| 引用本文:孙武，冯敏山，高景华，杨克新，高春雨.针刀松解联合正脊手法治疗轻中度退行性脊柱侧凸的临床观察[J].世界中医药,2016,(08):. |
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| 针刀松解联合正脊手法治疗轻中度退行性脊柱侧凸的临床观察 |
| Clinical Observation on Acupotomy Lysis Combined with Spinal Manipulation for the Treatment of Degenerative Scoliosis |
| 投稿时间：2015-12-14 |
| DOI：10.3969/j.issn.1673-7202.2016.08.014 |
| 中文关键词: 脊柱侧凸 退行性 针刀 手法 |
| English Keywords:Scoliosis Degenerative Acupotomy lysis Manipulation |
| 基金项目:国家中医药管理局国家中医药临床研究基地业务建设科研专项(编号:JDZX2015271)——“调脊手法治疗退行性脊柱侧凸的疗效评价及影响因素分析” |
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| 中文摘要: |
| 目的:评估针刀松解联合正脊手法治疗退行性脊柱侧凸症的临床疗效。方法:2013年1月至2015年1月,将60例退行性脊柱侧凸患者用数字表法随机分为治疗组和对照组。治疗组30例,采用针刀松解+正脊手法治疗。对照组30例,口服芬必得+盐酸乙哌立松治疗。记录治疗前后2组患者的VAS评分、腰椎ODI评分及侧凸Cobb角变化情况。结果:2组患者治疗前后VAS、ODI评分、Cobb角相比均有统计学意义(P<0.05);2组患者治疗后VAS、ODI评分组间相比无统计学意义(P>0.05);2组患者治疗后Cobb角组间相比,治疗组优于对照组(P<0.05)。结论:对于轻中度退行性脊柱侧凸患者,针刀松解联合正脊手法可缓解疼痛、改善患者的生活质量,并具有一定的矫正畸形作用。 |
| English Summary: |
| To evaluate the effects of acupotomy lysis combined with spinal manipulation for the treatment of degenerative scoliosis．Methods: From January 2013 to January 2015, 60 patients with degenerative scoliosis were randomly divided into treatment group and control group. In the treatment group, acupotomy lysis combined with spine setting manipulation was applied. In the control group, fenbid and eperisone were orally taken. The clinical outcomes were evaluated by VAS score, Oswestry Disability Index (ODI) and Cobb angle. Results: After treatment, the two groups′ VAS, ODI scores and Cobb angle were compared before and after the treatment, which showed statistically significant (P<0.05). The two groups′ VAS, ODI scores indicated no statistically significant (P>0.05). There was statistically significant difference in the two groups′ Cobb angle (P<0.05). Conclusion: For degenerative scoliosis patients, acupotomy lysis combined with spine setting manipulation may relieve pain, improve the quality of patients′ life and have certain function of surgical correction. |
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