电针合手法复位药物注射治疗腰椎小关节综合征的临床观察

Clinical study of EA co-Manipulation and drug injection on lumbar facet joint syndromes

目的观察电针、手法复位、药物注射治疗腰椎小关节综合征的临床疗效。方法选取确诊患者156例,将其随机分为治疗组及对照组,每组各78例。治疗组予药物注射、电针、手法复位治疗,对照组予药物注射治疗。2组患者分别于治疗前、治疗结束时及治疗后3个月时采用Visual Analogue Scale(VAS)疼痛评分及Schober指数评定;同时对2组患者治疗结束时及3个月后的疗效进行观察。结果 2组患者治疗结束时、治疗后3月VAS疼痛评分较治疗前均明显下降(P<0.01,P<0.05),且治疗结束时、治疗后3月时,治疗组VAS评分显著低于对照组(P<0.05,P<0.01);治疗组Schober指数评定显著高于对照组(P<0.05,P<0.01),且治疗组疗效明显高于对照组(P<0.05,P<0.01)。结论药物注射、电针及手法复位的综合疗法与药物注射治疗腰椎小关节综合征比较,具有更好的缓解疼痛、改善腰部活动功能及提高临床疗效等优点,值得临床进一步推广应用。

Objective To observe the clinical effect of EA, pharmaceutics injection and manipulative reduction for lumbar facet joint syndrome. Methods 156 patients with lumbar facet joint syndromes were randomly divided into treatment group and control group, 78 patients per group. The patients in the treatment group were treated with pharmaceutics injection, EA and manipulative reduction and in the control group with pharmaceutics injection only. All patients were assessed using the Visual Analog Scale（VAS） and Schober values before and after treatment, and 3 months later, and the therapeutic effects were assessed after treatment and 3 months later. Results VAS scores of all patients in two groups after treatment and 3 months later were remarkably lower than before treatment （P 〈0.01 and P 〈0.05 respectively）. Compared with control group, VAS scores of patients in treatment group were significantly decreased after treatment and 3 months later （P〈0.05 and P〈0.01 respectively）, and the Schober values in treatment group after treatment and 3 months later were obviously increased（P〈0.05, P〈0.01, respectively）, while the therapeutic effects in the treatment group were better than those in control group（P〈0.05 and P〈0.01 respectively）. Conclusion The therapy combined pharmaceutics injection, EA with manipulative reduction is more effective to improve activity function, ef-fectively relieve pain and enhance with pharmaceutics injection only.