[1]陶经纬 陈兆军.中医体质类型及韧带松弛与足外翻的相关性研究[J].中国中医骨伤科杂志,2020,28(07):24-28.
　TAO Jingwei CHEN Zhaojun.Correlation between Traditional Chinese Medicine Constitution Type with Ligament Laxity and Hallux Valgus[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(07):24-28.
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中医体质类型及韧带松弛与足外翻的相关性研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年07期
页码:
24-28
栏目:
临床研究
出版日期:
2020-07-10

文章信息/Info

Title:
Correlation between Traditional Chinese Medicine Constitution Type with Ligament Laxity and Hallux Valgus
文章编号:
1005-0205(2020)07-0024-05
作者:
陶经纬1 陈兆军2
1北京中医药大学(北京,100029) 2北京中医药大学第三附属医院
Author(s):
TAO Jingwei1 CHEN Zhaojun2
1Beijing University of Chinese Medicine,Beijing 100029,China; 2Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China.
关键词:
外翻;  韧带松弛;  体质类型;  Beighton's评分
Keywords:
hallux valgus;  ligament laxity;  traditional Chinese medicine constitution type;  Beighton's scale
分类号:
R681.7
文献标志码:
A
摘要:
目的:探讨中医体质类型及韧带松弛与足外翻的相关性。方法:选取2018年10月至2019年12月就诊的足外翻患者89例(161足),选取因踝关节扭伤、跟痛症等就诊的非足外翻患者46例(53足)。按患病与否分为患病组与非患病组,收集两组患者足部正侧位X线片,测量外翻角(HVA),第1,2跖间角(IMA),记录Beighton's评分及中医体质分类与判定自测表信息。采用多元线性回归及二元Logistic回归,分析中医体质类型及韧带松弛与足外翻的相关性。结果:多元线性回归分析显示,两组Beighton's评分与双足HVA角存在线性相关,差异有统计学意义(P<0.05); 二元Logistic回归分析显示,Beighton's评分、阳虚质是外翻的独立影响因素,差异有统计学意义(P<0.05)。结论:足外翻与韧带松弛、阳虚体质存在相关性,在预防及治疗过程中应注意韧带松弛和体质类型等因素的影响。
Abstract:
Objective:To explore the correlation between traditional Chinese medicine constitution type with ligament laxity and hallux valgus. Methods:From October 2018 to December 2019,89 patients(161 feet)with moderate hallux valgus who were treated in our hospital were selected. 46 patients(53 feet)without hallux valgus was treated in our hospital due to ankle sprain and heel pain were selected. Patients were divided into the affected group and the non-affected group according to whether hallux valgus. Patient's foot X-ray,measured hallux valgus angle(HVA),intermetatarsal angle(IMA),recording Beighton's scale and TCM constitution classification and judgment self-test information were collected. Multiple linear regression and binary logistic regression were used to analyze the correlation. Results:Multiple linear regression analysis showed that there was a linear correlation between the Beighton's score and the bipedal HVA angle in the two groups. There was statistically significant difference(P<0.05). The binary Logistic regression analysis showed that the Beighton's score and Yang deficiency were extrathalamic. The independent influencing factors of translation were statistically significant(P<0.05). Conclusion:There is a correlation between hallux valgus and ligament relaxation and Yang deficiency. Influence of factors such as ligament relaxation and traditional Chinese medicine constitution type need to be focused during the prevention and treatment.

参考文献/References:

