Volume 23 Issue 1
Jan.  2025
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XU Qianlan, WANG Huayan, ZHAN Jingjing, WU Dan, DU Fenfei. The treatment of third lumbar transverse process syndrome by ultrasound visualization injection and acupotomy based on holistic mechanics[J]. Chinese Journal of General Practice, 2025, 23(1): 131-134. doi: 10.16766/j.cnki.issn.1674-4152.003851
Citation: XU Qianlan, WANG Huayan, ZHAN Jingjing, WU Dan, DU Fenfei. The treatment of third lumbar transverse process syndrome by ultrasound visualization injection and acupotomy based on holistic mechanics[J]. Chinese Journal of General Practice, 2025, 23(1): 131-134. doi: 10.16766/j.cnki.issn.1674-4152.003851

The treatment of third lumbar transverse process syndrome by ultrasound visualization injection and acupotomy based on holistic mechanics

doi: 10.16766/j.cnki.issn.1674-4152.003851
Funds:

 2022ZH065

 2022-3-022

  • Received Date: 2024-06-18
    Available Online: 2025-02-13
  •   Objective  To observe the effect and safety of acupotomy release under ultrasound visualization injection based on global mechanics in patients with third lumbar transverse process syndrome.  Methods  A total of 90 patients with third lumbar transverse process syndrome admitted to Dongyang People' s Hospital from December 2022 to December 2023 were selected as the study objects, and divided into three groups according to the random number table method, with 30 cases in each group. Group A was treated with holistic mechanics-based ultrasound visual injection + acupotomy release treatment, group B was treated with ultrasound visual injection + acupotomy release treatment in third lumbar transverse process, and group C was treated with conventional acupuncture stimulation of pain points. The clinical efficacy, Owestry index, VAS score, patient compliance, and adverse reactions of the three groups were observed and compared before treatment, 1 week, and 4 weeks after treatment.  Results  The total effective rate of group A (96.67%, 29/30) was significantly higher than that of group C (73.33%, 22/30, P < 0.05). It can be seen that the Owestry function index and VAS scores of the three groups have a changing trend over time, and this trend is different in the groups. Before treatment, there were no significant differences in the Owestry index and VAS score among the three groups (P>0.05). After 1 week and 4 weeks of treatment, Owestry index and VAS score were significantly lower than before treatment. After 1 week and 4 weeks of treatment, the Owestry index and VAS scores of group A were significantly lower than those of group B and group C (P < 0.05). The total compliance rate in group A (96.67%, 29/30) was significantly higher than that in group C (70.00%, 21/30, P < 0.05). The total adverse reaction rate of swelling, severe pain, muscle weakness, ecchymosis, and bleeding in group A (3.33%, 1/30) was significantly lower than that in group C (26.67%, 8/30, P < 0.05).  Conclusion  The treatment of third lumbar transverse process syndrome with holistic mechanics-based ultrasound visualization injection combined with acupotomy is effective, which can effectively improve patients' functional index and pain score, improve patients' compliance, and have a low incidence of adverse reactions.

     

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