[1]殷京,高怀威,王红东,等.整脊调曲牵引治疗青少年特发性脊柱侧弯症的临床研究[J].中国中医骨伤科杂志,2024,32(10):40-44.[doi:10.20085/j.cnki.issn1005-0205.241007]
　YIN Jing,GAO Huaiwei,WANG Hongdong,et al.Clinical Study for Chiropractic Traction on the Treatment of Patients with Adolescent Idiopathic Scoliosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(10):40-44.[doi:10.20085/j.cnki.issn1005-0205.241007]
点击复制

整脊调曲牵引治疗青少年特发性脊柱侧弯症的临床研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年10期
页码:
40-44
栏目:
临床研究
出版日期:
2024-10-15

文章信息/Info

Title:
Clinical Study for Chiropractic Traction on the Treatment of Patients with Adolescent Idiopathic Scoliosis
文章编号:
1005-0205(2024)10-0040-05
作者:
殷京1; 高怀威1; 王红东1; 赵宝力1; 池春丽1; 宋秋梅1; 李俊杰1△
1首都医科大学电力教学医院(北京,100073)
Author(s):
YIN Jing1; GAO Huaiwei1; WANG Hongdong1; ZHAO Baoli1; CHI Chunli1; SONG Qiumei1; LI Junjie1△
1Electric Power Teaching Hospital of Capital Medical University,Beijing 100073,China.
关键词:
整脊调曲牵引;  手法;  功能锻炼;  青少年特发性脊柱侧弯症;  随机对照研究
Keywords:
chiropractic traction;  manipulation;  exercise;  adolescent idiopathic scoliosis;  randomized controlled trial
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.241007
文献标志码:
A
摘要:
目的:观察整脊调曲牵引法联合手法治疗青少年特发性脊柱侧弯症的疗效。方法:选取青少年特发性脊柱侧弯症患者60例,随机分为观察组和对照组,每组各30例。所有患者均采用手法及锻炼的方法治疗,观察组患者联合整脊调曲牵引治疗,对照组患者联合骨盆牵引治疗。比较两组患者治疗前后的疗效、Cobb角、腰背部引发压痛值、Oswestry功能障碍指数(ODI)评分变化及组间差异。结果:治疗结束后,观察组有效率优于对照组,差异有统计学意义(P<0.05),观察组治愈率同样优于对照组,差异无统计学意义(P>0.05); 观察组腰背部疼痛引发值、Cobb角、ODI评分指标均较对照组显著改善,差异有统计学意义(P<0.05); 治疗全过程患者均无严重不良反应发生。结论:整脊调曲牵引联合手法及锻炼治疗青少年特发性脊柱侧弯症能减轻患者腰背部疼痛,矫正脊柱侧弯程度并改善患者生活质量。
Abstract:
Objective:To observe the efficacy of chiropractic traction combined with manipulation on the treatment of patients with adolescent idiopathic scoliosis.Methods:A total of 60 adolescent idiopathic scoliosis patients were selected and randomly divided into observation group and control group,30 cases in each group.All patients were treated with manipulation and exercise.The curative efficacy,Cobb angle,low back induced tenderness value,Oswestry disability index(ODI)score before and after treatment were compared between the two groups.Results:After treatment,the effective rate of the observation group was better than that of the control group,the difference was statistically significant(P<0.05),the cure rate of the observation group was also better than that of the control group,the difference was not statistically significant(P>0.05).The lower back pain trigger value,Cobb angle and ODI score of the observation group were significantly improved than those of the control group,and the differences were statistically significant(P<0.05).No serious adverse reactions occurred during the whole treatment process.Conclusion:Chiropractic traction combined with manipulation and exercise on the treatment of patients with adolescent idiopathic scoliosis can reduce the pain of lower back,correct the degree of scoliosis and improve the quality of life.

参考文献/References:

[1] WEINSTEIN S L,DOLAN L A,CHENG J C Y,et al.Adolescent idiopathic scoliosis[J].Lancet,2008,371(9623):1527-1537.
[2] ALZAKRI A,ALMUHID F,ALMOUSA N,et al.Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis[J].J Orthop Surg Res,2023,18(1):450.
[3] YILMAZ H,ZATERI C,KUSVURAN OZKAN A,et al.Prevalence of adolescent idiopathic scoliosis in Turkey:an epidemiological study[J].Spine J,2020,20(6):947-955.
[4] 朱安琪,吕强,苗振,等.非手术方法治疗青少年特发性脊柱侧弯研究进展[J].河北中医,2020,42(4):622-625.
[5] 韦以宗,王秀光,刘明军,等.中医整脊科正脊调曲法操作规范的标准[J].中华中医药杂志,2010,25(11):1832-1836.
[6] 米雪,都修波,张建奎,等.疏通正脊术治疗青少年特发性脊柱侧弯25例临床观察[J].中医儿科杂志,2024,20(2):62-66.
[7] 殷京,赵宝力,王红东等.基于中医整脊理论探讨青少年特发性脊柱侧弯症治则治法[J].中国民间疗法,2023,31(18):1-4.
[8] 中华中医药学会.中医整脊常见病诊疗指南[M].北京:中国中医药出版社,2012.
[9] 吴谦.医宗金鉴[M].北京:中国中医药出版社,1994:635.
[10] 中华医学会骨科学分会脊柱外科学组.中国青少年脊柱侧凸筛查临床实践指南及路径指引[J].中华骨科杂志,2020,40(23):1574-1582.
[11] 姚泉丞,蓝常贡.青少年特发性脊柱侧弯易感性与相关基因多态性研究进展[J].中华实用诊断与治疗杂志,2020,8(10):855-857.
[12] 韦以宗.中医整脊学[M].北京:中国中医药出版社,2016:279.
[13] 韦以宗.脊柱轮廓应力平行四边形平衡原理探讨[J].中国中医骨伤科杂志,2003,11(4):1-7.
[14] 张浩阳,陈妮桑,石国庆,等.青少年特发性脊柱侧弯胸腰椎生理曲度的影像学研究[J].中国骨伤,2024,37(1):26-32.
[15] 顾云伍,韩慧,韦以宗,等.牵引斜扳整脊法治疗腰椎间盘突出症的力学测试[J].中国中医骨伤科杂志,2004,12(1):13-16.
[16] 张建华,王展.倒悬牵引配合整脊治疗轻度青少年脊柱侧弯40例[J].光明中医,2013,28(7):1408-1410.
[17] 谢云兴,吕立江,陈涯峰,等.吕立江教授治疗青少年特发性脊柱侧弯经验[J].浙江中医药大学学报,2017,41(3):243-245.
[18] 王旭,张盛强.“四维牵引”配合理筋整脊手法治疗青少年脊柱侧弯的临床效果分析[J].临床医学工程,2019,26(9):1197-1198.
[19] 王明,刘书培,胡晓启,等.康复治疗结合矫形器在青少年脊柱侧弯中的应用23例[J].中国中医骨伤科杂志,2019,27(10):31-34.
[20] 谢素梅,杨鑫,许佳丽,等.基于Cite Space的青少年脊柱侧弯康复治疗的可视化分析[J].医学信息,2024,37(1):88-94.
[21] 施剑雄,初同伟.青少年特发性脊柱侧凸测评量表研究现状与进展[J].中华骨与关节杂志,2017,6(1):43-46.

备注/Memo

备注/Memo:
基金项目:中央级公益性科研院所基本科研业务费资助项目(ZZ-15-XY-PT-12)
首都医科大学电力教学医院科技项目(Y2021006)
△通信作者 E-mail:dlyyljj@163.com
更新日期/Last Update: 2024-10-05