电针刺激联合推拿结合顶椎旋转复位治疗青少年特发性脊柱侧弯的临床研究  

Clinical Study on Electroacupuncture Combined with Massage and Vertebral Rotation for the Treatment of Adolescent Idiopathic Scoliosis

作　　者：李志永 杨晓峰[2] 徐鸿涛[3] 宋羽晶 孙福珠 王翠丽 王艳花[5] LI Zhi-yong;YANG Xiao-feng;XU Hong-tao;SONG Yu-jing;SUN Fu-zhu;WANG Cui-li;WANG Yan-hua(Department of Rehabilitation,Meihekou Traditional Chinese Medicine Hospital,Meihekou,Jilin Province,135000 China;Department of Soft Trauma,Third Clinical Hospital Affiliated to Changchun University of Traditional Chinese Medicine,Changchun,Jilin Province,130021 China;Meihekou Hospital of Jilin Province,the Old Chinese Medicine Inheritance Studio,Meihekou,Jilin Province,135000 China;Community Service Management Office of Meihekou,Meihekou,Jilin Province,135000 China;Department of Surgery,Second Hospital of Meihekou,Meihekou,Jilin Province,135022 China)

机构地区：[1]吉林省梅河口市中医院康复科,吉林梅河口135000 [2]长春中医药大学附属第3临床医院软伤科,吉林长春130021 [3]吉林省梅河口市中医院名老中医传承工作室,吉林梅河口135000 [4]吉林省梅河口市社区服务管理办公室,吉林梅河口135000 [5]吉林省梅河口市第二医院外科,吉林梅河口135022

出　　处：《世界复合医学》2019年第12期134-137,共4页World Journal of Complex Medicine

基　　金：吉林省中医药科技项目(ZYBZ-2018-025)

摘　　要：目的探讨电针刺激联合推拿结合顶椎旋转复位治疗青少年特发性脊柱侧弯的临床效果及对生活质量的影响。方法选择2018年7月-2019年7月在梅河口市中医院康复科和长春中医药大学附属第3临床医院门诊就诊的108例青少年特发性脊柱侧弯患者为研究对象,采用随机数字表法分为观察组、对照A组和对照B组各36例,对照A组采用电针刺激治疗,对照B组采用推拿结合顶椎旋转复位治疗,而观察组采用电针刺激+推拿结合顶椎旋转复位治疗。治疗3个疗程后,对比分析3组患者Cobb角及生活质量变化并对临床疗效进行评价。结果 3组患者治疗3个疗程后,Cobb角均较治疗前明显减小(观察组:t=10.634,P=0.000;对照A组:t=6.602,P=0.000;对照B组:t=6.011,P=0.000),观察组患者治疗后Cobb角明显小于对照A组和对照B组,差异有统计学意义(t=3.867,P=0.000;t=4.032,P=0.000),总有效率明显高于对照A组和对照B组,差异有统计学意义(χ^2=4.126,P=0.042;χ^2=6.237,P=0.013);3组SRS-22问卷各维度平均分及总评分均较治疗前有不同程度的升高,且观察组功能活动、自我形象、心理健康、治疗满意度维度评分及总评分均明显高于对照A组和对照B组,差异有统计学意义(t=2.065,P=0.043;t=2.096,P=0.040;t=2.708,P=0.009;t=2.650,P=0.010;t=2.838,P=0.006;t=2.500,P=0.015;t=2.172,P=0.033;t=2.223,P=0.030;t=2.733,P=0.008;t=2.954,P=0.004)。结论电针刺激联合推拿结合顶椎旋转复位治疗青少年特发性脊柱侧弯疗效显著,且能明显改善患者生活质量,为青少年特发性脊柱侧弯的中医规范治疗提供了依据。Objective To investigate the clinical effects of electroacupuncture combined with massage and vertebral rotation on the treatment of adolescent idiopathic scoliosis and its impact on quality of life. Methods A total of 108 adolescent idiopathic scoliosis patients from the rehabilitation department of Meihekou Traditional Chinese Medicine Hospital and the Third Clinical Hospital of Changchun University of Traditional Chinese Medicine from July 2018 to July 2019 were selected as subjects. The table method was divided into observation group, control group A and control group B in 36 cases. Control group A was treated with electroacupuncture stimulation,control group B was treated with massage and vertebral rotation, and the observation group was treated with electroacupuncture plus massage vertebral rotation reduction treatment. After 3 courses of treatment, the Cobb angle and quality of life were compared in three groups and the clinical efficacy was evaluated. Results After three courses of treatment, the Cobb angles were significantly lower than those before treatment(observation group: t=10.634, P=0.000;control group A: t=6.602, P=0.000;control group B: t= 6.011, P=0.000),the Cobb angle of the observation group was significantly lower than that of the control group A and the control group B the difference was statistically significant(t=3.867, P=0.000;t=4.032, P=0.000), and the total effective rate was significantly higher than that of the control group A and control group B the difference was statistically significant(χ^2=4.126, P=0.042;χ^2=6.237, P=0.013);the average scores and total scores of the three groups of SRS-22 questionnaires were increased to different extents before treatment, and the observation group function activity, self-image, mental health, treatment satisfaction dimension score and total score were significantly higher than control group A and control group Bthe difference was statistically significant(t=2.065, P=0.043;t=2.096, P=0.040;t=2.708, P=0.009;t=2.650, P=0.010;t=2.838, P=0.006;t=2

关 键 词：电针刺激 推拿 顶椎旋转复位 青少年 特发性脊柱侧弯 

分 类 号：R247.9[医药卫生—中医临床基础]