| 潘晓旭,安守伟,周翔.分节段式脊柱推拿手法联合施罗斯疗法治疗青少年特发性脊柱侧弯的临床疗效[J].浙江中西医结合杂志,2024,34(12): |
| 分节段式脊柱推拿手法联合施罗斯疗法治疗青少年特发性脊柱侧弯的临床疗效 |
| Clinical study of segmental spinal manipulation combined with Schroth therapy in the treatment of adolescent idiopathic scoliosis |
| 投稿时间：2024-04-10 修订日期：2024-09-25 |
| DOI： |
| 中文关键词: 分节段式脊柱推拿手法 施罗斯疗法 青少年 特发性脊柱侧弯 |
| 英文关键词: |
| 基金项目:浙江省中医药科技计划项目(2021KY008) |
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| 中文摘要: |
| 目的：探讨青少年特发性脊柱侧弯(Adolescent idiopathic scoliosis,AIS)患者实施分节段式脊柱推拿手法联合施罗斯疗法治疗的临床疗效。方法：选取本院2020年1月至2023年1月收治的AIS患者98例进行对照实验,随机对照分组(实验组：49例,对照组：49例),其中实验组用分节段式脊柱推拿手法联合施罗斯疗法治疗,对照组单独用施罗斯疗法治疗,记录两组治疗前后的主要脊柱矢状位参数、脊柱冠状位参数与盆骨参数,将各项数据纳入SPSS23.0软件处理并进行统计学分析,比较差异。结果：①实验组治疗后SVA距离、TLK值显著低于对照组,LL、TK值显著高于对照组(P＜0.05)。②实验组治疗后C7PL与CSVL间距、AVT值均低于对照组(P＜0.05)。③实验组治疗后PI值显著低于对照组,PT值显著高于对照组(P＜0.05)。④实验组治疗后Cobb角显著低于对照组,SRS-22评分显著高于对照组(P＜0.05)。结论：分节段式脊柱推拿手法联合施罗斯疗法能有效矫正青少年AIS患者的脊柱三维结构,稳定脊柱三维平衡状态,疗效显著优于单纯的施罗斯疗法,可用于青少年AIS的临床治疗。 |
| 英文摘要: |
| Objective: To investigate the clinical efficacy of segmental spinal manipulation combined with Schross therapy in the treatment of Adolescent idiopathic scoliosis (AIS). Methods: A total of 98 AIS patients admitted to our hospital from January 2020 to January 2023 were selected for a controlled experiment, and randomized controlled groups (experimental group: 49 cases, control group: 49 cases), the experimental group was treated with segmental spinal manipulation combined with Schross therapy, and the control group was treated with Schross therapy alone. The main spinal sagittal position parameters, spinal coronal position parameters and pelvic parameters of the two groups before and after treatment were recorded, and all data were included in SPSS23.0 software for processing and statistical analysis to compare the differences. Results: ①After treatment, the SVA distance and TLK values of the experimental group were significantly lower than those of the control group, and the LL and TK values were significantly higher than those of the control group (P<0.05). ②The distance between C7PL and CSVL and AVT of the experimental group were lower than those of the control group after treatment (P<0.05). ③The PI value of the experimental group was significantly lower than that of the control group, and the PT value was significantly higher than that of the control group after treatment (P<0.05). ④The Cobb Angle of the experimental group was significantly lower than that of the control group after treatment, and the SRS-22 score was significantly higher than that of the control group (P<0.05). Conclusion: Segmental spinal manipulation combined with Schroth therapy can effectively correct the three-dimensional spinal structure of adolescent AIS patients and stabilize the three-dimensional spinal balance state, which is significantly better than the simple Schroth therapy, and can be used in the clinical treatment of adolescent AIS. |
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