手法整复胸腰椎后关节紊乱治疗腰背肌筋膜疼痛综合征

摘要

Objective To observe the clinical effect of the mainpulation of thoracolumbar facet joint disorder in treating back myofascial pain syndrome and its influence on the serum level of interleukin -1( IL - 1 ). Methods A total of 120 patients were randomly divided into treatment and control groups, the treatment group was treated by mainpulation and the control group was treated with oral Ibuprofen and Eperisone, the changes of clinical symptoms 、signs and the serum level IL - 1 were observed. Results The treatment group had obvious advantages in the total clinical effect, but not very different from the control group in lowering the serum level IL -1. Conclusion The thoracolumbar facet joint disorder is a major pathological change of back myofascial pain syndrome, and the mainpulation of thoracolumbar facet joint disorder has a good and lasting effect.%目的 观察手法整复胸腰椎后关节紊乱治疗腰背肌筋膜疼痛综合征的临床疗效及对血清白细胞介素(interleukin-1,IL-1)含量的影响.方法 患者120例,随机分成治疗组和对照组,分别采用手法整复胸腰椎后关节紊乱治疗和精氨酸布洛芬颗粒+乙哌立松片治疗,观察治疗前后临床症状、体征及血清IL-1含量的变化.结果 治疗组总疗效优于对照组(P＜0.01),在降低血清IL-1含量方面与对照组差异无统计学意义(P＞0.05).结论 胸腰椎后关节紊乱是腰背肌筋膜疼痛综合征一个重要病理改变,手法整复胸腰椎后关节紊乱在临床取得良好疗效且作用持久.