腰椎三维复位法配合侧隐窝注射香丹、黄芪注射液治疗腰椎小关节紊乱疗效观察  

Clinical Observation on the Treatment of Lumbar Facet Joint Disorders with Three-Dimensional Reduction Method Combined with Lumbar Lateral Recess Injection of Xiangdan and Huangqi injecta

作　　者：丘宏龙 陈海鹏[1] 林桦楠[1] 陈凯[1] 

机构地区：[1]福建中医药大学附属厦门中医院,福建厦门361009

出　　处：《风湿病与关节炎》2014年第10期16-19,共4页Rheumatism and Arthritis

基　　金：福建省中医药科研项目(wzgs201302)

摘　　要：目的:观察腰椎三维复位法配合侧隐窝注射香丹、黄芪注射液治疗腰椎小关节紊乱的临床疗效。方法:将68例腰椎小关节紊乱患者随机分为治疗组和对照组,每组34例。对照组予腰椎三维复位法治疗,每日1次;治疗组在对照组治疗基础上,于治疗的第1,4,7天行香丹、黄芪注射液腰椎侧隐窝注射,两组均于第10天观察临床疗效。结果:治疗组治愈10例,显效20例,无效4例,有效率88.24%;对照组治愈6例,显效16例,无效12例,有效率64.71%。两组比较,差异有统计学意义(P<0.01)。两组PRI、VAS和PPI评分比较,治疗组明显低于对照组,差异有统计学意义(P<0.01)。结论:腰椎三维复位法配合侧隐窝注射治疗腰椎小关节紊乱效果明显,值得临床推广。Objective：To observe the clinical effects of treating 34 cases of lumbarfacet joint disorders with three-dimensional reduction method combined with lumbar lateral recessinjection ofXiang-dan andHuangqi injecta.Methods：68 cases of lumbar facet joint disorders were randomly divided into a treatment group and a control group,34 cases in each group.The control group was treated with three-dimensional reduction method,for manipulation therapy once a day,while the treatment group was treated with lumbar lateral recess injec-tion ofXiangdanandHuangqi injecta on the ifrst,fourth,and seventh days based on the treatment of the control group. The clinical observation of the two groups were made on the tenth day.Results：In the treatment group,10 cases were cured,20 cases were markedly effective,4 cases were ineffective,the efficiency being 88.24%;while in the control group,6 cases were cured,16 cases were markedly effective,12 cases were ineffective,the efifciency being 64.71%.The difference between the two groups was statistically significant（P〈 0.01）.The PRI,VAS and PPI scores of the treatment group were significantly lower than those of the control group,the difference being statistically significant（P〈 0.01）.Conclusion：The effect of the three-dimensional reduction method combined with lumbar lateral recess injection is obvious in the treatment of lumbar facet joint disorders,worthy of being clinically promoted.

关 键 词：腰椎小关节紊乱 腰椎三维复位法 侧隐窝注射 黄芪注射液 香丹注射液 

分 类 号：R684[医药卫生—骨科学]