李业甫胸椎分段整复法治疗胸椎小关节紊乱疗效观察  

Clinical Effect of Li Yefu's Segmental Reduction of Thoracic Vertebrain Treatment of Thoracic Facet Joint Disorder

作　　者：石海平[1] 赖忠涛 李业甫 SHI Hai-ping;LAI Zhong-tao;LI Ye-fu(The First Affiliated Hospital of Anhui University of Chinese Medicine, Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《安徽中医药大学学报》2020年第4期48-51,共4页Journal of Anhui University of Chinese Medicine

基　　金：国医大师李业甫传承工作室。

摘　　要：目的观察李业甫胸椎分段整复法治疗胸椎小关节紊乱的临床疗效。方法将48例胸椎小关节紊乱患者随机分为对照组和治疗组,每组24例。对照组在常规推拿的基础上采用膝顶扩胸扳法,治疗组在常规推拿的基础上采用李业甫胸椎分段整复法。治疗前后分别观察两组患者症状、体征积分,McGill量表评分,并在治疗后评价两组患者的临床疗效。结果与治疗前比较,两组患者治疗后症状、体征积分,McGill疼痛量表评分均明显减少(P<0.05);两组患者McGill疼痛量表评分差值比较,差异有统计学意义(P<0.05),两组患者治疗前后症状、体征积分差值比较,差异均无统计学意义(P>0.05)。两组临床疗效分布比较,差异无统计学意义(P>0.05),但治疗组治愈和显效的例数均多于对照组。结论李业甫胸椎分段整复法能够减轻胸椎小关节紊乱患者的疼痛症状,提高临床疗效,改善生活质量。Objective To investigate the clinical effect of Li Yefu's segmental reduction of thoracic vertebra in the treatment of thoracic facet joint disorder.Methods A total of 48 patients with thoracic facet joint disorder were randomly divided into control group and treatment group,with 24 patients in each group.The patients in the control group were treated with routine massage and pulling manipulation with knee pushing,and those in the treatment group were treated with Li Yefu's segmental reduction of thoracic vertebra in addition to the treatment in the control group.Scores of symptoms and signs and McGill scale score were observed before and after treatment,and clinical outcome was evaluated for both groups.Results After treatment,both groups had significant reductions in the scores of symptoms and signs and McGill pain score(P<0.05),and there was a significant difference in McGill pain score between the two groups(P<0.05).There were no significant differences between the two groups in the changes of the scores of symptoms and signs after treatment(P>0.05).There was no significant difference in the distribution of clinical outcomes between the two groups(P>0.05),and the treatment group had higher numbers of cured patients and patients with marked response.Conclusion For patients with thoracic facet joint disorder,Li Yefu's segmental reduction of thoracic vertebra can alleviate pain symptoms and improve clinical outcome and quality of life.

关 键 词：胸椎小关节紊乱 李业甫 正骨 推拿 

分 类 号：R244.1[医药卫生—针灸推拿学]