针刺联合推拿手法治疗胸椎小关节紊乱的临床观察

摘要

目的：观察针刺联合推拿手法治疗胸椎小关节紊乱的临床疗效。方法：选取符合胸椎小关节紊乱诊断标准的患者93例，按就诊先后顺序随机分为观察组和对照组。观察组46例予以针刺联合推拿手法治疗，对照组47例予以单独推拿手法治疗。每日治疗1次，治疗3次后，以患者的症状及体征积分作为观察指标，进行临床疗效评价。结果：治疗后，两组患者8个症状或体征积分均与本组治疗前有统计学差异(均P＜0.01)；两组间评分差异亦均有统计学意义(均P＜0.05)。治疗3次后，观察组治愈率为54.4%，对照组为25.4%，两组治愈率差异有统计学意义(P＜0.05)。结论：针刺联合推拿手法治疗胸椎小关节紊乱疗效优于单独推拿手法治疗，值得临床推广。%Objective:To observe the clinical effect of acupuncture combined with tuina manipulation for thoracic facet joint disorder. Methods:A total of 93 eligible cases were randomly allocated into an observation group and a control group. Patients in the observation group (n=46) were treated with acupuncture combined with tuina manipulation, whereas patients in the control group (n=47) were treated with tuina manipulation alone. The treatment was done once a day, for a total of 3 times. Therapeutic efficacies were then evaluated according to scores on signs and symptoms. Results:After treatment, there were intra-group statistically significant differences in scores of eight signs and symptoms (all P<0.01); and the between-group differences were statistically significant in scores of eight signs and symptoms (all P<0.05). After three times of treatment, the recovery rate in the observation group was 54.4%, versus 25.4% in the control group, showing a statistical significance (P<0.05). Conclusion:Acupuncture combined with tuina manipulation can obtain better effects than tuina manipulation alone for thoracic facet joint disorder and is therefore worth further clinical application.