摘要
目的:观察规范手法治疗第三腰椎横突综合征的临床疗效。方法:应用多中心、随机对照的方法纳入114例第三腰椎横突综合征患者,治疗组77例,对照组37例。治疗组采用规范手法配合功能锻炼治疗,对照组采用调制中频理疗仪配合功能锻炼治疗。分别于治疗前和第1次治疗后第14天对所有患者行JOA腰痛疾患评分和视觉模拟疼痛评分,计算治疗前后评分差值。并以JOA评分计算改善率进行总体疗效评定。结果:①治疗组治疗前后视觉模拟疼痛评分及JOA评分差值大于对照组(t=3.400,P=0.001;t=5.639,P=0.000)。②治疗组疗效优于对照组(Z=-6.895,P=0.000)。结论:规范手法治疗第三腰椎横突综合征的疗效优于调制中频理疗仪治疗,是治疗第三腰椎横突综合征的有效方法,值得临床学习与推广应用。
Objective：To observe the clinical curative effects of normalized manipulations in the treatment of the third lumbar vertebrae syndrome.Methods：One hundred and fourteen patients with the third lumbar vertebrae syndrome were included into the multicentric randomized control trial.Seventy-seven patients in the treatment group were administrated with normalized manipulations combined with functional exercise,while the others in the control group were administrated with modulated medium frequency physiotherapeutic instrument combined with functional exercise.Japanese orthopaedic association（JOA）scores of waist disorders and visual analogue scores（VAS）of the patients were evaluated before the treatment and the fourth day after the first trearment respectively,and the results were used to calculate the score differences before and after the treatment.The total curative effects were evaluated according to the improvement rate of JOA scores.Results：①JOA score differences and VAS score differences before and after the treatment of treatment group were higher than those of control group respectively（t=3.400,P=0.001;t=5.639,P=0.000）.②The curative effects of treatment group were better than those of control group（Z=-6.895,P=0.000）.Conclusion：Normalized manipulations,whose curative effects are better than those of modulated medium frequency physiotherapeutic instrument,is an effective method in the treatment of the third lumbar vertebrae syndrome,and it is worth popularizing in the clinic study and application.
出处
《中医正骨》
2011年第6期3-5,共3页
The Journal of Traditional Chinese Orthopedics and Traumatology
基金
国家中医药管理局中医特色诊疗技术项目(2009ZLJS03)
关键词
第三腰椎横突综合征
肌肉骨骼手法
治疗
临床研究性
3 rd lumbar vertebrae syndrome
Musculoskeletal manipulations
Therapies
investigational
