针刺配合活化器整脊技术治疗腰椎小关节紊乱疗效观察

Therapeutic Observation of Acupuncture plus Activator Method Chiropractic Technique for Lumbar Facet Joint Disorders

目的观察针刺配合活化器整脊技术(activator method chiropractic technique,AMCT)治疗腰椎小关节紊乱的临床疗效。方法将40例腰椎小关节紊乱患者随机分为治疗组和对照组,每组20例。治疗组采用针刺配合AMCT治疗,对照组采用单纯AMCT治疗。治疗3次后观察两组治疗前后VAS评分及日本骨科协会评估治疗分数(JOA评分)变化情况,并比较两组临床疗效。结果两组治疗后即时及治疗3次后VAS评分和JOA评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后即时及治疗3次后VAS评分和JOA评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为90.0%,对照组为60.0%,两组比较差异有统计学意义(P<0.05)。治疗组治疗后3个月复发率为22.2%,对照组为50.0%,两组比较差异具有统计学意义(P<0.05)。结论针刺配合AMCT是一种治疗腰椎小关节紊乱的有效方法 。

Objective To observe the clinical efficacy of acupuncture plus activator method chiropractic technique （AMCT） in treating lumbar facet joint disorders. Method A total of 40 patients with lumbar facet joint disorders were randomized into a treatment group and a control group, 20 cases in each group. The treatment group was intervened by acupuncture plus AMCT, while the control group was treated with AMCT alone. The Visual Analogue Scale （VAS） and Japanese Orthopaedic Association （JOA） were observed in the two groups before and after 3 treatment sessions, and the clinical efficacies were compared between the two groups. Result The VAS score and JOA score were significantly changed right after the 1st treatment and after 3 treatment sessions in the two groups （P〈0.05）. Right after the 1st treatment and after 3 treatment sessions, there were statistically significant differences in the VAS score and JOA score between the two groups （P〈0.05）. The total effective rate was 90.0% in the treatment group versus 60.0% in the control group, and the difference was statistically significant （P〈0.05）. The relapse rate was 22.2% in the treatment group versus 50.0% in the control group 3 months after the treatment, and the difference was statistically significant （P〈0.05）. Conclusion Acupuncture plus AMCT is an effective approach in treating lumbar facet joint disorders.