推拿治疗棘上韧带劳损

目前临床多以单纯痛点阻滞治疗棘上韧带劳损,但较易复发,起效缓慢。应用痛点阻滞同时合用推拿的方法共治疗棘上韧带损伤80例,78例患者经两三次阻滞及6～9次推拿疗效达优良标准。

定向浮刺加短刺治疗棘上韧带劳损临床观察

目的:观察定向浮刺加短刺的毫针刺法治疗棘上韧带劳损的疗效。方法:用定向浮刺加短刺的毫针刺法治疗棘上韧带劳损98例,配合适当的运动,每日1次,7次为1疗程。结果:经2个疗程治疗后,痊愈68例,显效12例,有效13例,无效5例,有效率94.90%。结论:定向浮刺加短刺治疗棘上韧带劳损是具有良好疗效的非药物疗法。

针刀治疗棘上韧带劳损疗效观察

比较运用小针刀加封闭与针刺法治疗棘上韧带劳损的临床疗效。将 14 6例棘上韧带劳损患者 ,随机分针刀组、针刺组。结果 ,针刀组与针刺组经统计学处理 ,P<0 .0 0 5,有非常显著性差异。提示小针刀加封闭治疗棘上韧带劳损疗程短、见效快、治愈率高。

棘上韧带劳损治疗的探讨(附48例报告)

慢性棘上韧带损伤是腰背部疼痛的常见原因之一，至目前为止，尚无很好的治疗方法，笔者自1988年10～1990年11月，收治两组(A组和B组)慢性棘上韧带劳损病人48例．分别以醋酸确炎舒松加普鲁卡因和服用消炎止痛类药物两种方法治疗，现小结如下。

针刀减压术配合曲安奈德混悬液治疗棘上韧带劳损临床观察

目的:观察针刀减压术配合曲安奈德混悬液治疗棘上韧带损伤的效果。方法:72例分为3组。针刀治疗组用针刀及曲安奈德混悬液治疗,封闭治疗组用曲安奈德混悬液治疗,针刺治疗组用针刺治疗。结果:针刀治疗组近期及远期疗效均优于其他两组(P<0.05)。结论:针刀减压术配合曲安奈德混悬液治疗棘上韧带劳损疗效较好。

火针治疗棘上、棘间韧带劳损57例

笔者自2000年开始运用火针治疗棘上、棘间韧带劳损,取得满意疗效.现将临床体会报告如下. 1临床资料 本组57例中,男24例,女33例;年龄28～53岁;病程2个月～7年;慢性劳损者36例,急性损伤后遗症者21例.

腰椎滑脱三问答

一问：腰椎滑脱能不能推拿和牵引？答：可推拿和牵引治疗，因为此病常常伴发腰椎间盘突出症、后关节紊乱症、棘上韧带劳损等，治疗原则与复位手法和腰椎间盘突出症、后关节紊乱症基本相同。手法治疗后还可嘱患者进行弯腰压腹以及仰卧起坐等锻炼。但是，推拿（如使用推扳手法等）和牵引如不当，会使滑脱进一步加重，甚至会“散架”，造成严重后果。所以，推拿和牵引应慎之又慎。

Observation of therapeutic effects on supraspinal ligament impairment treated with fire needling

Objective To compare the therapeutic effect of fire needling with that of medication on supraspinal ligament impairment. Methods One hundred and sixty cases were randomly divided into 2 groups. Of which, in fire needling group （80 cases）, fire needling was applied and Ashi points （choosing the spinous processes of the affected vertebras as the central points） were selected. In western medicine group （80 cases）, medication was applied with Nabumetone capsules for oral administration. Two groups were treated for 2 courses and the therapeutic effects were evaluated 4 weeks after the treat- ment. Results The total effective rate was 96.3% in the fire needling group and 67.5% in the western medicine group, indicating a significant difference in comparison of the 2 groups （P〈0.05）. Conclusion The therapeutic effect of fire needling is much superior to that of medication therapy on supraspinal ligament impairment.