摘要
Objective： To observe the clinical effects of acupuncture at Jiaji （EX-B 2） points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder. Methods： Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji （EX-B 2） points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments. Results： After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups （P〈0.01}; the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference （P〈0.05）. The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups （P〈0.05）. Conclusion： In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.
目的:观察针刺夹脊穴联合推拿整复手法治疗胸椎小关节紊乱的临床疗效,为本病的针灸治疗提供新的临床证据。方法:将106例符合纳入标准的胸椎小关节紊乱患者按随机数字表随机分为观察组和对照组。对照组予以单纯的推拿整复手法治疗,观察组在对照组推拿整复手法前予以针刺夹脊穴治疗。两组均每日1次治疗3次后观察症状、体征的改善情况及疗效。结果:治疗后,两组患者8个症状、体征积分均与本组治疗前均有统计学差异(P<0.01);观察组患者的各个症状、体征积分均明显低于对照组,组间差异均有统计学意义(P<0.05)。观察组治愈率为50.9%,对照组为26.4%,两组治愈率差异有统计学意义(P<0.05)。结论:针刺联合手法整复治疗胸椎小关节紊乱能使胸椎重新达到生物力学平衡,充分发挥针灸推拿的联合作用,显著地提高临床疗效。
