针刺夹脊穴配合手法治疗胸椎小关节紊乱临床疗效观察

目的：观察针刺配合手法治疗胸椎小关节紊乱的临床疗效。方法：采用随机试验设计,将64例患者随机分为治疗组和对照组,每组均32例,治疗组为针刺配合手法治疗,对照组为单纯手法治疗,2天1次,3次为1疗程,共治疗6次,于治疗前后进行简化McGill量表评定。结果：治疗组治愈7例,好转22例,无效3例,总有效率为90.6%;对照组治愈7例,好转20例,无效5例,总有效率为84.4%,两组疗效比较具有统计学差异。简化McGill量表评定示：每组患者治疗后PRI、VAS和PPI均显著降低（P〈0.001）,治疗后,两组间PRI、VAS和PPI具有显著差异（P〈0.05）。结论：针刺配合手法治疗胸椎小关节紊乱有一定的治疗作用,较单纯手法效果显著。

Clinical Observation of Acupuncture Combined with Massage Manipulation on Treating Facet Joints Disorder

Objective： To observe the clinical effect of acupuncture combined with massage manipulation on treating facet joints disorder. Methods： 64 cases were randomly divided into the treatment group and the controlled group,each group was 32 cases. The treatment group was treated by acupuncture combined with massage manipulation,the controlled group was treated by simple massage manipulation as treatment group,2 days 1 time,3 times to be a period of treatment,total treatment 6 times, and in before and after treatment used McGill scale to evaluate. Results： After the treatment,7 cases was cured,22 cases was better,3 cases was invalid in the treatment group,the total effective rate was 90. 6%; 7 cases was cured,20 cases was better, 5 cases was invalid in the controlled group,the total effective rate was 84. 4%. McGill scale evaluation： After the treatment, the PRI,VAS and PPI of both groups of patients were significantly lower（ P 0. 001）,and the dropped degree had significant difference（ P 0. 05）. Conclusion： Acupuncture combined with massage manipulation for thoracic spinal with small joint disorders has a certain extent of therapeutic effect and is better than simple massage manipulation.