手法治疗腰椎不稳症的疗效与动态影像学相关性研究  

Study on the Relationship between the Clinical Effect of Manipulation and the Radiographic Changes in Treating for Lumbar Instability based on Quantitative Fluoroscopy

作　　者：龚达人 张亚峰[1] 陈文锦[1] 周智毅[1] 闫铮[2] GONG Da-ren;ZHANG Ya-feng;CHEN Wen-jin;ZHOU Zhi-yi;YAN Zheng(Wuxi Hospital Affiliated to Nanjing University of Chinese Medicine,Wuxi Jiangsu 214071,China;Huaqiao University,Xianmen Fujian 361021,China)

机构地区：[1]南京中医药大学无锡附属医院,江苏无锡214071 [2]华侨大学,福建厦门361021

出　　处：《中医药导报》2019年第8期68-70,77,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(81473693)

摘　　要：目的:探讨手法治疗腰椎不稳症临床疗效与动态影像学的相关性。方法:选择符合纳入标准的患者15例。手法治疗前后均行量化X线测量,评估临床疗效与动态X线影像改善情况,对功能评分(JOA评分和ODI指数)改善与影像学改善进行相关性分析。结果:经过治疗,临床症状与动态影像均有改善,差异有统计学意义(P<0.05),功能评分改善与动态影像学改善有相关性(P<0.05)。结论:手法治疗腰椎不稳症疗效满意,疗效与动态影像学有相关性。Objective: To study the relationship between the clinical effect of manipulation and the radiographic changes in treating for lumbar instability based on quantitative fluoroscopy. Methods: Fifteen patients who met the inclusion criteria were selected. Quantitative X-ray measurements were performed before and after manipulation to evaluate the clinical efficacy and the improvement of dynamic X-ray images. The correlation between the improvement of JOA score and ODI index and the improvement of imaging was analyzed. Results: After treatment, the clinical symptoms and dynamic imaging were improved, the difference was statistically significant (P<0.05). The improvement of functional score was correlated with the improvement of dynamic imaging (P < 0.05). Conclusion: The clinical effect of manipulation in treating for lumbar instability is good. The clinical effect of manipulation has correlation with the dynamic radiography and coronal plane.

关 键 词：腰椎不稳症 动态测量技术 手法治疗 

分 类 号：R274.33[医药卫生—中医骨伤科学]