针灸结合核心稳定训练对青少年特发性脊柱侧弯康复情况的影响  

Effect of acupuncture combined with core stability training on rehabilitation of adolescent idiopathic scoliosis

作　　者：王鼎暄 田明波[2] 焦丽娟 WANG Ding-xuan;TIAN Ming-bo;JIAO Li-juan

机构地区：[1]郑州中医骨伤病医院脊柱科,河南郑州450000 [2]郑州人民医院,河南郑州450000 [3]焦作龙佰康复医院骨外科,河南焦作454000

出　　处：《中国疗养医学》2024年第5期82-85,共4页Chinese Journal of Convalescent Medicine

基　　金：河南省医学科技攻关项目(LHGJ20200215);郑州市中医药青苗人才培养项目(郑卫中管涵[2024]7号)。

摘　　要：目的观察针灸结合核心稳定训练对青少年特发性脊柱侧弯(adolescent idiopathic scoliosis,AIS)康复情况的影响。方法本研究为前瞻性研究,选取郑州中医骨伤病医院2021年4月至2022年10月收治的102例AIS患者为研究对象,基于随机、对照原则,采用电脑分组法将其分别列为训练组和联合组各51例,训练组内患者均实施核心稳定训练,联合组在训练组的康复治疗基础上联合实施中医针灸,所有患者治疗结束后均开展为期1年随访,比较两组患者的康复情况、疼痛情况、脊柱形态、脊柱功能及预后情况。结果联合组的闭眼时、睁眼时单脚站立平衡时间均高于训练组,独立下床时间、住院时间均低于训练组;联合组治疗7 d、14 d后的Cobb角均低于训练组;脊柱旋转角度均低于训练组;联合组随访第6个月、12个月时的Oswestry功能障碍指数(ODI)评分均低于训练组;日本骨科协会治疗分数(JOA)评分[(20.35±5.36)分、(24.45±5.27)分]均高于训练组[(18.45±3.29)分、(21.44±5.32)分];截至随访结束时,联合组的中文版脊柱侧凸研究学会患者问卷表(SRS-22)评分(92.33±10.26)分高于训练组(87.45±10.27)分,不良预后发生率7.84%(4/51)低于训练组23.53%(12/51),P<0.05。结论中医针灸结合核心稳定训练能增强AIS患者的康复效果,对缓解患者疼痛,促进脊柱形态、功能恢复并改善患者预后情况均有积极意义。Objective To observe the effect of acupuncture combined with core stability training on the rehabilitation of adolescent idiopathic scoliosis(AIS).Methods This was a prospective study involving 102 AIS patients admitted to Zhengzhou Traditional Chinese Medicine Orthopedics Hospital from April 2021 to October 2022.Based on the principle of randomization and control,they were randomly divided into the training group(51 cases)and combination group(51 cases)by computer grouping.Patients in both groups were given core stability training,and those in the combination group were additionally managed by acupuncture.All patients were followed up for one year after treatment.Rehabilitation progress,pain,spinal morphology,spinal function,and prognosis were compared.Results The mean time of single leg stance with eyes open and close was significantly longer in the combination group than that of training group,while the time of off-bed activity and length of stay were significantly shorter.The Cobb angle of the combination group after 7 and 14 days of treatment was significantly smaller than that of the training group.The spinal rotation angle was significantly smaller in the combination group than that of the training group.The Oswestry disability index(ODI)at 6 months and 12 months of follow-up was significantly lower in the combination group than that of training group.The Japanese orthopaedic association(JOA)score was(20.35±5.36)points VS(24.45±5.27)points significantly higher in the combination group than that of training group(21.44±5.32)points VS(18.45±3.29)points.As of the end of follow-up,the Scoliosis Research Society 22-Item(SRS-22)score of the combination group was(92.33±10.26)points significantly higher than that of the training group(87.45±10.27)points.The incidence of adverse prognosis was significantly lower in the combination group than that of training group(7.84%[4/51]VS 23.53%[12/51],P<0.05).Conclusion Acupuncture combined with core stability training can enhance the rehabilitation effect of AIS patie

关 键 词：青少年特发性脊柱侧弯 核心稳定训练 针灸 脊柱形态 康复情况 

分 类 号：R246.9[医药卫生—针灸推拿学]