腰椎斜扳法联合体外冲击波治疗腰椎小关节紊乱症的临床研究  

Clinical Analysis of Lumbar Oblique Pulling Method Combined with Extracorporeal Shock Wave on the Treatment of Lumbar Facet Joint Disorder

作　　者：毛田[1,2,3] 李浩 汪伟[1,2,3] 王志刚 MAO Tian;LI Hao;WANG Wei;WANG Zhigang(Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,China;Affiliated Hospital of Hubei University of Chinese Medicine,Wuhan 430061,China;Hubei Province Academy of Traditional Chinese Medicine,Wuhan 430074,China.)

机构地区：[1]湖北省中医院,武汉430061 [2]湖北中医药大学附属医院 [3]湖北省中医药研究院

出　　处：《中国中医骨伤科杂志》2023年第2期40-43,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察腰椎斜扳法联合体外冲击波治疗腰椎小关节紊乱症的临床疗效。方法:选取2021年2月至2022年2月门诊治疗的腰椎小关节紊乱症患者70例,依据患者选择的治疗方法分为观察组(腰椎斜扳法联合体外冲击波治疗)和对照组(腰椎斜扳法治疗)。其中观察组35例,对照组35例,比较两组患者治疗前、治疗后即刻和治疗7 d后的视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分和疗效优良率。结果:与治疗前相比,两组患者治疗后的VAS评分均降低,JOA评分均增加,差异有统计学意义(P<0.05);治疗前,观察组的VAS评分和JOA评分与对照组的差异无统计学意义(P>0.05);治疗后,观察组的VAS评分和JOA评分与对照组的差异均有统计学意义(P<0.05),两组的疗效优良率差异有统计学意义(P<0.05)。结论:腰椎斜扳法联合体外冲击波治疗腰椎小关节紊乱症能更好地减轻患者疼痛症状和改善腰部功能状态,增强关节的稳定性,值得临床推广应用。Objective:To observe the clinical efficacy of lumbar oblique pulling method combined with extracorporeal shock wave on the treatment of lumbar facet joint disorder.Methods:70 patients with lumbar facet joint disorder treated in our outpatient department were selected from February 2021 to February 2022.Patients were divided into observation group(lumbar oblique pulling method combined with extracorporeal shock wave)and control group(lumbar oblique pulling method)according to the treatment methods selected by the patients.There were 35 cases in the observation group and 35 cases in the control group.Visual analogue scale(VAS)score,Japanese orthopaedic association(JOA)score and excellent and good efficacy rate were recorded before treatment,immediately after treatment and 7 d after treatment.Results:Compared with before treatment,VAS score decreased and JOA score increased in both groups after treatment,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in VAS score and JOA score between the observation group and the control group(P>0.05).After treatment,the VAS score and JOA score of the observation group were significantly different with those of the control group(P<0.05).There was significant difference in the excellent and good rate between two groups(P<0.05).Conclusion:Lumbar oblique pulling method combined with extracorporeal shock wave on the treatment of lumbar facet joint disorder can better reduce the pain symptoms,improve the function of the waist,and enhance the stability of the joint,which has the significance of clinical promotion.

关 键 词：腰椎小关节紊乱症 腰椎斜扳法 体外冲击波 临床疗效 

分 类 号：R681.5[医药卫生—骨科学]