| 引用本文:聂宇1,2，周纳新1，吴星火3.针刀松懈术联合手法治疗脊柱侧弯的临床观察[J].世界中医药,2017,(08):. |
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| 针刀松懈术联合手法治疗脊柱侧弯的临床观察 |
| Clinical Observation on Needle-knife Combined with Manipulation in the Treatment of Scoliosis |
| 投稿时间：2017-07-10 |
| DOI：10.3969/j.issn.1673-7202.2017.08.044 |
| 中文关键词: 针刀松懈术 联合手法 脊柱侧弯 预后 |
| English Keywords:Needle-knife loosening technique Joint approach Scoliosis Prognosis |
| 基金项目:第三批上海市中医临床优势专科(专病)建设项目（ZYSNXD-YL-YSZK010） |
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| 中文摘要: |
| 目的：探讨针刀松懈术联合手法对脊柱侧弯的治疗有效性，并做随访记录。方法：选取2012年1月至2016年9月期间宜昌市中心人民医院收治的脊柱侧弯患者34例，并分为2组，观察组使用针刀松懈术配合手法进行治疗，对照组佩戴支具进行治疗，比较2组患者的治疗总有效，以及在治疗前后VAS评分差异和Cobb角矫正效果，对针刀松懈术联合手法使用的有效性和可行性进行深入探讨。结果：观察组的优良率为94.12%高于对照组的82.35%，且前者的治疗效果为优的患者高达70.59%远远大于后者的29.41%，P<0.05；但是观察组平均评分更低为（2.6±0.5），对照组为（4.8±1.9）分，P<0.05；观察组矫正率为50.4%，对照组的平均矫正率为20.7%，P<0.05，2组治疗前后Cobb角比较均有统计学意义，P<0.05；术后半年进行随访，观察组平均身高增加了（5.1±0.6）cm，对照组为（4.6±0.7）cm，P>0.05。结论：针刀松懈术联合手法治疗不但可以有效缓解患者疼痛，还能起到一个良好的矫正效果，增加身高，提高预后，是一个可靠的、有效的治疗脊柱侧弯的方案。 |
| English Summary: |
| To explore the effectiveness of the combination of needle-knife loosening technique combined with manipulation in the treatment of scoliosis and to record follow-up conditions.Methods:Thirty-four patients with scoliosis from January 2012 to September 2016 were selected and divided into two groups. The treatment group was treated with needle-knife loosening technique. The control group was treated with brace for comparison. The efficacy and feasibility of the two groups were compared from VAS score and Cobb angle before and after the treatment.Results:The excellent-good rate of the study group was 94.12%, higher than that of the control group (82.35%); the treatment effect of the former was 70.59%, which was much higher than that of the latter (29.41%,P<0.05); the average score of the treatment group was 2.6±0.5, lower than that of the control group (4.8±1.9) (P<0.05); the correction rate of the treatment group was 50.4%, while that of the control group was 20.7% (P<0.05). The comparison of Cobb angle before and after the treatment in both the two groups showed difference (P<0.05). During the half-year follow-up, the increase of average height in the treatment group was （5.1±0.6）cm, and（4.6±0.7）cm in the control group (P >0.05).Conclusion:The combination of needle-knife loosening technique may relieve the pain of patients, increase the height and improve the prognosis and have a good effect on correction, which is a reliable and effective. |
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