国医论坛2026，Vol.41Issue(2)：36-41,6.
黄帝内针联合放射式冲击波治疗第三腰椎横突综合征临床观察
Clinical Observation on the Treatment of Third Lumbar Transverse Process Syndrome with Huangdi Neizhen Combined with Radial Shock Wave Therapy
摘要
Abstract
Objective To observe the clinical efficacy of Huangdi Nei Zhen combined with shock wave therapy in the treatment of third lumbar transverse process syndrome(TLTPS).Methods Seventy patients with TLTPS admitted to Luoyang Zhenggu Hospital in Henan Province from April 2023 to March 2025 were selected as the study subjects.They were randomly divided into the treatment group and the control group,with 35 cases in each group,using a random number table.Both groups underwent shock wave therapy,while the control group re-ceived conventional acupuncture treatment and the treatment group received Huangdi Nei Zhen therapy.After 2 weeks of treatment,the visual analog scale(VAS)scores,Japanese Orthopedic Association(JOA)and Oswe-stry Disability Index(ODI)scores,clinical efficacy,and the occurrence of adverse reactions(dizziness,palpi-tations,nausea,vomiting,skin allergy,etc)were compared between the two groups.Results After 2 weeks of treatment and a 2months follow-up,the VAS,JOA,and ODI scores of both groups were significantly improved compared to those before treatment(P＜0.05),and the scores of the treatment group at the same time points af-ter treatment were superior to those of the control group(P＜0.05).Analysis of variance using a repeated meas-ures design showed that the time effect was statistically significant(P＜0.05),and the interaction effect be-tween time and treatment was also statistically significant(P＜0.05).After a 2-month follow-up,the total effective rate in the treatment group was 97.14％(34/35),which was higher than that in the control group[77.14％(27/35)(P＜0.05)],and the cure rate in the treatment group was 51.43％(18/35),significantly higher than that in the control group[5.71％(2/35)(P＜0.05)].There was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion The use of Huangdi Nei Zhen combined with radial shock wave therapy for the treatment of TLTPS improves clinical efficacy by reducing pain,improving lumbar function,and enhancing patients' daily activity ability.The clinical cure rate is high,and the efficacy becomes more significant with prolonged observation time,while the safety is good.关键词
黄帝内针/针刺/冲击波/第三腰椎横突综合征/腰痛/临床报道Key words
Huangdi Neizhen/Acupuncture/Shock wave/Third Lumbar Transverse Process Syndrome/Clini-cal report分类
医药卫生引用本文复制引用
海渊,翟绅,张杰,李朋辉,毛志帮,宋永伟..黄帝内针联合放射式冲击波治疗第三腰椎横突综合征临床观察[J].国医论坛,2026,41(2):36-41,6.基金项目
河南省中医"高水平专科"建设项目(豫卫中医函[2023]63号) （豫卫中医函[2023]63号）
河南省中医药重点学科建设项目(豫卫中医药科教[2024]1号) （豫卫中医药科教[2024]1号）
河南省2023年科技发展计划项目(232102310134). （232102310134）
