摘要
目的观察腰-盆-髋整复手法治疗成人退行性脊柱侧凸(adult degenerative scoliosis,ADS)的临床疗效。方法将2022年1月—12月就诊于宁夏医科大学总医院的30例ADS患者随机分为观察组与对照组,每组15例。采用腰-盆-髋整复手法对观察组患者进行治疗,对照组则采用传统推拿手法治疗。治疗1个疗程后测量对比患者治疗前后X线片中脊柱Cobb角及骶骨倾斜角变化,以疼痛视觉模拟评分(visual analogue scale,VAS)及Oswestry功能障碍指数(Oswestry disability index,ODI)评价治疗前后两组患者疼痛变化与功能障碍程度的改变。结果观察组患者治疗后X线片中脊柱Cobb角及骶骨倾斜角较治疗前角度变小,且VAS及ODI评分低于治疗前(P均<0.05);治疗后,对照组患者X线片中脊柱Cobb角及骶骨倾斜角小于治疗前,VAS及ODI评分均低于治疗前(P均<0.05);治疗后,观察组患者X线片中脊柱Cobb角、骶骨倾斜角小于对照组,且VAS与ODI评分均低于对照组(P均<0.05)。结论腰-盆-髋整复手法治疗ADS,能改善患者体征、缓解其疼痛及功能障碍,是一种有效的治疗方法。
Objective Through the clinical observation of the treatment of adult degenerative scoliosis(ADS)with Lumbar-Pelvis-Hip rearrangement,the therapeutic effect of ADS was discussed.Methods From January 2022 to December 2022,A total of 30 ADS patients treated in the General Hospital of Ningxia Medical University were randomly divided into observation group and control group,with 15 patients in each group.The observation group was treated with Lumbar-Pelvis-Hip repositioning maneuvers,the control group was treated with traditional massage.After one course of treatment,the changes in spinal Cobb angle and sacral slanted angle in X-ray films of patients before and after treatment were measured and compared.The visual analog scale(VAS)and Oswestry disability index(ODI)were used to evaluate the changes in pain and the degree of functional impairment in the two groups of patients before and after treatment.Results The Cobb angle and sacral slanted angle in the X-ray images of the observation group decreased compared with before treatment,and the VAS and ODI scores were lower than before treatment(P all<0.05).After treatment,the Cobb angle and sacral slanted angle in the X-ray images of the control group patients were lower than the pre-treatment angle,and the VAS and ODI scores were lower than before treatment(P all<0.05).After treatment,the Cobb angle and sacral slanted angle in the X-ray images of the observation group were smaller than those of the control group,and the VAS and ODI scores were lower than those of the control group(P all<0.05).Conclusion In the treatment of ADS,Lumbar-Pelvis-Hip repositioning maneuvers has more advantages than traditional massage in improving patient signs,relieving pain,and improving dysfunction,and is an effective treatment method.
作者
杨磊
李春
王明磊
武永利
YANG Lei;LI Chun;WANG Minglei;WU Yongli(Department of Orthopedics and Traumatology of Traditional Chinese Medicine,General Hospital of Ningxia Medical University,First Clinical Medical College of Ningxia Medical University,Yinchuan 750004,China;Department of Radiological,General Hospital of Ningxia Medical University,First Clinical Medical College of Ningxia Medical University,Yinchuan 750004,China;Key Laboratory of Integrated Traditional Chinese and Western Medicine Prevention and Treatment of High Incidence in Ningxia,Yinchuan 750004,China)
出处
《宁夏医科大学学报》
2024年第9期950-954,共5页
Journal of Ningxia Medical University
基金
宁夏医科大学校级科研项目(XM2021021)
宁夏回族自治区第二批科技领军人才项目(KJT201610)。
关键词
成人退行性脊柱侧凸
腰-盆-髋整复手法
传统手法
COBB角
骶骨倾斜角
adult degenerative scoliosi
Lumbar-Pelvis-Hip repositioning maneuver
traditional massage
Cobb angle
sacral slanted angle
