full compliance, 13 cases of cooperative compliance, and 1 case of nonadherence, with acompliance rate of 96.97% (32/33). In the control group, there were 12 cases of full compliance, 13 cases of cooperative compliance and 7 cases of nonadherence, with a compliance rate of 78.13% (25/32). The compliance rate of the experimental group was higher than that of the control group, and the difference was statistically significant (χ² = 5.345, P < 0.05); (3) Comparison of the total effective rate of the patients: the experimental group showed significant effect in 20 cases, effective in 13 cases, ineffective in 0 cases, and the total effective rate was 100.00% (33/33); the control group showed significant effect in 15 cases, effective in 13 cases, ineffective in 4 cases, and the total effective rate was 87.50% (28/32). The total effective rate of the experimental group was higher than that of the control group, and the difference was statistically significant (χ²=4.395, P<0.05).

The curative effect, patient compliance and VAS scores of massage combined with acupuncture in the treatment of the third lumbar transverse process syndrome are better than those of conventional acupuncture and moxibustion, and which shows that both treatments have good pain relief degree for patients. Therefore, it is recommended to study and promote the treatment.