摘要
目的观察电针配合整骨手法治疗胸椎小关节紊乱的临床疗效。方法将60例胸椎小关节紊乱患者随机分为治疗组和对照组,每组30例。治疗组采用电针配合整骨手法进行治疗,对照组采用单纯整骨手法进行治疗。15 d为1个疗程,共治疗2个疗程。观察两组治疗前后疼痛分级指数评分(PRI)、视觉模拟量表评分(VAS)以及现有疼痛强度评分(PPI)的变化情况,并比较两组临床疗效。结果治疗组治愈率和总有效率分别为43.3%和90.0%,对照组分别为26.7%和73.3%,两组比较差异均具有统计学意义(P<0.05)。两组治疗后PRI评分、VAS评分和PPI评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后PRI评分、VAS评分和PPI评分与对照组比较,差异均具有统计学意义(P<0.05)。结论电针配合整骨手法是一种治疗胸椎小关节紊乱的有效方法。
Objective To investigate the clinical efficacy of electroacupuncture plus osteopathic manipulation in treating thoracic facet joint disorder.Methods Sixty patients with thoracic facet joint disorder were randomly allocated to treatment and control groups, 30 cases each. The treatment group received electroacupuncture plus osteopathic manipulation and the control group, osteopathic manipulation alone. Treatment was given 15 days as a course for a total of two courses. The pain rating index （PRI） score, the visual analogue scale （VAS） score and the Present Pain Intensity （PPI） scale score were recorded in the two groups before and after treatment. The clinical therapeutic effects were compared between the groups.Results The cure rate and the total efficacy rate were 43.3% and 90.0%, respectively, in the treatment group and 26.7% and 73.3%, respectively, in the control group; there were statistically significant differences between the two groups （P〈0.05）. There were statistically significant pre-/post- treatment differences in the PRI score, the VAS score and the PPI score in the two groups （P＆lt;0.05）. There were statistically significant post-treatment differences in the PRI score, the VAS score and the PPI score between the treatment and control groups （P＆lt;0.05）.Conclusion Electroacupuncture plus osteopathic manipulation is an effective way to treat thoracic facet joint disorder.
作者
孙方
SUN Fang(Zhejiang University of Traditional Chinese Medicine Third Hospital,Hangzhou 310005,China)
出处
《上海针灸杂志》
2017年第7期836-839,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
电针
胸椎小关节紊乱
胸椎小关节滑膜嵌顿
整骨手法
PRI评分
VAS评分
PPI评分
Electroacupuncture
Thoracic facet joint disorder
Thoracic facet synovial incarceration
Osteopathic manipulation
PRI score
VAS score
PPI score
