牵复三步法治疗寰枢关节错缝的临床研究  

The clinical study of the treatment of articulatio atlantoepistrophica semiluxation by three-step traction reposition

作　　者：毛书歌[1] 李新生[1] 鲍铁周[1] 杨耀洲[1] 

机构地区：[1]中国河南省洛阳正骨医院,471002

出　　处：《世界中医骨科杂志》2010年第1期62-64,共3页World Journal of Traditional Chinese Orthoprdics

摘　　要：目的：应用中医正骨整脊手法结合改良颈椎牵引，研究治疗寰枢关节错缝，并对其临床疗效进行观察总结，形成～套安全有效的以手法为主可重复性操作的治疗方案。方法：2005年3月~2008年5月，采用标准对照临床验证，将寰枢关节错缝病例311例随机平行分为试验组（157例）和对照组（154例），分别采用牵复三步法治疗和牵提旋转推棘突法治疗。对比分析2组的临床疗效。结果：治疗13d后两组临床疗效比较，差异有统计学意义（p〈0．05），试验组优于对照组；治疗1月后两组随访临床疗效比较，差异有统计学意义（p〈0．05），试验组优于对照组。结论：该治疗方案概括定名为“牵复三步法”治疗寰枢关节错缝，该方法可明显改善寰枢关节错缝并同时相应纠正颈椎生理曲度变直甚或反弓畸形，从而有效重建颈椎的生物力学平衡，是治疗寰枢关节错缝的一种新方法。Objective ： Application of Traditional .Chinese Orthopedics chiropractic techniquescombined with improved traction, therapeutic malposition of the articulatio atlantoepistrophica semiluxation.and its clinical observation, to form a safe and effective in practice-based repeated, treatment operations. Method： From March 2005 to May 2008, clinical trial was used to observe 311 cases of articulatio atlantoepistrophica semiluxation. 311 cases were randomly divided into experimental group （157 cases, treated by three-step traction reposition） and control group （154 cases, treated by pushing the spinous curative effects were process after rotating）. The observed. Results： Clinical therapeutic effect in experimental group was better than that in control group after 13 days and one month, there was significant difference between the two groups （p〈0.05）. Conclusion： The three-step traction reposition can effectively improve the articulatio atlantoepistrophica semiluxation and correct physio-curvature, reconstruct cervical frame ,which opens a new therapy to treat the articulatio atlantoepistrophica semiluxation.

关 键 词：寰枢关节错缝 非手术疗法 牵复三步法 临床研究 

分 类 号：R[医药卫生]