[1]金光一,刘宇,张彦龙,等.改良屏气旋转分压法治疗椎肋关节紊乱的临床研究[J].中国中医骨伤科杂志,2023,31(03):64-66+71.[doi:10.20085/j.cnki.issn1005-0205.230312]
　JIN Guangyi,LIU Yu,ZHANG Yanlong,et al.Clinical Study on the Treatment of Vertebral Costal Joint Disorder by Modified Breath-Holding Rotary Partial Pressure Method[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(03):64-66+71.[doi:10.20085/j.cnki.issn1005-0205.230312]
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改良屏气旋转分压法治疗椎肋关节紊乱的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年03期
页码:
64-66+71
栏目:
临床报道
出版日期:
2023-03-15

文章信息/Info

Title:
Clinical Study on the Treatment of Vertebral Costal Joint Disorder by Modified Breath-Holding Rotary Partial Pressure Method
文章编号:
1005-0205(2023)03-0064-03
作者:
金光一1; 刘宇2; 张彦龙1; 王世轩1△
1辽宁中医药大学附属第二医院(沈阳,110034)
2福建中医药大学
Author(s):
JIN Guangyi1; LIU Yu2; ZHANG Yanlong1; WANG Shixuan1
1The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034, China;
2Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.
关键词:
椎肋关节紊乱;  手法治疗;  屏气旋转分压法;  胸背部软组织;  胸廓活动受限
Keywords:
vertebrae costal joint disorder;  manual therapy;  breath-holding rotational partial pressure method;  soft tissue of chest and back;  limited thoracic movement
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230312
文献标志码:
B
摘要:
目的:观察改良屏气旋转分压法治疗椎肋关节紊乱的临床疗效。方法:搜集自2020年1月至2021年1月诊断为椎肋关节紊乱的患者80例,按随机数字表法分为治疗组和对照组(各40例)。治疗组采用改良屏气旋转分压法治疗,对照组采用俯卧双掌按肋复位法治疗。3次为1个疗程,疗程结束后7 d随访,根据胸背部疼痛评分、胸廓活动度记录并统计结果。结果:胸背部疼痛评分(VAS评分标准)两组患者治疗后及随访时VAS评分差异有统计学意义(P<0.01),两组治疗前差异无统计学意义(P>0.05)。治疗组治疗前胸廓活动受限40例,胸背部软组织不等高40例,治疗后胸廓活动受限2例,胸背部软组织不等高0例。对照组治疗前胸廓活动受限40例,胸背部软组织不等高40例,治疗后胸廓活动受限10例,胸背部软组织不等高10例。治疗组治愈30例,好转8例,有效率为95%; 对照组治愈22例,好转8例,有效率为75%。治疗后第7天随访,治疗组2例无效转为好转病例,其余无复发。对照组3例无效转为好转病例,其余无复发。结论:改良屏气旋转分压法治疗椎肋关节紊乱方法简单有效,操作简便,复发率低,值得临床推广应用。
Abstract:
Objective:To observe the clinical efficacy of modified breath-holding rotational partial pressure method on the treatment of vertebral costal joint disorder. Methods:From January 2020 to January 2021, 80 patients with vertebral costal joint disorder were collected and divided into treatment group and control group according to the random table. The treatment group was treated with modified breath-holding rotary partial pressure method, while the control group was treated with prone position and rib reduction method. Three times for one course of treatment, the patients were followed up 7 d after the end of the course of treatment. The results were recorded and statistically obtained according to the chest and back pain score and thoracic motion. Results:There were significant differences in VAS scores between the two groups after treatment and at follow-up(P<0.01), but there was no significant difference between the two groups before treatment. In the treatment group, there were 40 cases of limited thoracic movement and 40 cases of thoracolumbar soft tissue unequal height before treatment, 2 cases of limited thoracic movement and 0 case of thoracolumbar soft tissue unequal height after treatment, and 40 cases of limited thoracic movement and 40 cases of thoracolumbar soft tissue unequal height in the control group. After treatment, 10 cases had limited thoracic movement and 10 cases had unequal height of soft tissue in the chest and back. In the treatment group, 30 cases were cured, 8 cases were improved, and the effective rate was 95%. In the control group, 22 cases were cured, 8 cases were improved, and the effective rate was 75%. After 7 d of follow-up, 2 patients in the treatment group were ineffective and turned into improved cases, and the rest had no recurrence. In the control group, 3 cases were improved, and the rest had no recurrence. Conclusion:The modified breath-holding rotary partial pressure method is simple and effective on the treatment of vertebral costal joint disorder. It has low recurrence rate and is worthy of widespread clinical application.

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备注/Memo

备注/Memo:
基金项目:2022王世轩全国老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)
中医骨伤及运动康复教育部重点实验室开放基金资助项目(ZD2020-5-1)
△通信作者 E-mail:31657695@qq.com
更新日期/Last Update: 2023-03-10