CAJ | 학술논문

目的：观察针灸配合掌按脊柱复位手法治疗产后胸椎小关节紊乱的临床疗效。方法将40例产后胸椎小关节紊乱患者随机分为治疗组和对照组,每组20例。治疗组采用针灸配合掌按脊柱复位手法治疗,对照组采用单纯针灸治疗。两组患者治疗前后分别采用数字疼痛评分(NRC)量表、Oswestry量表及生活质量评分量表进行评分,比较两组临床疗效。结果治疗组总有效率为95.0%,对照组为75.0%,两组比较差异具有统计学意义(P＜0.05)。治疗组治疗后NRC及ODI评分与同组治疗前比较,差异均具有统计学意义(P＜0.01)。对照组治疗后NRC评分与同组治疗前比较,差异具有统计学意义(P＜0.01)。治疗组治疗后NRC及ODI评分与对照组比较,差异均具有统计学意义((P＜0.01,P＜0.05)。治疗组治疗后SF-36量表中PF、RP、BP、VT、SF及MH评分与同组治疗前比较,差异均具有统计学意义(P＜0.01,P＜0.05)。对照组治疗后SF-36量表中PF、BP、SF及MH评分与同组治疗前比较,差异均具有统计学意义(P＜0.01,P＜0.05)。结论针灸配合掌按脊柱复位手法是一种治疗产后胸椎小关节紊乱的有效方法。
목적：관찰침구배합장안척주복위수법치료산후흉추소관절문란적림상료효。방법장40례산후흉추소관절문란환자수궤분위치료조화대조조,매조20례。치료조채용침구배합장안척주복위수법치료,대조조채용단순침구치료。량조환자치료전후분별채용수자동통평분(NRC)량표、Oswestry량표급생활질량평분량표진행평분,비교량조림상료효。결과치료조총유효솔위95.0%,대조조위75.0%,량조비교차이구유통계학의의(P＜0.05)。치료조치료후NRC급ODI평분여동조치료전비교,차이균구유통계학의의(P＜0.01)。대조조치료후NRC평분여동조치료전비교,차이구유통계학의의(P＜0.01)。치료조치료후NRC급ODI평분여대조조비교,차이균구유통계학의의((P＜0.01,P＜0.05)。치료조치료후SF-36량표중PF、RP、BP、VT、SF급MH평분여동조치료전비교,차이균구유통계학의의(P＜0.01,P＜0.05)。대조조치료후SF-36량표중PF、BP、SF급MH평분여동조치료전비교,차이균구유통계학의의(P＜0.01,P＜0.05)。결론침구배합장안척주복위수법시일충치료산후흉추소관절문란적유효방법。
Objective To investigate the clinical efficacy of warm needling plus palm pressing spine reduction technique in treating postpartum thoracic facet joint disorder.Methods Forty patients with postpartum thoracic facet joint disorder were randomly allocated to treatment and control groups, 20 cases each. The treatment group received warm needling plus palm pressing spine reduction technique and the control group, warm needling alone. The numeric pain rating scale (NPRS) score, the Oswestry Disability Index (ODI) score and the Quality of Life Scale score were recorded in the two groups before and after treatment and the clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 95.0% in the treatment group and 75.0% in the control group; there was a statistically significant difference between the two groups (P<0.01). There were statistically significant pre-/post-treatment differences in the NPRS score and the ODI score in the treatment group (P<0.01). There was a statistically significant pre-/post-treatment difference in the NPRS score in the control group (P<0.01). There were statistically significant post-treatment differences in the NPRS score and the ODI score between the treatment and control groups (P<0.01,P<0.05). There were statistically significant pre-/post-treatment differences in the SF-36 PF, RP, BP, VT, SF and MH scores in the treatment group (P<0.01,P<0.05). There were statistically significant pre-/post-treatment differences in the SF-36 PF BP, SF and MH scores in the control group (P<0.01,P<0.05).Conclusion Warm needling plus palm pressing spine reduction technique is an effective way to treat postpartum thoracic facet joint disorder.