[1] 陈兆军,潘旭月,祁印泽,等. 老年外翻患者第一跖趾关节融合术翻修的临床疗效[J]. 中华骨与关节外科杂志,2019,12(3):206-210.
[2] HOFMANN U K,GÖTZE M,WIESENREITER K,et al. Transfer of plantar pressure from the medial to the central forefoot in patients with hallux valgus[J]. BMC Musculoskeletal Disorders,2019,20(1):149.
[3] MENZ H B,RODDY E,MARSHALL M,et al. Epidemiology of shoe wearing patterns over time in older women:associations with foot pain and Hallux valgus[J]. The Journals of Gerontology Series A:Biological Sciences and Medical Sciences,2016,71(12):1682-1687.
[4] COUGHLIN M J,JONES C P. Hallux valgus:demographics,etiology,and radiographic assessment[J]. Foot Ankle Int,2007,28(7):759-777.
[5] WELCK M J.Al-Khudairi N. Imaging of Hallux valgus[J]. Foot and Ankle Clinics,2018,23(2):183-192.
[6] 杨立进,陈博来,林涌鹏,等. 广州市社区中老年骨质疏松症患者中医体质类型与骨代谢指标关系的病例对照研究[J]. 广州中医药大学学报,2018,35(4):580-585.
[7] 王正义. 足踝外科学[M]. 2版.北京:人民卫生出版社,2014.
[8] 王琦.中医体质分类与判定自测表(ZYYXH/T157-2009)[J]. 世界中西医结合杂志,2009,4(4):303-304.
[9] FAROUG R,BAGSHAW O,CONWAY L,et al. Increased recurrence in Scarf osteotomy for mild & moderate hallux valgus with Meary's line disruption[J]. Foot and Ankle Surgery,2019,25(5):608-611.
[10] PERERA A M,MASON L,STEPHENS M M. The pathogenesis of Hallux valgus[J]. The Journal of Bone and Joint Surgery:American Volume,2011,93(17):1650-1661.
[11] WILSON D W. Treatment of hallux valgus and bunions[J]. Br J Hosp Med,1980,24(6):548-549.
[12] 陈兆军,潘旭月,马占华,等. Lapidus手术结合正骨手法治疗老年足外翻[J]. 中国骨伤,2018,31(12):1124-1128.
[13] SHIBUYA N,ROUKIS T S,JUPITER D C. Mobility of the first ray in patients with or without hallux valgus deformity:systematic review and meta-analysis[J]. The Journal of Foot and Ankle Surgery,2017,56(5):1070-1075.
[14] ALFIERI MONTRASIO U,CORBO V,MANGIAVINI L,et al. Is it still current to talk about first ray hypermobility?[J]. Acta Biomedica:Atenei Parmensis,2019,90(1-S):32-35.
[15] LAPIDUS P W. A quarter of a century of experience with the operative correction of the metatarsus varus primus in hallux valgus[J]. Bull Hosp Joint Dis,1956,17(2):404-421.
[16] SINGH H,MCKAY M,BALDWIN J,et al. Beighton scores and cut-offs across the lifespan:cross-sectional study of an Australian population[J]. Rheumatology,2017,56(11):1857-1864.
[17] SMITS-ENGELSMAN B,KLERKS M,KIRBY A. Beighton score:a valid measure for generalized hypermobility in children[J]. J Pediatr,2011,158(1):119-123.
[18] CLINCH J,DEERE K,SAYERS A,et al. Epidemiology of generalized joint laxity(hypermobility)in fourteen-year-old children from the UK:a population-based evaluation[J]. Arthritis Rheum,2011,63(9):2819-2827.
[19] CLARK H R,VEITH R G,HANSEN S J. Adolescent bunions treated by the modified Lapidus procedure[J]. Bull Hosp Jt Dis Orthop Inst,1987,47(2):109-122.
[20] CHO B,PARK J,CHOI S,et al. Is generalized ligamentous laxity a prognostic factor for recurred hallux valgus deformity?[J]. Foot and Ankle Surgery,2019,25(2):127-131.
[21] COUGHLIN M J,JONES C P. Hallux valgus and first ray mobility:a prospective study[J]. J Bone Joint Surg Am,2007,89(9):1887-1898.
[22] RAIKIN S M,MILLER A G,DANIEL J. Recurrence of Hallux Valgus[J]. Foot and Ankle Clinics,2014,19(2):259-274.
[23] 王琦. 中医体质学[M]. 北京:人民卫生出版社,2009:406-407.
[24] 王琦. 以九体辨识为核心技术打造中医“治未病”健康工程升级版[J]. 天津中医药,2019,36(6):521-527.
[25] 王琦. 9种基本中医体质类型的分类及其诊断表述依据[J]. 北京中医药大学学报,2005,28(4):1-8.
[26] 郭光昕,孔令军,朱清广,等. 从推拿角度探讨“筋骨评估”理论渊源及应用[J]. 中华中医药杂志,2019,34(10):4774-4777.
[27] 周明旺,李盛华,陈娴,等. 甘肃地区膝骨性关节炎患者中医体质调查分析[J]. 中国中医骨伤科杂志,2017,25(1):19-22.
[28] 温建民,佟云,张帅,等. 中医理论指导下的中西医结合微创治疗外翻技术[J]. 北京中医药,2018,37(11):1065-1068.
[29] 徐江喜,韦尼,郑伟康,等. 从阳虚体质论治干燥综合征[J]. 环球中医药,2019,12(11):1693-1696.

备注/Memo

备注/Memo:
(收稿日期:2020-01-13)基金项目:北京市科委计划项目-首都特色临床应用研究与成果 推广(Z171100001017205)
更新日期/Last Update: 2020-07-10