基于“筋滞骨错”理论治疗青少年特发性脊柱侧弯症临床研究  

Clinical Study of Treatment of Adolescent Idiopathic Scoliosis Based on Theory of Jinzhigucuo

作　　者：廉杰 余耀坤 赵明宇 吴丹 宋懿泽 张向东 袁帅 

机构地区：[1]河南省洛阳正骨医院/河南省骨科医院,河南郑州450000 [2]河南中医药大学,河南郑州450046

出　　处：《中医学报》2017年第12期2367-2370,共4页Acta Chinese Medicine

基　　金：2016年河南省科技攻关基金项目(162102310062)

摘　　要：目的:观察平乐正骨"筋滞骨错"理论指导下的综合外治疗法治疗青少年特发性脊柱侧弯的临床疗效和对该病患者脊柱活动度和疼痛的影响。方法:将80例青少年特发性脊柱侧弯患者随机分成治疗组和对照组,每组40例。治疗组采用牵引、中药熏洗、"筋滞骨错"理论指导下的手法治疗;对照组采用牵引、中药熏洗、牵提旋转推棘法治疗。治疗周期以治疗3个月为1个疗程,治疗前和疗程结束时对所有患者脊柱cobb角、疼痛评分(visualanalogscale,VAS)进行评估,最终治疗结果参考影像学cobb角改善率进行评价。结果:两组患者治疗1个疗程后,治疗组和对照组cobb角比较,差异有统计学意义(P<0.01);治疗后治疗组有效率为95.0%,对照组有效率为62.5%,两组比较,差异有统计学意义(P>0.05)。两组患者治好后VAS疼痛评分比较,差异无统计学意义(P>0.05)。结论:基于"筋滞骨错"理论综合疗法能够有效地改善青少年特发性脊柱侧弯的cobb角,患者生活质量、减缓青少年特发性脊柱侧变症的发展,故临床疗效显著。Objective： To research the clinical efficacy of combination therapy under the guidance of theory of Jinzhigucuo on adolescent idiopathic scoliosis and effect on spinal mobility and pain. Methods： Adolescent patients with idiopathic scoliosis 80 cases were randomly divided into the treatment group and the control group. The treatment group received the combination therapy of traction and manipulation under the guidance of theory of Jinzhigucuo. The control groups received the combination therapy of traction and conventional manipulation. Set a course of three months and all patients were evaluated for spinal cobb angle,VAS pain scores before treatment system and the end of treatment. Final treatment results was evaluated with improvement rate of cobb angle. Results：Two groups of patients＇ age,sex,spinal mobility,pain,life skills,spine cobb angle were no significant difference（ P〉0. 05） before treatment. After a course of treatment,the difference of cobb angle treatment group and the control group was statistically significant（ P〈0. 01）. After treatment,the cure rate of treatment group reached 95. 0% while 62. 5% in the control group. Difference of VAS pain before and after the treatment of the two groups were not statistically significant（ P〉0. 05）. Conclusion： Combination therapy under the guidance of theory of Jinzhigucuo can be effective in improving cobb angle of patients with adolescent idiopathicscoliosis and then improve the quality of life of patients with the disease and slow the progression of this disease.

关 键 词：青少年特发性脊柱侧弯症 “筋滞骨错” COBB角 综合外治疗法 外治法 中西医结合 

分 类 号：R274.823[医药卫生—中医骨伤科学]