[1]赵宝力△ 刘立永 宋天文 王红东 赵琦 白罡 卢克俭 刘克新 蔡军 李俊杰.非手术方案治疗退变性腰椎侧弯的临床研究[J].中国中医骨伤科杂志,2016,24(05):14-16.
　ZHAO Baoli LIU Liyong SONG Tianwen WANG Hongdong ZHAO Qi BAI Gang LU Kejian LIU Kexin CAI Jun LI Junjie.The Clinical Study of Non-operation Plan for Degenerative Lumbar Scoliosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(05):14-16.
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非手术方案治疗退变性腰椎侧弯的临床研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年05期
页码:
14-16
栏目:
实验研究
出版日期:
2016-05-15

文章信息/Info

Title:
The Clinical Study of Non-operation Plan for Degenerative Lumbar Scoliosis
文章编号:
1005-0205(2016)05-0014-03
作者:
赵宝力1△ 刘立永1 宋天文2 王红东1 赵琦1 白罡1 卢克俭1 刘克新1 蔡军1 李俊杰1
1.首都医科大学电力教学医院中医骨伤科(北京,100073)
2.北京市丰台区大红门社区卫生服务中心
△.通信作者 E-mail:zhaobb200571@126.com
Author(s):
ZHAO Baoli1△ LIU Liyong1 SONG Tianwen2 WANG Hongdong1 ZHAO Qi1 BAI Gang1 LU Kejian1 LIU Kexin1 CAI Jun1 LI Junjie1
1.Beijing Electric Power hospital,Capital Medical University,Beijing 100073,China;
2.Dahongmen Community Health Service Center in Beijing Fengtai District,Beijing 100075,China.
关键词:
非手术治疗;  退变性脊柱侧凸;  疗效评价
Keywords:
non-operation plan;  degenerative lumbar scoliosis;  efficacy evaluation
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察非手术方案治疗退变性腰椎侧弯的近期临床疗效。方法:选取本院2014年1月至2015年10月明确诊断退变性腰椎侧弯的患者51例:女41例,男10例; 年龄44～90岁,平均(68.63±10.08)岁; 病史2～50个月,平均(19.24±11.8)个月。采用腰椎四点扳法、腰椎牵引、半导体激光照射联合非手术方案进行治疗,于治疗前后进行疗效评价。畸形矫正评价选用治疗腰椎正位X线片冠状面Cobb角改变,临床症状改善采用目测类比评分法VAS及Oswestry功能障碍指数问卷表(ODI)进行评定。结果:经过连续3周治疗,Cobb角改善率为18.84%,患者腰部VAS评分(6.51±1.48)分及ODI指数(32.65%±7.37%)均较治疗前(3.08±1.21)和(17.16%±5.50%)明显改善,差异有统计学意义(P<0.001)。结论:尽管不能大幅度纠正腰椎侧弯畸形,但联合非手术方案能够明显缓解退变性腰椎侧弯患者腰背部疼痛,提高生活质量。
Abstract:
Objective:To observe the recent clinical effect of Non-operation plan for Degenerative lumbar scoliosis.Methods:51 patients from January 2014 to October 2015 with Degenerative lumbar scoliosis in Capital Medical University Beijing Electric Power hospital were treated with lumbar four point reduction manipulation,traction and semi-conductor laser irradiation.There were 41 males and 10 females with an average age of 68.63±10.08.Medical history was from 2 to 50 months with an average of(19.24±11.8)months.The Cobb angle,Visual Analogue Scale(VAS)and Oswestry Disability Index(ODI)were observed before treatment and 3 weeks later after treatment.Results:The change of Cobb angle improvement rate was 18.84%.The lumbar VAS and ODI respectively was 6.51±1.48 and 32.65%±7.37% after 3 weeks treatment.And they were better than pre-treatment 3.08±1.21 and 17.16%±5.50%.The difference is statistically significance(P<0.001).Conclusion:Combined non-operation plan can relieve low back pain significantly and improve life quality although can't correct Cobb angle significantly for degenerative lumbar scoliosis.

参考文献/References:

[1] Anwar Z,Zan E,Gujar SK,et al.Adult lumbar scoliosis:underreported on lumbar MR scans[J].AJNR Am J Neuroradiol,2010,31(5):832-837.
[2] 黄小金.成人退变性脊柱侧弯研究进展[J].中国骨与关节损伤杂志,2015,30(7):779-781.
[3] Schwab FJ,Smith VA,Biserni M,et al.Adult scoliosis:a quantitative radiographic and clinical analysis[J].Spine,2002,27(4):387-392.
[4] 李明,王岩,邱勇.脊柱侧凸外科学[M].上海:第二军医大学出版社,2013:207-220.
[5] Robert HF,Herbert K,Arthur L.Orthopaedics[M].Mosby Inc,2002:1162-1173.
[6] 师宁宁,沈国权,何水勇,等.脊柱推拿手法中的整体观念及其临床应用[J].中国中医骨伤科杂志,2015,23(2):67-69.
[7] 刘佳,李志强.鲍铁周教授治疗腰椎退行性疾病经验总结[J].中医正骨,2014,26(7):68-69.
[8] 殷稚飞,沈滢,蒋学勇,等.持续牵引与间歇牵引治疗腰椎间盘突出症的疗效观察[J].中华物理医学与康复杂志,2014,36(9):730-731.
[9] 王李丽,刘延青.低能量半导体激光治疗慢性腰痛的临床观察[J].中国疼痛医学杂志,2012,18(5):320.

备注/Memo

备注/Memo:
基金项目:国家电网公司科学技术项目(SGHB000AJJS1400182)
北京市丰台区卫生系统科研项目(2013-11)
更新日期/Last Update: 2016-05-15