电针结合手法整复治疗胸椎小关节紊乱疗效对照观察  

Controlled observation on the efficacy of thoracic facet joint disorder treated with electroacupuncture and manual reduction

作　　者：叶田 薛宏伟 王宇 刘岚 孙家博 

机构地区：[1]哈尔滨市中医医院针灸科,黑龙江哈尔滨150076 [2]哈尔滨市中医医院康复科,黑龙江哈尔滨150076

出　　处：《中国针灸》2013年第12期1077-1080,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较电针结合手法整复与单纯手法整复治疗胸椎小关节紊乱的疗效差异。方法:将160例患者随机分为电针手法组和单纯手法组,每组80例。电针手法组采用电针结合手法整复治疗,取阿是穴及疼痛部位两旁的3对夹脊穴,阿是穴直刺,夹脊穴斜刺并连接电针,刺激时间20min,再根据紊乱部位采用相应手法整复治疗;单纯手法组单纯采用相应手法整复治疗。针刺每天1次,手法整复10天1次,10天为一疗程,2个疗程后统计疗效。治疗前后通过对McGill疼痛量表分值统计,比较两组患者治疗前后疼痛分级指数(PRI)评分、视觉模拟量表(VAS)评分、现有疼痛强度(PPI)评分,并比较两组疗效。结果:电针手法组治愈率为56.3%(45/80),优于单纯手法组的18.8%(15/80,P<0.01);电针手法组总有效率为95.0%(76/80),优于单纯手法组的76.3%(61/80,P<0.01)。两组治疗后PRI、VAS、PPI评分均显著改善(均P<0.05),且电针手法组优于单纯手法组(PRI:4.00±0.97vs 5.44±1.16、VAS:3.29±0.72vs 3.87±0.81、PPI:1.07±0.74vs 1.64±0.90,均P<0.05)。结论:电针结合手法整复治疗胸椎小关节紊乱疗效优于单纯手法整复,可改善胸椎小关节紊乱的症状,降低病变程度。Objective To compare the difference in the efficacy on thoracic facet joint disorder between the combined therapy of electroacupuncture and manual reduction and the simple manual reduction. Methods One hundred and sixty patients were randomized into an electroacupuncture and manual manipulation group （group A） and a simple manual manipulation group （group B）, 80 cases in each one. In the group A, Ashi points and three pairs of Jiaji （EX-B 2） bilateral to the painful sites were selected. The perpendicular puncture was used at Ashi points, the oblique puncture was used at Jiaji （EX-B 2） and connected with electric stimulation for 20 rain, addi- tionally, the corresponding manual reduction was adopted at the sites of facet joint disorder. In the group B, the simple manual reduction was applied to the affected sites. Acupuncture was given once every day, the manual re- duction was applied once every 10 days. The treatment of 10 days made one session. The efficacy was analyzed statistically at the end of two sessions of treatment. Before and after treatment, McGill pain scale was adopted for the value statistical analysis. PRI score, VAS score and PPI score of patients were calculated before and after treatment and compared in the two groups. The efficacy was compared between the two groups. Results The curative rate was 56.3% （45/80） in the group A, which was better than 18.8% （15/80） in the group B （P〈 0.01）. The total effective rate was 95.0% （76/80） in the group A, which was better than 76.3% （61/80） in the group B （P〈0.01）. The scores of PRI, VAS and PPI after treatment were all improved significantly in the two groups （all P〈0.05）, in which, the results in the group A were better than those in the group B （PRI： 4.00± 0.97 vs 5.44±1.16, VAS.. 3.29±0.72 vs 3.87±0. 81, PPI： 1.07±0.74 vs 1.64±0.90, all P〈0.05）. Conclusion The combined therapy of electroacupuncture and manual manipulation achieves the superior efficacy on thoracic facet joint disorder

关 键 词：胸椎小关节紊乱 针刺疗法 推拿疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]