四维疗法治疗飞行人员腰椎后关节紊乱症疗效观察  

Observation on the curative effect of Four-dimensional therapy on lumbar posterior joint disorder of flight personnel

作　　者：张国龙 冯帅豪 Zhang Guolong;Feng Shuaihao

机构地区：[1]联勤保障部队大连康复疗养中心,116013

出　　处：《中国疗养医学》2021年第4期337-340,共4页Chinese Journal of Convalescent Medicine

基　　金：2018年度保健专项科研课题面上项目(18BJZ18)。

摘　　要：目的观察四维疗法治疗飞行人员腰椎后关节紊乱症的临床疗效。方法将2018年8月至2020年7月来联勤保障部队大连康复疗养中心软组织伤病康复中心就诊的106例腰椎后关节紊乱症飞行人员,按照随机数字表分为观察组和对照组各53例进行前瞻性研究。观察组采用脊柱定位调适平衡法、结构针刺、中药熏蒸和身心调理法即四维疗法进行治疗;对照组采用按摩、针灸、中药熏蒸治疗,治疗15 d后采用视觉模拟评分(visual analogscale,VAS)、日本骨科协会腰背痛疗效评价系统(Japanese orthopaedic association scores,JOA)及红外热成像对两组人员疗效进行评估,并随访半年。结果观察组治愈率98.11%,对照组治愈率66.04%,差异具有统计学意义(P<0.05)。观察组治疗后VAS评分(0.97±0.56)分,JOA评分(26.37±3.03)分,对照组治疗后VAS评分(2.83±1.12)分,JOA评分(21.54±3.72)分,两组各项评分与治疗前比较,差异均有统计学意义(P<0.05),但观察组改变更加明显(P<0.001)。红外热成像图显示,治疗后观察组和对照组人员腰部平均温度(30.34±1.37)℃和(31.65±1.62)℃较治疗前均降低(P<0.05),但观察组腰部温度变化更明显(P<0.001)。结论四维疗法治疗飞行人员腰椎后关节紊乱症疗效显著,可提高飞行人员的训练作战水平。Objective To observe the clinical effect of Four-dimensional therapy on lumbar posterior joint disorder of flight personnel.Methods A total of 106 pilots with lumbar posterior joint disorder coming to the Rehabilitation Center for Soft-tissue Injuries at Dalian Rehabilitation and Recuperation Center Affiliated to Joint Logistic Support Forces from August 2018 to July 2020 were divided into observation group and control group with 53 patients in each group according to Random Number Table method for prospective study.The observation group was treated with spinal positioning adjustment balance method,structural acupuncture,traditional Chinese medicine fumigation and mind-body conditioning method,namely Four-dimensional therapy.The control group was treated with massage,acupuncture,and traditional Chinese medicine fumigation.After 15 days of treatment,the curative effect of the two groups was evaluated by VAS scale,JOA scale and infrared thermal imaging,and followed up for half a year.Results The cure rate was 98.11%in the observation group and 66.04%in the control group,and the difference was statistically significant(P<0.05).VAS score(0.97±0.56)and JOA score(26.37±3.03)in the observation group after treatment were compared with those before treatment,and VAS score(2.83±1.12)and JOA score(21.54±3.72)in the control group after treatment were compared with those before treatment,the differences were statistically significant(P<0.05),but the changes in the observation group were more obvious(P<0.001).Infrared thermal imaging showed that the average waist temperature in the observation group and the control group was lower than that before treatment(30.34±1.37)℃and(31.65±1.62)℃after treatment(P<0.05),but the change of waist temperature in the observation group was more obvious(P<0.001).Conclusion Four-dimensional therapy has a significant effect on the treatment of lumbar posterior joint disorders in pilots,which can improve the training and combat level of pilots.

关 键 词：四维疗法 腰椎后关节紊乱 飞行人员 红外热成像 

分 类 号：R856[医药卫生—航空、航天与航海医学]