[1]胡滟琦 刘洋 张世民 刘劲松 王朝鲁 李锐 张琰朕 杨灿 邱佳明 毛舒石 张兆杰△.疏筋整复手法治疗寰枢关节紊乱症的中期疗效[J].中国中医骨伤科杂志,2025,33(09):9-16.[doi:10.20085/j.cnki.issn1005-0205.250902]
　HU Yanqi LIU Yang ZHANG Shimin LIU Jinsong WANG Chaolu LI Rui ZHANG Yanzhen YANG Can QIU Jiaming MAO Shushi ZHANG Zhaojie.The Mid-Term Efficacy of Treatment of Atlantoaxial Joint Dysfunction Syndrome by Shujin Reconstruction Manipulation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(09):9-16.[doi:10.20085/j.cnki.issn1005-0205.250902]
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疏筋整复手法治疗寰枢关节紊乱症的中期疗效()

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

卷:
第33卷
期数:
2025年09期
页码:
9-16
栏目:
临床研究
出版日期:
2025-09-15

文章信息/Info

Title:
The Mid-Term Efficacy of Treatment of Atlantoaxial Joint Dysfunction Syndrome by Shujin Reconstruction Manipulation
文章编号:
1005-0205(2025)09-0009-08
作者:
胡滟琦1 刘洋2 张世民1 刘劲松1 王朝鲁1 李锐1 张琰朕1 杨灿1 邱佳明1 毛舒石1 张兆杰1△
1中国中医科学院望京医院(北京,100102)
2北京中医药大学东方医院
Author(s):
HU Yanqi1 LIU Yang2 ZHANG Shimin1 LIU Jinsong1 WANG Chaolu1 LI Rui1 ZHANG Yanzhen1 YANG Can1 QIU Jiaming1 MAO Shushi1 ZHANG Zhaojie1△
1Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China; 2Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China.
关键词:
寰枢关节紊乱症;  筋出槽骨错缝;  疏筋整复手法;  CT影像学检查;  随机对照试验
Keywords:
atlantoaxial joint dysfunction syndrome;  tendon off-position and joint subluxation;  Shujin reconstructionmanipulation;  CT imaging examination;  randomized controlled trial
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250902
文献标志码:
A
摘要:
目的:探讨基于“筋束骨”理论的疏筋整复手法治疗寰枢关节紊乱症(AADS)的中期疗效。方法:选取2022年4月至2024年5月就诊的寰枢关节紊乱症患者180例,随机分为疏筋整复组、疏筋组和常规组,予相应手法治疗2周,3次/周。于治疗前、治疗14 d后、治疗结束后第3个月记录患者眩晕和枕颈部疼痛视觉模拟量表(VAS)评分、颈性眩晕症状与功能评估量表(ESCV)评分及影像学检查数据。结果:治疗后,疏筋整复组VAS评分、ESCV评分和齿突侧块间距差值(VBLADS)、寰枢椎相对旋转角度(RAAD)改善均优于疏筋组,差异有统计学意义(P<0.05); 疏筋组优于常规组,差异有统计学意义(P<0.05)。随访时,疏筋整复组VAS评分、ESCV评分优于疏筋组,差异有统计学意义(P<0.05); 疏筋组各观察指标均优于常规组,差异有统计学意义(P<0.05)。结论:疏筋整复手法和疏筋手法均能显著改善寰枢关节紊乱症患者临床症状,恢复寰枢关节正常生理结构,疗效优于常规手法。从中期角度观察,疏筋整复手法预后优于其他两组。然而影像学检查提示,随访时患者“骨错缝”程度仍在缓慢进展,长期不良生活习惯下有复发的可能。
Abstract:
Objective:To investigate the mid-term efficacy of Shujin reconstruction manipulation based on the theory of “tendon bundle bone” in the treatment of atlantoaxial joint dysfunction syndrome(AADS).Methods:A total of 180 patients with AADS who were treated from April 2022 to May 2024 were randomly divided into Shujin reconstruction group,Shujin group and conventional group.The patients were treated with the corresponding manipulation for 2 weeks,3 times a week.Before treatment,on the 14th day of treatment and after treatment,the visual analogue scale(VAS)scores of vertigo and occipitocervical pain,evaluation scale for cervical vertigo(ESCV)and imaging data were recorded at 3 months.Results:After treatment,VAS scores,ESCV scores,variance of bilateral the lateral atlanto-dental space(VBLADS)and rotating angle of atlas on dentate(RAAD)were recorded.The improvement was better in the Shujin reconstruction group than in the Shujin group(P<0.05).The results in the Shujin group were better than those in the conventional group(P<0.05).At follow-up,VAS scores and ESCV scores in the Shujin reconstruction group were better than those in the Shujin group(P<0.05).The observation indexes in the Shujin group were better than those in the conventional group(P<0.05).Conclusion:Both Shujin reconstruction manipulation and Shujin manipulation can significantly improve the clinical symptoms of AADS patients and restore the normal physiological structure of atlantoaxial joint,and the curative effect is better than the conventional manipulation.From the mid-term perspective,the prognosis of the Shujin reconstruction technique is better than the other two groups.However,imaging suggest that the degree of “bone malocclusion” is still slowly progressing during follow-up,and there was the possibility of recurrence under long-term bad living habits.

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(收稿日期:2025-04-01)

备注/Memo

备注/Memo:
基金项目:中国中医科学院科技创新工程项目(CI2021A02007)
中国中医科学院望京医院高水平中医医院建设项目“名老医药专家学术经验传承”项目(WJCC-202314)
△通信作者 E-mail:zhangzhaojie2010@163.com
更新日期/Last Update: 2025-09-15