中医正骨联合有氧运动、抗阻训练对青少年特发性脊柱侧弯肺功能、运动耐力及生活质量的影响  

Effects of traditional Chinese medicine bone-setting combined with aerobic exercise and resistance training on pulmonary function,exercise endurance and quality-of-life in patients with adolescent idiopathic scoliosis

作　　者：韩雪 邵玮 HAN Xue;SHAO Wei(Department of Outpatient,Hebei Institute of Sports Science,Shijiazhuang,Hebei 050001)

机构地区：[1]河北省体育科学研究所门诊部,河北石家庄050001

出　　处：《河北中医》2022年第10期1670-1675,共6页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省2021年度医学科学研究课题(编号:20211583)。

摘　　要：目的观察中医正骨联合有氧运动、抗阻训练对青少年特发性脊柱侧弯(AIS)患者肺功能、运动耐力和生活质量的影响。方法将142例AIS患者按照随机数字表法分为2组。对照组71例予中医正骨治疗,治疗组71例在对照组治疗基础上加有氧运动、抗阻训练。比较2组治疗前后Cobb角、躯干旋转角度、椎体旋转角度、第1 s用力呼气容积(FEV_(1)),FEV_(1)/用力肺活量(FVC)、FEV_(1)占预计值百分比(FEV_(1)%pred)、6 min步行试验(6MWT)距离和Borg劳累度评估量表评分、国际脊柱侧凸研究学会22项问卷(SRS-22)评分。结果治疗后,2组FEV_(1)、FEV_(1)/FVC、FEV_(1)%pred、6MWT距离均较本组治疗前增加(P<0.05),Cobb角、躯干旋转角度、椎体旋转角度、Borg劳累度评估量表评分、SRS-22评分均较本组治疗前降低(P<0.05)。治疗后,治疗组FEV_(1)、FEV_(1)/FVC、FEV_(1)%pred、6MWT距离均高于对照组(P<0.05),Cobb角、躯干旋转角度、椎体旋转角度、Borg劳累度评估量表评分、SRS-22评分均低于对照组(P<0.05)。结论与单纯中医正骨治疗相比,中医正骨联合有氧运动、抗阻训练可更有效地提高AIS患者肺功能、运动耐力和生活质量。Objective To observe the effects of traditional Chinese medicine(TCM)bone-setting combined with aerobic exercise(AE)and resistance training(RT)on pulmonary function,exercise endurance and quality-of-life in patients with adolescent idiopathic scoliosis(AIS).Methods A total of 142 AIS patients were randomly assigned to the treatment group(n=71)and the control group(n=71).All patients were managed by TCM bone-setting,and those in the treatment group were additionally treated with AE and RT.Comparisons were made in Cobb angle,angle of trunk rotation(ATR),vertebral rotation angle(VRA),forced expiratory volume in one second(FEV_(1)),ratio of FEV_(1) to forced vital capacity(FVC)(FEV_(1)/FVC),FEV_(1) to predicted value ratio(FEV_(1)%pred),6-minute walking test(6MWT),Borg fatigue score,the Scoliosis Research Society-22(SRS-22).Results After treatment,FEV_(1),FEV_(1)/FVC,FEV_(1)%pred,6MWT in the both groups were increased(P<0.05),which in the treatment group were more common(P<0.05);Cobb angle,ATR,VRA,Borg fatigue score,SRS-22 score in the both groups were decreased(P<0.05),the reductions in the treatment group were more prevalent(P<0.05).Conclusion For AIS patients,TCM bone-setting combined with AE and RT can more effectively improve lung function,exercise endurance and quality-of-life than TCM alone.

关 键 词：青少年 特发性脊柱侧弯 中医正骨术 有氧运动 抗阻训练 

分 类 号：R682.130.5[医药卫生—骨科学]