调曲正盆整脊法治疗退行性腰椎滑脱症疗效观察  

Clinical Observation on Degenerative Lumbar Spondylolisthesis Treated by Chiropractic Method of Adjusting Curvature and Pelvis

作　　者：黎家鸿 黄显兵 李楚 林远方 LI Jia-Hong;HUANG Xian-Bing;LI Chu;LIN Yuan-Fang(The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine,Shenzhen 518033 Guangdong,China;Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033 Guangdong,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518033 [2]深圳市中医院,广东深圳518033

出　　处：《广州中医药大学学报》2023年第10期2556-2560,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：深圳市医疗卫生三名工程“韦以宗教授整脊团队”项目(编号:SZSM201612059)。

摘　　要：【目的】观察调曲正盆整脊法治疗退行性腰椎滑脱症的临床疗效。【方法】将120例退行性腰椎滑脱症患者随机分为观察组和对照组,每组各60例。观察组给予调曲正盆整脊法治疗,对照组给予常规推拿手法治疗,10 d为1个疗程,共治疗1个疗程。观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分、腰椎功能障碍程度日本矫形外科学会(JOA)评分及改良Oswestry功能障碍指数(ODI)评分的变化情况,并根据治疗前后改良ODI评分的改善情况评价2组患者的临床疗效。【结果】(1)治疗1个疗程后,观察组和对照组的优良率分别为81.67%(49/60)和41.67%(25/60),总有效率分别为95.00%(57/60)和81.67%(49/60);组间比较,观察组的优良率明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的疼痛VAS评分和改良ODI评分均较治疗前明显降低(P<0.05),JOA评分均较治疗前明显升高(P<0.05),且观察组对疼痛VAS评分和改良ODI评分的降低作用及对JOA评分的升高作用均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】调曲正盆整脊法治疗退行性腰椎滑脱症临床疗效确切,能明显减轻疼痛,改善腰椎功能,提高患者生活质量,其疗效优于常规推拿手法治疗。Objective To observe the clinical efficacy of the chiropractic method of adjusting curvature and pelvis for the treatment of degenerative lumbar spondylolisthesis(DLS).Methods A total of 120 patients with DLS were randomly divided into an observation group and a control group,with 60 patients in each group.The observation group was treated with the chiropractic method of adjusting curvature and pelvis,and the control group was treated with conventional massage manipulation.Both groups were treated for 10 days as one course of treatment.The changes in pain visual analogue scale(VAS)scores,lumbar dysfunction Japanese Orthopedic Association(JOA)scores and modified Oswestry dysfunction index(ODI)scores in the two groups were observed before and after treatment.After treatment,the clinical efficacy of the two groups of patients was evaluated with the improvement of ODI scores.Results(1)After one course of treatment,the excellent rate of the observation group and the control group was 81.67%(49/60)and 41.67%(25/60)respectively,and the overall effective rate was 95.00%(57/60)and 81.67%(49/60)respectively.The intergroup comparison showed that the excellent rate of the observation group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the pain VAS scores and modified ODI scores of patients in both groups were significantly decreased compared with those before treatment(P<0.05),and the JOA scores were significantly increased compared with those before treatment(P<0.05).The intergroup comparison showed that the effects of the observation group on decreasing pain VAS scores and modified ODI scores and on increasing JOA scores were significantly superior to those of the control group,and the differences were statistically significant(P<0.05).Conclusion The chiropractic method of adjusting curvature and pelvis exerts certain effect in treating DLS.It can significantly relieve pain,improve the function of the lumbar spine and enhance the quality

关 键 词：调曲正盆整脊法 退行性腰椎滑脱症 腰椎功能 临床疗效 

分 类 号：R274.9[医药卫生—中西医结合] R681.5[医药卫生—中医骨伤科学]