摘要
目的观察热敏灸配合手法复位治疗胸椎小关节紊乱症的临床疗效,探索一种新的组合疗法。方法采用单盲、随机、对照研究方法,将符合条件的82例患者随机分为两组,观察组42例,给予热敏灸配合手法复位治疗;对照组40例,给予TDP配合手法复位治疗。两组均每星期治疗5次,5次为1个疗程,共治疗2个疗程(包括不足2个疗程痊愈者)。采用国际公认的简化麦吉尔疼痛量表为观察指标,比较治疗前后疼痛评定指数(PRI)、视觉模拟评分(VAS)和现时疼痛强度(PPI)的积分变化,并参照《中医病证诊断疗效标准》来评价疗效。结果两组治疗后PRI、VAS、PPI积分均有显著降低(P<0.01);观察组治疗后PRI、VAS、PPI积分都低于对照组(P<0.01);观察组治愈率为57.1%(24/42),明显高于对照组的27.5%(11/40,P<0.01);观察组总有效率为95.2%(40/42),明显高于对照组的80.0%(32/40,P<0.01)。结论热敏灸配合手法复位对胸椎小关节紊乱症有很好的疗效,明显优于对照组。
Objective To investigate the clinical efficacy of heat-sensitive point moxibustion plus manipulative reduction in treating thoracic facet joint disorder. Method A single-blind randomized controlled trial was carded out. Eighty-two patients meeting the criteria were randomly allocated to an observation group of 42 cases and a control group of 40 cases. The observation group received heat-sensitive point moxibustion plus manipulative reduction and the control group, TDP plus manipulative reduction. Both groups were treated five times a week, five times as a course for a total of two courses （including the patients cured after less than two courses）. The therapeutic effects were evaluated by using the McGill Pain Questionnaire the as the observation index, comparing pre-/post-treatment Pain Rating Index （PRI） scores, Visual Analogous Scale （VAS） scores and Present Pain Intensity （PPI） scores and referring to the Criteria of the Diagnosis of and the Therapeutic Effect on Syndromes in Traditional Chinese Medicine. Result After treatment, the PRI, VAS and PPI scores decreased significantly in both groups （P〈 0.01） and were lower in the observation group than in the control group （P〈0.01）. The cure rate was 57.1% （24/42） in the observation group, which was significantly higher than 27.5% in the control group （11/40,P〈0.01）. The total efficacy rate was 95.2% （40/42） in the observation group, which was significantly higher than 80.0% in the control group （32/40,P〈0.01）. Conclusion Heat-sensitive point moxibustion plus manipulative reduction has a very good therapeutic effect on thoracic facet joint disorder. The effect is significantly better than that in the control group.
出处
《上海针灸杂志》
2015年第6期565-567,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
胸椎小关节紊乱
灸法
热敏灸
推拿
手法复位
Thoracic facet joint disorder
Moxibustion
Heat-sensitive point moxibustion
Massotherapy
Manipulative reduction
