针刺夹脊穴配合推拿对腰椎后关节紊乱的疗效观察

目的:观察评价针刺夹脊穴配合推拿对腰椎后关节紊乱的临床治疗疗效。方法:选取2012年3月—2014年3月期间我院收治的80例腰椎后关节紊乱症为研究对象,将80例患者随即分为观察组和对照组各40例,对照组采用推拿法治疗,观察组在此基础上采用针刺夹脊穴配合推拿疗法,比较两组患者的临床疗效、临床症状控制时间和治疗时间及复发率。结果:治疗后观察组痊愈31例,有效6例,无效3例,治疗有效率为92.5%;对照组痊愈23例,有效7例,无效10例,治疗有效率为75.5%,组间比较差异具有统计学意义(P<0.05)。观察组患者的临床症状控制时间为(15.7±2.5)d,对照组为(23.2±2.1)d,组间比较差异具有统计学意义(P<0.05);观察组治疗时间为(16.3±1.5)d,对照组为(26.87±1.9)d,组间比较差异性显著(P<0.05)。观察组中有4例患者复发,复发率为10.0%,对照组中有13例复发,复发率为32.5%,观察组低于对照组,差异具有统计学意义(P<0.05)。结论:针刺夹脊穴配合推拿治疗腰椎后关节紊乱症与单纯手法治疗相比,可显著提高治疗有效率、缩短临床症状控制时间和治疗时间,同时有效预防疾病复发,具有显著的治疗优势。

Effect Observation of Acupuncture at Jiaji Points with Massage for Lumbar Posterior Joint Disorder

Objective：To observe chnical curative effect of acupuncture at Jiaji points with the massage on the lumbar posterior joint disorders. Methods ： During March 2012 to March 2014 in our hospital ,80 cases of lumbar posterior joint disorder were as the research object and were then divided into observation group and control group. 40 cases in the control group used massage treatment and observation group on the basis used the acupuncture at Jiaji points with massage therapy. We compared the clinical curative effect of two groups, clinical symptom control time and time of therapy and the recurrence rate. Results ： After treatment in observation group,31 cases were cured, 6 cases effective, 3 had no effect. The treatment effective rate was 92. 5%. In the control group,23 cases were cured, 7 cases effective, 10 cases invalid and the treatment effective rate was 75.5%. The difference between groups had statistical significance （P 〈 0. 05 ）. Observation group＇s clinical symptoms control time was （ 15.7±2. 5） d and the control group＇s was （ 23.2 ± 2. 1 ） d. The difference between groups had statistical significance （ P 〈 0. 05 ）. The observation group＇s time of therapy was（ 16. 3 ± 1.5） d and the control group＇s was （26. 87 ±1.9） d. The difference between two groups was significant （P 〈 0. 05）. 4 patients were recurrent in observation group and the recurrence rate was 10. 0%. The control group had 13 cases of recurrence and the recurrence rate was 32. 5%. The observation group＇s recurrence rate was lower than that of the control group with statistical significance （ P 〈 0. 05 ）. Conclusion ： Acupuncture at Jiaji points and massage therapy for lumbar posterior joint disorder can significantly improve the treatment efficiency, shorten the time of clinical symptom control and time of therapy and effectively prevent disease relapse compared with simple manipulation treatment. It has significant advantages.