摘要
目的探讨整脊手法配合三维牵引及矫形支具(三法联合)治疗青少年特发性脊柱侧弯(AIS)临床疗效及对肺功能的影响。方法选取2018年6月至2020年1月承德医学院附属医院收治的76例AIS病人作为研究对象,按照随机数字表法分为两组,每组38例。对照组采用三维牵引及矫形支具进行治疗,观察组在对照组基础上配合整脊手法进行治疗;治疗3个月,观察治疗前后病人Cobb角及肺功能相关指标用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、每分钟最大通气量(MVV)的变化。结果两组病人治疗后的Cobb角均低于治疗前,其中观察组治疗后Cobb角为(7.93±2.15)°,对照组治疗后Cobb角为(12.05±3.45)°,观察组治疗后Cobb角显著低于对照组,差异有统计学意义(P<0.05);观察组病人整体疗效优于对照组,且观察组总有效率[84.21%(32/38)]高于对照组总有效率[60.53%(23/38)],差异有统计学意义(P<0.05)。对照组治疗后FVC、FEV_(1)、MVV均较治疗前下降,差异有统计学意义(P<0.05);观察组治疗后各指标均高于治疗前,差异有统计学意义(P<0.05)。结论三法联合治疗AIS,临床疗效显著,且能够有效改善病人肺功能。
Objective To investigate the clinical efficacy of chiropractic manipulation with three-dimensional traction and orthopedic braces and the combination of the above three methods in the treatment of adolescent idiopathic scoliosis(AIS)and the effect on pulmonary function.Methods Seventy-six AIS patients admitted to the Affiliated Hospital of Chengde Medical University from June 2018 to January 2020 were selected as the research subjects and were divided into two groups,with 38 cases in each group according to the random number table method.The control group was treated with three-dimensional traction and orthopedic braces,and the observation group was treated with chiropractic manipulation on the basis of the control group.After treatment for 3 months,changes in the Cobb angle and lung function-related indexes such as forced vital capacity(FVC),forced expiratory volume in the first second(FEV_(1))and maximum ventilation volume per minute(MVV),were observed before and after treatment.Results The Cobb angle of the two groups after treatment was lower than that before treatment,in which the Cobb angle of the observation group was(7.93±2.15)°and that of the control group was(12.05±3.45)°,and the Cobb angle of the observation group was significantly lower than that of the control group,with a statistically significant difference(P<0.05);the overall curative effect of patients in the observation group[84.21%(32/38)]was better than that of the control group[60.53%(23/38)],and the total effective rate was higher than that of the control group,and the difference was statistically significant(P<0.05).The FVC,FEV_(1) and MVV of the control group decreased after treatment compared with those before treatment,and the difference was statistically significant(P<0.05);all indicators of the observation group after treatment were higher than those before treatment(P<0.05).Conclusion Chiropractic manipulation combined with three-dimensional traction and orthopedic braces has significant clinical efficacy in the treatment of AIS and can improve the pulmonary function of patients.
作者
李连泰
胡华
王书君
谢双喜
计小青
于瑞杰
贾立炜
LI Liantai;HU Hua;WANG Shujun;XIE Shuangxi;JI Xiaoqing;YU Ruijie;JIA Liwei(Department of Orthopedics and Traumatology,Affiliated Hospital of Chengde Medical University,Chengde,Hebei 067000,China)
出处
《安徽医药》
CAS
2023年第9期1766-1771,共6页
Anhui Medical and Pharmaceutical Journal
基金
河北省中医药管理局指令性科研课题(2016067)。
关键词
脊柱侧凸
青少年
整脊手法
三维牵引
矫形支具
肺功能
Scoliosis
Adolescent
Chiropractic manipulation
Three-dimensional traction
Orthopedic brace
Pulmonary function
