[1]张翠灵,姜益常,张茜,等.定点旋转复位手法治疗寰枢关节半脱位的疗效及影响因素分析[J].中国中医骨伤科杂志,2025,33(04):68-73.[doi:10.20085/j.cnki.issn1005-0205.250413 ]
　ZHANG Cuiling,JIANG Yichang,ZHANG Qian,et al.Analysis of the Efficacy and Influencing Factors of Fixed-Point Rotational Reduction Manipulation for Atlantoaxial Subluxation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(04):68-73.[doi:10.20085/j.cnki.issn1005-0205.250413 ]
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定点旋转复位手法治疗寰枢关节半脱位的疗效及影响因素分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年04期
页码:
68-73
栏目:
临床论著
出版日期:
2025-04-10

文章信息/Info

Title:
Analysis of the Efficacy and Influencing Factors of Fixed-Point Rotational Reduction Manipulation for Atlantoaxial Subluxation
文章编号:
1005-0205(2025)04-0068-06
作者:
张翠灵1; 姜益常2; 张茜2; 王震2; 曹童1; 康杰1; 李远峰2△
1黑龙江中医药大学(哈尔滨,150040); 2黑龙江中医药大学附属第一医院
Author(s):
ZHANG Cuiling1; JIANG Yichang2; ZHANG Qian2; WANG Zhen2; CAO Tong1; KANG Jie1; LI Yuanfeng2△
1Heilongjiang University of Chinese Medicine,Harbin 150040,China; 2The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China.
关键词:
寰枢关节半脱位;  定点旋转复位手法;  治疗效果;  影响因素;  疼痛
Keywords:
atlantoaxial subluxation;  fixed-point rotational reduction manipulation;  therapeutic effect;  influencing factors;  pain
分类号:
R684.7
DOI:
10.20085/j.cnki.issn1005-0205.250413
文献标志码:
A
摘要:
目的:探讨定点旋转复位手法治疗寰枢关节半脱位的疗效及影响因素。方法:对2023年9月至2024年9月期间接受治疗的97例寰枢关节半脱位患者进行分析,采用视觉模拟量表(VAS)评分、颈椎功能障碍指数(NDI)及焦虑自评量表(SAS)评估治疗前及治疗后1周、1个月、3个月的临床疗效。运用Logistic回归分析及受试者工作特征(ROC)曲线探讨影响疗效的危险因素。结果:治疗后1周时VAS评分、NDI评分和SAS评分显著下降,治疗后1个月和3个月时有所回升但仍低于治疗前,差异有统计学意义(P<0.05)。治疗后3个月各项评分较治疗后1个月时回升,差异有统计学意义(P<0.05)。Logistic回归分析显示,病程较长、颈部不良姿势习惯及治疗前SAS评分偏高为影响寰枢关节半脱位疗效的独立危险因素(P<0.05)。受试者工作特征曲线显示这些因素的曲线下面积(AUC)分别为0.679,0.667和0.810,联合预测时曲线下面积为0.887。结论:定点旋转复位手法治疗寰枢关节半脱位的疗效显著,受病程、姿势习惯及焦虑因素影响,早期干预可优化疗效。
Abstract:
Objective:To investigate the efficacy of fixed-point rotational reduction manipulation in the treatment of atlantoaxial subluxation and its influencing factors.Methods:An analysis was conducted on 97 patients with atlantoaxial subluxation who were treated between September 2023 and September 2024.Clinical efficacy was assessed using the visual analogue scale(VAS),neck disability index(NDI),and self-rating anxiety scale(SAS)before treatment,and at 1 week,1 month,and 3 months post-treatment.Logistic regression analysis and receiver operating characteristic(ROC)curve analysis were used to identify risk factors affecting treatment efficacy.Results:The VAS,NDI,and SAS scores significantly decreased at 1 week post-treatment and slightly increased at 1 month and 3 months,although they remained significantly lower than pre-treatment levels(P<0.05).Scores at 3 months were higher than those at 1 month(P<0.05).Logistic regression analysis indicated that longer disease duration,poor neck posture habits,and higher pre-treatment SAS score were independent risk factors influencing the efficacy of atlantoaxial subluxation treatment(P<0.05).ROC curve analysis showed that the area under curve(AUC)of these factors were 0.679,0.667,and 0.810,respectively; when combined,the AUC was 0.887.Conclusion:The efficacy of fixed-point rotational reduction manipulation in atlantoaxial subluxation treatment is significant.Its efficacy is influenced by disease duration,postural habits,and anxiety.Early intervention may optimize the outcome.

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备注/Memo

备注/Memo:
基金项目:黑龙江省中医药科研项目(ZHY2023-002) △通信作者 E-mail:283596194@qq.com
更新日期/Last Update: 2025-04-10