中医正骨推拿、火龙罐联合施罗特疗法治疗青少年特发性脊柱侧弯的临床研究  

Efficacy of Chinese medicine orthopedic massage and fire dragon pot combined with Schroth therapy on adolescent idiopathic scoliosis

作　　者：闫海龙 刘翠萍 秦静 李正 YAN Hailong;LIU Cuiping;QIN Jing;LI Zheng(Qingdao Women and Children’s Hospital,Qingdao 266000,Shandong,China;School Hospital of Ocean University of China,Qingdao 266000,Shandong,China;Qingdao Hospital of Integrated Traditional Chinese and Western Medicine,Qingdao 266000,Shandong,China)

机构地区：[1]青岛市妇女儿童医院,山东青岛266000 [2]中国海洋大学校医院,山东青岛266000 [3]青岛中西医结合医院,山东青岛266000

出　　处：《现代中西医结合杂志》2024年第12期1648-1654,共7页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：山东省妇幼保健协会科研项目[鲁妇幼(2021)54号]。

摘　　要：目的 观察中医正骨推拿、火龙罐联合施罗特疗法治疗青少年特发性脊柱侧弯的临床疗效。方法 选取2021年10月—2023年1月青岛市妇女儿童医院诊治的青少年特发性脊柱侧弯患者90例进行前瞻性研究,采用随机数字表法将患者分为传统疗法组、运动疗法组和联合组,每组30例。传统疗法组采用中医正骨推拿和火龙罐疗法治疗,运动疗法组采用施罗特疗法治疗,联合组采用中医正骨推拿、火龙罐联合施罗特疗法治疗,3组均连续治疗16周。比较3组治疗前后脊柱侧弯角度(Cobb角和背部倾斜角)、CSVL-C7PL间距、Nash-Moe椎体旋转度分级、顶椎凸侧和凹侧的表面肌电信号均方根值,统计3组治疗总有效率。结果 3组治疗后Cobb角、背部倾斜角以及CSVL-C7PL间距均明显小于治疗前(P均<0.05),且联合组上述指标均明显小于传统疗法组和运动疗法组(P均<0.05)。3组治疗后Nash-Moe椎体旋转度分级均较治疗前明显降低(P均<0.05),且联合组Nash-Moe椎体旋转度分级明显低于传统疗法组和运动疗法组(P均<0.05)。3组治疗前后顶椎凸侧表面肌电信号均方根值组内和组间比较差异均无统计学意义(P均>0.05);3组治疗后的顶椎凹侧表面肌电信号均方根值均较治疗前明显升高(P均<0.05),且联合组顶椎凹侧的表面肌电信号均方根值明显高于传统疗法组和运动疗法组(P均<0.05);传统疗法组和运动疗法组治疗后的顶椎凸侧表面肌电信号均方根值均明显高于同组的顶椎凹侧(P均<0.05),而联合组治疗后的顶椎凸侧和凹侧表面肌电信号均方根值比较差异无统计学意义(P>0.05)。联合组的治疗总有效率明显高于传统疗法组和运动疗法组[96.67%(29/30)比76.67%(23/30)、80.00%(24/30),P均<0.05]。结论 中医正骨推拿和火龙罐疗法、施罗特疗法以及中医正骨推拿、火龙罐联合施罗特疗法均可有效缩小脊柱侧弯角度,恢复脊柱平衡,改善背部不对称�Objective It is to observe the clinical efficacy of traditional Chinese medicine orthopedic massage and fire dragon pot combined with Schroth therapy in the treatment of adolescent idiopathic scoliosis.Methods Ninety patients with adolescent idiopathic scoliosis treated in Qingdao Women and Children’s Hospital from October 2021 to January 2023 were selected for prospective study,and the patients were divided into traditional therapy group,exercise therapy group and combination group by random number table,with 30 cases in each group.The traditional therapy group was treated with traditional Chinese medicine orthopedic massage and fire dragon pot,the exercise therapy group was treated with Schroth therapy,and the combination group was treated with traditional Chinese medicine orthopedic massage and fire dragon pot combined with Schroth therapy,all the three groups were treated continuously for 16 weeks.The scoliosis angles(Cobb angle and back tilt angle),CSVL-C7PL spacing,Nash-Moe vertebral rotation classification,and the root mean square value of the surface electromyographic signals of parietal vertebrae convex and concave sides of the three groups were compared before and after the treatment,and the total effective rate of the treatment of the three groups was calculated.Results The Cobb angle,back tilt angle,and CSVL-C7PL spacing of the three groups were significantly smaller than those before treatment(all P<0.05),and the above indexes of the combination group were significantly smaller than those of the traditional therapy group and exercise therapy group(all P<0.05).The Nash-Moe vertebral body rotation classification of the three groups was significantly lower than that before treatment(P<0.05),and the classification of the combination group was significantly lower than that the traditional therapy group and exercise therapy group(P<0.05).There was no statistically significant difference in the root mean square value of the surface electromyographic signals of parietal vertebrae convex side of the three g

关 键 词：中医正骨推拿 火龙罐 施罗特疗法 青少年特发性脊柱侧弯 脊柱侧弯角度 脊柱矫正 

分 类 号：R682.3[医药卫生—骨科学]