定点斜扳法治疗腰椎小关节紊乱的随机对照研究

目的] 通过严格设计的临床随机对照试验，观察定点斜扳法治疗腰椎小关节紊乱的临床疗效，为腰椎小关节紊乱的患者提供更为有效、成功率更高的治疗方法。方法] 将符合纳入标准的48例腰椎小关节紊乱患者随机分为试验组和对照组，每组各24例。试验组与对照组分别采用定点斜扳法和传统斜扳法两种治疗方法，比较两组患者治疗前后视觉模拟评分法（VAS）和腰椎活动度（ROM）评分、压痛值、红外热成像结果及临床疗效。结果] 治疗前两组在VAS和ROM评分、压痛值、温度方面比较，差异无统计学意义（P＞0.05）。治疗后，两组VAS和ROM评分、温度较治疗前下降，压痛值上升，试验组的改善幅度优于对照组（P＜0.01）。治疗后试验组临床有效率为92％，优于对照组的62％（P＜0.05）。结论] 与传统斜扳法相比，定点斜扳法力量集中，成功率高，可操作性强，能极大减轻患者腰部疼痛，改善腰部的活动度，对于治疗腰椎小关节紊乱具有更好的临床疗效，具有一定的临床推广应用价值。

Treatment of lumbar facet joint disorders by fixed-point obiliary manipulation:a randomized controlled study

Objective] Through a strictly designed clinical randomized controlled trial,the clinical efficacy of fixed-point oblique rotation method in the treatment of lumbar facet joint disorders was observed,so as to provide a more effective treatment method with a higher success rate for patients with lumbar facet joint disorders.Methods] The 48 patients with lumbar facet joint disorders meeting the inclusion criteria were randomly divided into experimental group and control group,with 24 cases in each group. The experimental group and the control group were treated with fixed point oblique pulling method and traditional oblique pulling method,respectively. The VAS and ROM scores,tenderness values,infrared thermal imaging results and clinical efficacy of the two groups were compared before and after treatment.Results] Before treatment,there were no significant differences in VAS and ROM scores, tenderness and temperature between the two groups(P<0.05). After treatment,VAS,ROM score and temperature of the two groups decreased compared with before treatment,and the tenderness value increased,and the decreasing range of the experimental group was better than that of the control group(P<0.01). After treatment,the clinical effective rate of the experimental group was 92%,better than that of the control group (62%,P<0.05).Conclusion] Compared with the traditional oblique pulling method,the fixed-point oblique pulling method has concentrated strength,high success rate,strong operability,can greatly reduce the patient''s lumbar pain,improve the lumbar mobility,has a better clinical effect for the treatment of lumbar facet joint disorders,has a certain value of clinical application.