体外冲击波结合脊柱平衡导引术治疗退行性脊柱侧凸  

Study on extracorporeal shock wave combined with spinal balance guidance surgery in the treatment of degenerative scoliosis

作　　者：夏烨[1] 马菲菲[2] 任亚娟[2] 叶洁[1] 莫文[1] 沈琪幸 XIA Ye;MA Feifei;REN Yajuan;YE Jie;MO Wen;SHEN Qixing(Department of Orthopaedics,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200030,China;Department of Ultrasound Medicine,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200030,China)

机构地区：[1]上海中医药大学附属龙华医院骨伤科,上海200030 [2]上海中医药大学附属龙华医院超声医学科,上海200030

出　　处：《长春中医药大学学报》2023年第6期647-651,共5页Journal of Changchun University of Chinese Medicine

基　　金：2017年上海市卫生和计划生育委员会科研课题(20174Y0206);上海中医药大学附属龙华医院第三批优秀青年人才临床能力提升计划。

摘　　要：目的 通过评价脊柱侧凸患者治疗后疼痛、心理、生理机能和肌肉状态的变化情况,探讨体外冲击波结合脊柱平衡导引术的临床疗效。方法 将72例退行性脊柱侧凸患者随机分为治疗组与对照组,各36例。治疗组予外冲击波结合脊柱平衡导引术治疗,对照组每日做脊柱平衡导引术(患者VAS评分> 6分,可适当给予西乐葆止痛)。比较2组治疗前、治疗后1个月、2个月、3个月视觉模拟评分(VAS),SRS-22评分功能活动、自我形象、对治疗的满意程度,疼痛、心理健康维度,B超弹性模量Emean,肌肉厚度。结果 治疗组VAS评分和SRS-22评分功能活动、自我形象、对治疗满意度优于对照组(P <0.05)。结论 体外冲击波结合脊柱平衡导引术治疗可以减轻患者疼痛,提高患者身体机能,改善患者的生活质量。Objective To explore the clinical efficacy of extracorporeal shock wave combined with spinal balance guidance surgery by evaluating the changes in pain,psychology,physiological functions,and muscle status of patients with scoliosis after treatment.Methods A total of 72 patients with degenerative scoliosis were selected and randomly divided into the treatment group and the control group,with 36 cases in each group.The treatment group received extracorporeal shock wave combined with spinal balance guidance surgery,and the control group received daily spinal balance guidance surgery(If the patient's VAS score was greater than 6 points,Celebrex could be given appropriately to relieve pain of these patients).The visual analogue scale(VAS),Scoliosis Research Society-22(SRS-22)functional activities,SRS-22 self-image,SRS-22 satisfaction with treatment,SRS-22 pain,SRS-22 mental health dimensions,B-ultrasound elastic modulus e value(mean),and muscle thickness between 2 groups were compared before treatment and at 1 month,2 months,and 3 months after treatment.Results The VAS,SRS-22 functional activity,SRS-22 self-image,and SRS-22 satisfaction with treatment in the treatment group were better than those in the control group(P<0.05).Conclusion Extracorporeal shock wave combined with spinal balance guidance surgery can relieve the pain,improve the physical function and the quality of life of the patients.

关 键 词：退行性脊柱侧凸 体外冲击波 脊柱平衡导引术 

分 类 号：R682[医药卫生—骨科学]