| 摘要: |
| 目的：对比脊柱定点旋转复位法结合小针刀松解与单纯脊柱定点旋转手法治疗腰椎小关节紊乱症临床疗效。方法：采用匹配、配对设计方法研究，共纳入 78 例，其中脊柱定点旋转复位结合针刀松解 42 例（手法 + 针刀组），单纯脊柱定点旋转手法组 36 例（手法组），于治疗前后分别观察压痛值、ODI 评分及责任椎体病理性位移值的变化，并进行组间、组内比较统计学分析，从而评价两种治疗方法的临床疗效。结果：针刀 + 手法组总有效率（95.23%）、人均治疗次数（1.85次）优于单纯手法组（83.33%、2.77 次），差异具有统计学意义（P<0.05）；压痛值，ODI 评分及责任椎体病理性位移，两组治疗前后组内比较时，治疗后较治疗前均有显著改善（P<0.05），两组治疗后组间比较，手法加针刀组均显著优于单纯手法组，差异具有统计学意义（P<0.05）。结论：手法加针刀组在缓解腰部疼痛，改善责任椎体位移，改善腰椎功能方面效优于单纯手法组，且可明显缩短治疗周期。 |
| 关键词: 腰椎小关节紊乱症 脊柱定点旋转复位手法 小针刀松解 |
| DOI：10.3969/j.issn.1007-6948.2019.06.029 |
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| 基金项目: |
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| Clinical Effect Analysis on Spinal Fixed Point Rotation Reduction Combined with Needle-knife Release in Treatment of Lumbar Facet Joint Disorders |
| HE Zhi-liang,Wang De-cheng,ZHANG Hui |
| Rehabilitation Department, Beijing DCN Orthopacdic Hospital, Beijing (100049), China |
| Abstract: |
| Objective To compare the clinical effects of two treatment methods for lumbar facet joint disorders, spinal fixed point rotation reduction combined with small needle-knife release and single spinal fixed point rotation. Methods Totally 78 patents were divided into 2 groups according to the study of matching and matching design method, such as group of spinal fixed point rotation reduction combined with small needleknife release (manipulative+needle-knife therapies group, n=42) and group of single spinal fixed point rotation (manipulative therapies group, n=36), respectively, which aimed to compare the changes in the values of tenderness, ODI and pathological displacement of the responsible vertebral body before and after treatment, meanwhile conduct to statistical analysis between groups and within groups. Results The total effective rate (95.23%) and treatment times per capita (1.85 times) of manipulative+needle-knife therapies group were significantly improved compared with the total effective rate (83.33%) and treatment times per capita (2.77 times) of the manipulative therapies group (P<0.05). The values of tenderness, ODI score and responsible vertebral pathological displacement were significantly improved after treatment between the two groups compared with those before treatment (P<0.05). After treatment, the manipulative+needle-knife therapies group was significantly superior to the manipulative therapies group (P<0.05). Conclusion The manipulative+needle-knife therapies group was more effective than the manipulative therapies group in relieving lumbar pain, improving responsible vertebral position and improving lumbar function, and the treatment cycle was significantly shortened. |
| Key words: Lumbar facet joint disorders spinal fixed point rotation reduction needle-knife release |
