【目的】 观察恢刺法联合雷火灸治疗第三腰椎横突综合征的临床疗效。【方法】 选取 2022年 6月至 2024年 2月中国人民 解放军南部战区总医院特勤科及康复医学科收治的60例明确诊断为第三腰椎横突综合征的患者为研究对象。按随机数字表 将患者随机分为观察组和对照组，每组各30例。对照组给予电针针刺配合红光局部照射治疗，观察组给予恢刺联合雷火灸 治疗。隔日治疗1次，治疗10次为1个疗程，共治疗2个疗程。治疗后，评价2组临床疗效，观察2组患者治疗前后疼痛视 觉模拟量表（VAS）评分的变化情况，以及日本骨科协会（JOA）评分的情况。比较 2 组患者治疗前后 Oswestry 功能障碍指数 （ODI）评分的变化情况。【结果】（1）治疗后，2组患者的VAS评分均明显改善（P < 0.05），且观察组在改善VAS评分方面明显 优于对照组，差异有统计学意义（P < 0.05）。（2）治疗后，2组患者的JOA评分与ODI评分均明显改善（P < 0.05），且观察组在 改善JOA评分与ODI评分方面明显优于对照组，差异均有统计学意义（P < 0.05）。（3）观察组总有效率为93.33%（28/30），对照 组为83.33%（25/30）。观察组疗效优于对照组，差异有统计学意义（P < 0.05）。【结论】 恢刺法联合雷火灸治疗第三腰椎横突综 合征，能明显改善患者的疼痛症状，增强患者腰椎活动度，从而提高患者生活质量，临床疗效显著。

Objective To observe the clinical efficacy of the lateral needling technique combined with thunder-fire moxibustion in the treatment of the third lumbar trans-verse process syndrome（TLVTPS）. Methods A total of 60 patients with definitive diagnosis of third TLVTPS admitted to the Department of Special Services and Department of Rehabilitation Medicine of the General Hospital of Southern Theatre Command of the Chinese People􀆳s Liberation Army of China from June 2022 to February 2024 were selected as the study subjects. The patients were randomly divided into the observation group and the control group according to the random number table method， with 30 cases in each group. The control group was treated with electroacupuncture combined with red light local irradiation， and the observation group was treated with lateral needling technique combined with thunder-fire moxibustion. The patients were treated once every other day，and 10 times of treatment constituted a course of treatment，totaling two courses of treatment. After treatment，the clinical efficacy of the two groups was evaluated， and the changes in the Visual Analogue Scale（VAS）scores of pain，and Japanese Orthopedic Association（JOA） scores before and after treatment were observed between the two groups. The changes in Oswestry Disability Index （ODI）scores before and after treatment were compared between the two groups. Results（1）After treatment，the VAS scores of the two groups of patients were improved significantly（P < 0.05）， and the improvement in the observation group was significantly superior to that in the control group， the difference being statistically significant（P < 0.05）.（2）After treatment， the JOA score and ODI score of patients in the two groups were improved significantly（P < 0.05），and the improvement in the observation group was significantly superior to that in the control group， the difference being statistically significant（P < 0.05）.（3）The total effective rate was 93.33%（28/30）in the observation group and 83.33%（25/30）in the control group. The efficacy of the observation group was superior to that of the control group， the difference being statistically significant （P < 0.05）. Conclusion Lateral needling technique combined with thunder-fire moxibustion in the treatment of TLVTPS can significantly alleviate pain of the patients and enhance their mobility of the lumbar，so as to improve the quality of life of the patients.

R246.9

：广东省医学科学技术研究基金资助项目（编号：B2020047）