比较拔伸牵引推拿与脊柱调衡推拿手法在脊柱侧凸症中的应用效果  

Comparison of the application effect of pulling,stretching and traction massage and spinal balance massage on scoliosis

作　　者：单锐军 SHAN Ruijun

机构地区：[1]江阴市中医院,江苏江阴214400

出　　处：《中医临床研究》2022年第19期42-45,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:比较拔伸牵引推拿与脊柱调衡推拿手法在脊柱侧凸症中的治疗效果。方法:选取江阴市中医院收治的88例脊柱侧凸症患者,随机将其分为传统组与调衡组,每组44例。两组均予以盐酸乙哌立松片与塞来昔布胶囊等西医治疗。传统组辅以拔伸、牵引推拿手法治疗。调衡组在传统组基础上辅以脊柱调衡推拿手法治疗。评估两组临床疗效。比较两组治疗前后视觉模拟评分法(Visual Analogue Scale,VAS)评分、侧凸Cobb角及脊柱腰痛评分(The Oswestry Disability Index,ODI)。结果:调衡组治疗优良率与传统组比较显著增加(P<0.05)。两组治疗后VAS评分及Cobb角较治疗前显著降低(P<0.05),调衡组疼痛VAS评分及Cobb角较传统组降低更为显著(P<0.05)。两组治疗后坐、站立、睡眠、性生活、提物、行走、旅行、社会活动、日常生活自理能力及疼痛程度等脊柱腰痛ODI评分显著低于治疗前(P<0.05);调衡组患者脊柱腰痛ODI评分显著低于传统组(P<0.05)。结论:与拔伸、牵引推拿手法相比,脊柱调衡推拿手法更有助于提高脊柱侧凸症患者的临床疗效,减轻脊柱侧凸疼痛感,矫正脊柱冠状面失衡,促进脊柱正常曲度恢复。Objective:To compare the therapeutic effects of pulling,stretching and traction massage and spinal balance massage on scoliosis.Methods:A total of 88 scoliosis patients were selected and randomly divided into the traditional group and the balance group,with 44 cases observed in each group.Both groups were treated with Western medicine such as eperisone hydrochloride and celecoxib capsules,the traditional group was supplemented with pulling and stretching,traction and massage manipulations,and the balance group was supplemented with spinal balance massage more.The clinical efficacy in the two groups was evaluated.The pain degree,Cobb angle of scoliosis and ODI score of spinal and lumbar pain were compared between the two groups before and after treatment.Results:Compared with the traditional group,the excellent and good rate of treatment in the balance group was significantly increased(P<0.05).The VAS and Cobb angle of pain in the two groups after treatment were significantly lower than those before treatment(P<0.05).Compared with the traditional group,the pain VAS score and Cobb angle in the balance group were decreased significantly(P<0.05).After treatment,the ODI scores of spinal and low back pain in the two groups,such as sitting,standing,sleep,sexual life,lifting,walking,traveling,social activities,daily living ability and pain degree,were significantly lower than those before treatment(P<0.05).The ODI score of spinal and low back pain in the balance group was significantly lower than that in the traditional group(P<0.05).Conclusion:Compared with pulling,stretching and traction manipulation,spinal balance massage is more helpful to improve the clinical efficacy of scoliosis patients,relieve the pain of scoliosis,correct the imbalance of the coronal plane of the spine,and promote the recovery of normal spinal curvature.

关 键 词：拔伸牵引推拿 脊柱调衡推拿 脊柱侧凸症 

分 类 号：R681.5[医药卫生—骨科学]