The Clinical Study Of Electro-acupuncture Therapy In Treatment Of Third Lumbar Transverse Process Syndrome

BackgroundThe Third lumbar transverse process syndrome is caused by local tissue inflammation swelling, oozing, congestion and other pathological changes due to acute and chronic fatigue, which caused attached to the transverse processes surrounding soft tissue adhesions, thickening of the fascia, muscle contracture, through the myofascial neurovascular diseases as the main feature of the third lumbar transverse process at the obvious tenderness squeezed. The third lumbar transverse process syndrome belongs to the category of "back pain" in traditional Chinese medicine.Clinical have different views on its pathogenesis. Domestic scholars generally agree that the lumbar transverse process syndrome is due to low back myofascial or muscle tension, soft tissue tear, resulting in the phenomenon of oozing, bleeding, edema, the accumulation of repeated injury, caused the clinical symptoms. Other people think that the onset of the third lumbar transverse process syndrome associated with same-rooted nerve reflex phenomenon. Same-rooted nerve reflex phenomenon refers to the result of lateral branch after spinal nerve under the influence of transverse process surrounding tissue pathological change, is reflective of people who share the other branch of spinal nerve stimulation to cause disease. The patients with the third lumbar transverse process syndrome have lumbosacral pain, anterolateral pain, the adductor muscle tension and other symptoms.On treatment, modern medicine is treatment mainly reposes rest, drug analgesia, the conservative cure such as physiotherapy. But drug side effects and high medical expense, injections and surgery and other physical impact to patients accept. So how to find a cheap and effective treatment become very necessary. Treatment of traditional Chinese medicine have many methods, such as the acupuncture, moxibustion, traditional Chinese medicine fumigation, small needle knife, acupoint injection, buried lines, manipulation treatment and comprehensive treatment methods. Although each of them has its characteristic, clinical has remarkable curative effect, but there are still some shortcomings. Such as lack of overall scheme and the lack of standardized, integrated and effective diagnosis and treatment effect evaluation of quantitative criteria. In addition to most studies of the third lumbar transverse process syndrome is the clinical study, less research on the treatment mechanism, treatment process is limited to the short-term treatment of observation, more for long-term treatment of progress and long-term effect a radical cure and prognosis remains to be further research.According to the report, taking in bed rest, analgesics, such as physical therapy treatments for the disease is bad, acupuncture and moxibustion in the treatment of the third lumbar transverse process syndrome are still has a reliable curative effect..In conclusion, this research adopts randomized controlled method, to observe the curative effect of the third lumbar transverse process syndrome in three different methods, warm needle and ordinary acupuncture treatment, and the Japanese orthopedic association low back pain score is adopted for objective evaluation, larger clinical studies for the future lay the foundation and mechanism research. ObjectiveTo evaluate the therapeutic effect of three acupuncture method therapy on third lumbar transverse process syndrome.MethodsAll90patients with Third lumbar transverse process syndrome came from the acupuncture clinic of Nanfang hospital and hospitals of traditional Chinese and Western medicine. The90patients were Randomly assigned to Electric acupuncture group, the warm needle group and ordinary acupuncture group.30patients of Each group. Selection the acupoints of EX-B2in L1,L2and L3transverse pressure point for treatment. Electric acupuncture group used Electric acupuncture machine to adjuvant therapy, the warm needle group used moxa cone to adjuvant therapy. The therapy was1days1time,10times to be a period of treatment, total treatment2period.The JOA scoring system and VAS were used to evaluate the clinical effect and lumbar function improvement degree before and after treatment.Results1. All the patients were completed the study.2.90patients of male patients with44cases (48.89%) and46patients with women (51.11%), the male to female ratio of1:1.05); Age distribution of20and55years old, mean age36.36±9.09years old, male patients with an average age of35.84±7.49years old, female patients with an average age of36.85±10.46years old; Course distribution for1-46months, an average duration of13.44±12.33months; Distribution of the lesion site of unilateral38cases (42.22%),52cases (57.78%) on both sides.3. Baseline Compared:The three groups of patients in gender, age, disease duration,JOA score and VAS score were no significant differences(P>0.05).4. JOA scale evaluation:Comparison within groups, using paired t test, the results show that the JOA scores before and after the treatment with significant difference (P<0.01). It Show that the three methods of treatment can effectively increase the patients JOA scores. Comparison between groups:using One-Way ANOVA, the results show before and after treatment, the JOA scores have significant difference between groups (P<0.01), and further comparison found that the Electric acupuncture group increase degree higher than ordinary acupuncture group, the difference has statistical significance (P=0.001). The results of the scores of Signs and symptoms and ADL are the same with it.5. VAS scale evaluation:Comparison within groups, using paired t test, the results show that the VAS scores before and after the treatment with significant difference (P<0.01). It Show that the three methods of treatment can effectively decrease the patients pain. Comparison between groups:using One-Way ANOVA, the results show before and after treatment, the VAS scores have significant difference between groups (P<0.05), and further comparison found that the Electric acupuncture group increase degree higher than ordinary acupuncture group, the difference has statistical significance (P=0.001).6. Clinical effect:After the treatment, The total effective rate of Electric acupuncture group, the warm needle group and ordinary acupuncture group was83.3%/,76.67%and70%. The difference has significant significance (P=0.037).7. Adverse reactions observed:During the treatment, three groups of no obvious adverse reaction occurred.Conclusion1. Three methods can effectively increase the JOA scores and the patient’s clinical symptoms, signs and life skills have improved. It show that three acupuncture method all have certain clinical curative effect.2. Three methods could relief the pressure of the third lumbar transverse process. Their therapeutic effect may be done by local adhesion of soft tissue release.3. Electric acupuncture therapy on the patient’s condition improved significantly better than ordinary acupuncture method. This may be due to the different analgesia mechanism in Electric acupuncture therapy and ordinary acupuncture method.