胸椎小关节紊乱患者应用子母补泻针刺法联合手法推拿治疗的临床效果观察  

Clinical Effect of Acupuncture and Manipulation in Patients with Thoracic Facet Joint Disorder

作　　者：段竹君 孟庆宇 於海燕[1] Duan Zhujun;Meng Qingyu;Yu Haiyan(Sports Rehabilitation Department of Sports Rehabilitation Hospital of Nanjing University of Physical Education,Jiangsu,Nanjing,210000)

机构地区：[1]南京体育学院运动康复医院运动康复科,江苏南京210000

出　　处：《哈尔滨医药》2024年第2期122-125,共4页Harbin Medical Journal

摘　　要：目的探讨胸椎小关节紊乱患者应用子母补泻针刺法联合手法推拿治疗的临床效果。方法选取110例胸椎小关节紊乱患者,采用随机数表法将其分为手法推拿组和针刺联合推拿组,两组均纳入55例,手法推拿组患者采用手法推拿治疗,针刺联合推拿组患者采用子母补泻针刺法联合手法推拿治疗,两组患者均治疗1周。记录两组临床疗效、疼痛程度、关节活动度和生活质量。结果针刺联合推拿组治疗疗效为96.36%,手法推拿组为83.64%,差异有统计学意义(P<0.05)。治疗后,针刺联合推拿组疼痛分级指数(PRI)和现时疼痛强度(PPI)量表评分较手法推拿组低,差异有统计学意义(P<0.05)。针刺联合推拿组关节活动度较手法推拿组好,差异有统计学意义(P<0.05)。治疗后,针刺联合推拿组生活质量改善情况较手法推拿组好,差异有统计学意义(P<0.05)。结论子母补泻针刺法联合手法推拿治疗胸椎小关节紊乱具有较好疗效,可以改善患者关节活动度,降低疼痛水平,提高生活质量。Objective To investigate the clinical effect of acupuncture therapy in patients with thoracic facet joint disorders.Methods Selected 110 cases of thoracic small joint disorders,using random number table method will be divided into massage group and acupuncture combined massage group,both groups are included in 55 cases,technique massage group patients with massage treatment,acupuncture combined massage group patients with acupuncture combined massage treatment,two groups of patients are treated for 1 week.Clinical efficacy,pain level,joint mobility,and quality of life were recorded in both groups.Results The therapeutic effect of acupuncture was 96.36%and 83.64%,significant(P<0.05).After treatment,the pain grading index(PRI)and current pain intensity(PPI)scale in the acupuncture and massage group were lower compared with the manipulation group,showing a statistically significant difference(P<0.05).The joint mobility of acupuncture combined with massage group was better than that of the massage manipulation group,and the difference was statistically significant(P<0.05).After treatment,the quality of life of acupuncture combined with massage group improved better than the manipulation group,with a statistically significant difference(P<0.05).Conclusion The treatment of thoracic small joint disorder has a good effect,which can improve the joint mobility of patients,reduce the pain level and improve the quality of life.

关 键 词：胸椎小关节紊乱 子母补泻针 推拿治疗 

分 类 号：R687.4[医药卫生—骨科学]