调曲整脊法治疗腰椎管狭窄症90例疗效报告

Clinical report of 90 cases of lumbar stenosis using spinal curvature adjusting method and Chinese orthopedic spinal therapy

目的：观察通过调曲为主的整脊法治疗腰椎管狭窄症的临床疗效。方法：应用四维牵引调腰曲并辅助正脊骨和练功的疗法，按照椎曲改变类型辨证施治。结果：总有效率98．9％，临床治愈率83．3％，缓解率13．3％，显效率2．2％，无效率1．1％，椎曲改善率为81％，3个月随访健康状况优良率为98．81％，症状体征康复优良率为96．43％。结论：调曲整脊法是以调整腰椎曲度为主要目标。椎曲恢复和稳定与功能锻炼呈正相关。从随访的病例中得知，能否坚持功能锻炼是巩固疗效的关键。

Objective： To investigate the efficacy of Chinese orthopedic spinal therapy based on adjusting spinal curvature on lumbar stenos. Methods： According to the changes of spinal curvatures, we adopted the differential treatments of the four direction spinal pulling methods with spinal setting and exercise training. Results： The general efficacy rate was 98.9 %, including cure rate 83.3 %, recover rate 13.3%, good rate 2.2% and invalid rate 1.1%. The improvement of spinal curvature was 81%. The excellent and good rate of health status evaluation was 98.81% in 3 months follow-up. Conclusions： Lumbar curvature adjusting maneuver is the principal objective of Chinese spinal therapy. The exercise practicing has a positive correlation with spinal curvature recovery and stability. It is the key point of continue spinal exercise practicing to maintain the good result.