CAJ | 학술논문

　　目的：探讨臭氧联合整脊手法治疗腰椎退行性骨关节病的临床疗效。方法：将120例腰椎退行性骨关节病患者随机分为治疗组和对照组各60例，治疗组采用臭氧注射联合整脊手法，对照组采用单纯整脊手法治疗。治疗前后采用疼痛视觉类比评分法（VAS）、指地距离（FFD）及改良日本骨科学会下腰痛评分（JOA）进行评定。结果：治疗4周后与治疗前相比较，治疗后两组疼痛视觉类比评分法（VAS）、FFD指标显著降低（P<0.05），JOA问卷记分显著升高（P<0.05）；与对照组比较，治疗组疼痛视觉类比评分法（VAS）、FFD指标显著降低（P<0.05），JOA问卷记分显著升高（P<0.05）；治疗后治疗组临床治疗总有效率高于对照组（P<0.05）。结论：臭氧注射联合整脊手法治疗腰椎退行性骨关节病临床疗效显著，优于单纯整脊手法治疗，值得临床推广应用。
　　목적：탐토취양연합정척수법치료요추퇴행성골관절병적림상료효。방법：장120례요추퇴행성골관절병환자수궤분위치료조화대조조각60례，치료조채용취양주사연합정척수법，대조조채용단순정척수법치료。치료전후채용동통시각류비평분법（VAS）、지지거리（FFD）급개량일본골과학회하요통평분（JOA）진행평정。결과：치료4주후여치료전상비교，치료후량조동통시각류비평분법（VAS）、FFD지표현저강저（P<0.05），JOA문권기분현저승고（P<0.05）；여대조조비교，치료조동통시각류비평분법（VAS）、FFD지표현저강저（P<0.05），JOA문권기분현저승고（P<0.05）；치료후치료조림상치료총유효솔고우대조조（P<0.05）。결론：취양주사연합정척수법치료요추퇴행성골관절병림상료효현저，우우단순정척수법치료，치득림상추엄응용。
Objective:To investigate the clinical efficacy of ozone combined with chiropractic manipulation in treating degenerative osteoarthritis of lumbar spine. Methods:120 cases of lumbar degenerative joint disease were randomly divided into the treated group and the control group, 60 cases in each group. The treated group was treated with injection of ozone combined with chiropractic manipulation, control group treated by chiropractic therapy. Before and after treatment by visual analogue score (VAS), refers to the distance (FFD) and modified Japanese department of orthopedics association low back pain score (JOA) assessment. Results: After 4 weeks of treatment, compared with before treatment, after treatment, 2 groups of visual analogue score (VAS), FFD index decreased significantly (P<0.05), JOA scale score was significantly increased (P<0.05); compared with the control group, the treated group visual analogue score (VAS), FFD index decreased significantly (P<0.05), JOA questionnaire score was significantly increased (P<0.05); after treatment, the clinical total efficiency was higher than that of the control group (P<0.05). Conclusion: The injection of ozone combined with chiropractic manipulation in the treatment of lumbar degenerative joint disease has remarkable clinical curative effect. The chiropractic manipulation is simple. It is worthy of clinical application.