[1]于潼,李鑫,张智海△,等.基于医体融合理念的手法治疗特发性脊柱侧弯的临床疗效观察[J].中国中医骨伤科杂志,2025,33(04):74-77.[doi:10.20085/j.cnki.issn1005-0205.250414 ]
 YU Tong,LI Xin,ZHANG Zhihai,et al.Clinical Efficacy of Spinal Manipulation in the Treatment of Idiopathic Scoliosis Based on the Framework of an Integrated Approach of Medical Therapy and Physical Exercise[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(04):74-77.[doi:10.20085/j.cnki.issn1005-0205.250414 ]
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基于医体融合理念的手法治疗特发性脊柱侧弯的临床疗效观察()
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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:
74-77
栏目:
临床论著
出版日期:
2025-04-10

文章信息/Info

Title:
Clinical Efficacy of Spinal Manipulation in the Treatment of Idiopathic Scoliosis Based on the Framework of an Integrated Approach of Medical Therapy and Physical Exercise
文章编号:
1005-0205(2025)04-0074-04
作者:
于潼1李鑫1张智海1△张振南1孙黎1
1中国中医科学院广安门医院(北京,100053)
Author(s):
YU Tong1LI Xin1ZHANG Zhihai1△ZHANG Zhennan1SUN Li1
1Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China.
关键词:
脊柱侧弯 手法治疗 医体融合
Keywords:
scoliosis manipulation integrated approach of medical therapy and physical exercise
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250414
文献标志码:
A
摘要:
目的:观察基于医体融合理念的手法治疗特发性脊柱侧弯的临床疗效。方法:采用回顾性分析的方法,收集曾行基于医体融合理念的手法治疗特发性脊柱侧弯病例,比较治疗前后Cobb角变化以评价临床疗效。结果:共纳入52例患者,治疗前Cobb角为16.24°±0.99°,治疗后Cobb角为9.84°±1.10°,采用配对t检验,治疗前后差异有统计学意义(P<0.05),治疗后较治疗前减少6.40°±3.14°。结论:基于医体融合理念的手法治疗特发性脊柱侧弯可明显改善患者的脊柱侧弯角度,疗效确切,并发症少,患者及家属易于接受,是特发性脊柱侧弯的优选治疗方法之一。
Abstract:
Objective:To observe the clinical efficacy of spinal manipulation based on the framework of an integrated approach of medical therapy and physical exercise in the treatment of idiopathic scoliosis.Methods:A retrospective analysis was conducted to collect patients who had been treated with manipulation based on the framework of an integrated approach of medical therapy and physical exercise for idiopathic scoliosis.The changes in Cobb angle before and after treatment were compared and analysed to evaluate the clinical efficacy.Results:A total of 52 patients were included.The Cobb angle before treatment was 16.24°±0.99°,and after treatment it was 9.84°±1.10°.The paired t test showed that the difference before and ofter treatment was statistically significant(P<0.05),and the post-treatment was 6.40°±3.14° less than the pre-treatment.Conclusion:Manipulative treatment of idiopathic scoliosis based on the framework of an integrated approach of medical therapy and physical exercise can effectively improve the scoliosis angle of patients,with precise efficacy,fewer complications,and easy acceptance by patients and their families,and it is the preferred treatment method for idiopathic scoliosis.

参考文献/References:

[1] AN J K,BERMAN D,SCHULZ J.Back pain in adolescent idiopathic scoliosis:a comprehensive review[J].Journal of Children's Orthopaedics,2023,17(2):126-140.
[2] 谭焜月,刘春霞,赵正凯,等.先天性脊柱侧弯胸弯对心肺功能的影响[J].中国矫形外科杂志,2022,30(15):1361-1365.
[3] MARUYAMA T,TAKESHITA K.Surgical treatment of scoliosis:a review of techniques currently applied[J].Scoliosis,2008,3(1):6.
[4] CHOUDHRY M N,AHMAD Z,VERMA R.Adolescent idiopathic scoliosis[J].The Open Orthopaedics Journal,2016,10(1):143-154.
[5] 张霄.《青少年特发性脊柱侧凸治未病干预指南》发布[J].中医药管理杂志,2023,31(24):127.
[6] 中华医学会骨科学分会脊柱外科学组.中国青少年脊柱侧凸筛查临床实践指南及路径指引[J].中华骨科杂志,2020,40(23):1574-1582.
[7] PENG Y,WANG S R,QIU G X,et al.Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis[J].Chinese Medical Journal,2020,133(4):483-493.
[8] JANICKI J A,FRCSC B A.Scoliosis:Review of diagnosis and treatment[J].2007,12(9):771-776.
[9] 蒋志成,徐慧琼,万宇辉,等.儿童青少年脊柱弯曲异常筛查研究进展[J].中国学校卫生,2021,42(2):312-315.
[10] WANG H,LI T,YUAN W,et al.Mental health of patients with adolescent idiopathic scoliosis and their parents in China:a cross-sectional survey[J].BMC Psychiatry,2019,19(1):147.
[11] AKAZAWA T,KUROYA S,IINUMA M,et al.Pulmonary function and thoracic deformities in adolescent idiopathic scoliosis 27 years or longer after spinal fusion with Harrington instrument[J].Journal of Orthopaedic Science,2018,23(1):45-50.
[12] 李真.支具治疗青少年特发性脊柱侧凸的临床效果[J].中国医学工程,2017,25(3):68-71.
[13] KARAVIDAS N.Bracing in the treatment of adolescent idiopathic scoliosis:evidence to date[J].Adolescent Health,Medicine and Therapeutics,2019,10:153-172.
[14] NEGRINI S,FUSCO C,MINOZZI S,et al.Exercises reduce the progression rate of adolescent idiopathic scoliosis:results of a comprehensive systematic review of the literature[J].Disability and Rehabilitation,2008,30(10):772-785.
[15] 姜文辉,李慧琪,汤兴华.牵引联合“龙氏正骨手法”治疗早期青少年特发性脊柱侧弯临床观察[J].亚太传统医药,2023,19(8):85-89.
[16] 王书勤,朱其广,林远方.“卧位牵顿”手法治疗青少年特发性脊柱侧弯症临床研究[J].湖北中医杂志,2014,36(2):15-16.
[17] 殷京,赵宝力,王红东,等.基于中医整脊理论探讨青少年特发性脊柱侧弯症治则治法[J].中国民间疗法,2023,31(18):1-4.

备注/Memo

备注/Memo:
基金项目:中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP20230121) 北京人体损伤修复研究会教育科学研究课题(BIRA-ZXY-JP-20231220) 通信作者 E-mail:ZZH@sina.com
更新日期/Last Update: 2025-04-10