摘要
Objective： To observe the clinical effect of acupuncture combined with tuina manipulation for thoracic facet joint disorder. Methods： A total of 93 eligible cases were randomly allocated into an observation group and a control group. Patients in the observation group （n=46） were treated with acupuncture combined with tuina manipulation, whereas patients in the control group （n=47） were treated with tuina manipulation alone. The treatment was done once a day, for a total of 3 times. Therapeutic efficacies were then evaluated according to scores on signs and symptoms. Results： After treatment, there were intra-group statistically significant differences in scores of eight signs and symptoms （all P〈0.01）; and the between-group differences were statistically significant in scores of eight signs and symptoms （all P〈0.05）. After three times of treatment, the recovery rate in the observation group was 54.4%, versus 25.4% in the control group, showing a statistical significance （P〈0.05）. Conclusion： Acupuncture combined with tuina manipulation can obtain better effects than tuina manipulation alone for thoracic facet joint disorder and is therefore worth further clinical application.
目的:观察针刺联合推拿手法治疗胸椎小关节紊乱的临床疗效。方法:选取符合胸椎小关节紊乱诊断标准的患者93例,按就诊先后顺序随机分为观察组和对照组。观察组46例予以针刺联合推拿手法治疗,对照组47例予以单独推拿手法治疗。每日治疗1次,治疗3次后,以患者的症状及体征积分作为观察指标,进行临床疗效评价。结果:治疗后,两组患者8个症状或体征积分均与本组治疗前有统计学差异(均P<0.01);两组间评分差异亦均有统计学意义(均P<0.05)。治疗3次后,观察组治愈率为54.4%,对照组为25.4%,两组治愈率差异有统计学意义(P<0.05)。结论:针刺联合推拿手法治疗胸椎小关节紊乱疗效优于单独推拿手法治疗,值得临床推广。
