痞满脾胃虚弱证临床症状与胸椎小关节紊乱的关系与手法治疗研究  

Research of the manual therapy and the relationship between clinical symptoms of weak spleen and stomach and thoracic facet joint disorders

作　　者：周学龙[1] 王明杰[2] 韦明[1] 何建红[2] 孙刚[1] 孙利伟[1] 

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学第一附属医院仁爱分院,广西南宁530001

出　　处：《中医临床研究》2013年第21期10-12,共3页Clinical Journal Of Chinese Medicine

基　　金：广西自然科学基金资助项目(编号:2010GXNSFA013206)

摘　　要：目的:调查痞满脾胃虚弱证临床症状与胸椎小关节紊乱的关系和观察手法整复胸椎小关节紊乱对痞满脾胃虚弱证临床症状的影响。方法:以符合痞满脾胃虚弱证诊断标准者为调查对象,统计调查对象中并发胸椎小关节紊乱的机率,并对具有胸椎小关节紊乱局部体征者进行手法治疗,以治疗前后的症状积分情况评价疗效。结果:在调查的100例痞满脾胃虚弱证患者中,有32例具有胸椎棘突偏歪、后突和棘旁压痛或肌紧张等局部体征,占调查人数的32%;其中32例痞满脾胃虚弱证并胸椎小关节紊乱患者经手法整复其胸椎小关节紊乱后,治疗前后主要症状积分比较有显著性差异(P<0.01),总有效率为87.5%。结论:痞满脾胃虚弱证与胸椎小关节紊乱有关,手法整复胸椎小关节紊乱可有效地改善痞满脾胃虚弱证患者的临床症状,但确切的治疗机制还有待进一步研究。Objective： To investigate the the relationship between clinical symptoms of weak spleen and stomach and thoracic facet joint disorders and the effect of the manual therapy. Methods： The patients who meet the diagnostic criteria as subjects, survey the probability of concurrent thoracic facet joint disorders in patients, and used manual therapy to treat the local signs, evaluated the efficacy before and after treatment. Results： In 100 patients, there are 32 cases with thoracic spinous process skew, prominent and paraspinal tenderness or muscle tension and other local signs, accounted for 32% of those surveyed; which 32 patients with thoracic facet joint disorders were given manipulation therapy, the main symptom scores before and after treatment there was a significant difference （P〈O.O1）, total efficiency was 87.5%. Conclusion： Weak spleen and stomach related with thoracic facet joint disorders, manual therapy can effectively improve the clinical syndrome of weak spleen and stomach, but the exact mechanism remains to be further studied.

关 键 词：痞满 胸椎小关节紊乱 调查研究 手法治疗 

分 类 号：R256.3[医药卫生—中医内科学]