中医药治疗腰三横突综合征的总结

Summary of Traditional Chinese Medicine Therapy for Third Lumbar Transverse Process Syndrome

摘要: 腰三横突综合征是指腰椎中第三椎体横突、其周围软组织，由于受到各种性质的损伤，从而引起的以腰部、臀部疼痛，甚至下肢大腿放射麻、痛为主要临床表现的一种综合性疾病。本文采用系统综述方法，检索近十年相关文献，旨在评价中医药治疗腰三横突综合征的临床疗效与证据质量。研究发现中医主要采用针灸疗法、推拿疗法、针刀疗法、中药疗法、刺血疗法、穴位注射治疗腰三横突综合征。中医药治疗腰三横突综合征效果显著，可有效缓解患者的疼痛，并且改善患者的腰椎功能。但现有研究样本量普遍偏小、方法学质量不高，仍需更高质量的随机对照试验进一步验证。

Abstract: Third lumbar transverse process syndrome is a comprehensive disease caused by various injuries to the transverse process of the third lumbar vertebra and its surrounding soft tissues, with main clinical manifestations of waist and hip pain, and even radiating numbness and pain in the lower limbs and thighs. This paper adopts a systematic review method to retrieve relevant literature in the past decade, aiming to evaluate the clinical efficacy and evidence quality of traditional Chinese medicine (TCM) in the treatment of third lumbar transverse process syndrome. The study found that TCM mainly uses acupuncture therapy, tuina therapy, acupotomy therapy, Chinese herbal medicine therapy, blood-letting therapy, and acupoint injection to treat third lumbar transverse process syndrome. TCM treatment has significant effects on third lumbar transverse process syndrome, which can effectively relieve patients’ pain and improve lumbar function. However, existing studies generally have small sample sizes and low methodological quality, and further verification with higher-quality randomized controlled trials is still needed.