CAJ | 학술논문

目的：观察弯腰挺立法对腰骶关节紊乱性腰痛及活动度的影响。方法收集2009年3月至2012年5月望京医院、北京电力医院及北京丰盛医院门诊患者130例，均符合腰骶关节紊乱诊断标准，采用中央随机分组法将患者随机分为两组，治疗组63例采用弯腰挺立法手法治疗，对照组67例外用双氯芬酸二乙胺乳胶剂（扶他林）治疗。两组均连续治疗4次，于治疗后第1、3、5、7天记录观察腰痛评分及活动度。结果治疗组第1、2、3、4次复诊时VAS评分，腰椎前屈活动度疗效均明显优于对照组（t值分别为71.619、57.166、56.329、56.632，72.579、55.330、38.418、25.889，P＜0.01）。治疗组第1、2次复诊时腰椎后伸活动度、侧屈活动度与对照组同时段比较明显改善（t 值分别为26.372、22.092，13.418、16.373，P＜0.01）。结论弯腰挺立法治疗可明显改善腰骶关节紊乱性腰痛患者的临床症状及腰椎活动度，即刻疗效显著。
목적：관찰만요정입법대요저관절문란성요통급활동도적영향。방법수집2009년3월지2012년5월망경의원、북경전력의원급북경봉성의원문진환자130례，균부합요저관절문란진단표준，채용중앙수궤분조법장환자수궤분위량조，치료조63례채용만요정입법수법치료，대조조67예외용쌍록분산이을알유효제（부타림）치료。량조균련속치료4차，우치료후제1、3、5、7천기록관찰요통평분급활동도。결과치료조제1、2、3、4차복진시VAS평분，요추전굴활동도료효균명현우우대조조（t치분별위71.619、57.166、56.329、56.632，72.579、55.330、38.418、25.889，P＜0.01）。치료조제1、2차복진시요추후신활동도、측굴활동도여대조조동시단비교명현개선（t 치분별위26.372、22.092，13.418、16.373，P＜0.01）。결론만요정입법치료가명현개선요저관절문란성요통환자적림상증상급요추활동도，즉각료효현저。
Objective To observe the effect of Wanyao-Tingli manipulation in the treatment of instability of lumbosacral jioint causedto low back pain and activity. Methods From March 2009 to May 2012, 130 patients with Instability of Lumbosacral Joint were recruited and randomly divided into atreatment group(63 cases)and acontrol group(67 cases). The treatment group was given Wanyao-Tingli Manipulation, and the control group was received Votalin Futalin Cream. The therapeutic effect was observed in both groups after continuous treatment for 7 days, different time record of low back pain score and activity was observed after treatment at 1,3,5,7 days of metrics. Results After1, 2, 3, 4 times treatment, the VAS score of and treatment group VAS score, the efficacy of lumbar flexion activity of treatment group were significantly better than the control group (t=71.619, 57.166, 56.329, 56.632;72.579, 55.330, 38.418, 25.889, P<0.01);After 1, 2 times treatment, the treatment group lumbar extension activity and flexor activity of treatment group comparison with the control group significantly improved compare with the control group(t=26.372, 22.092, 13.418, 16.373, P<0.01). Conclusion Wanyao-Tingli Manipulation can significantly relieve improve low back pain and improve activity in the treatreatment ofing instability of lumbosacral joint with immediate significant effect.