三法整合治疗36例青少年特发性脊柱侧弯的疗效观察

Clinical Observation on 36 Cases of Adolescent Idiopathic Scoliosis Treated with Three Integrated Methods

目的:运用中医整脊手法、个体化三维牵引配合矫形支具,三法整合治疗青少年特发性脊柱侧弯,观察临床疗效及有无不良反应。方法:采集青少年特发性脊柱侧弯患者80例,按先后就诊次序,单序号就诊者设为治疗组,双序号就诊者设为对照组,治疗组采用中医整脊手法、个体化三维牵引,配合Boston矫形支具外固定治疗。对照组仅采用Boston矫形支具外固定治疗。每组均治疗三个月。观察两组治疗前后Cobb角的变化、VAS评分及临床症状的改善情况及有无不良反应。用SPSS19.0软件对所得数据进行统计学分析。结果:治疗组在改善Cobb角及VAS评分方面,好于对照组,差异有统计学意义(P<0.05)。治疗组的临床治愈好转率高于对照组,两组患者治疗后均无不良反应。结论:中医整脊手法、个体化三维牵引配合矫形支具,三法整合治疗青少年特发性脊柱侧弯临床疗效好,无不良反应,值得临床进一步推广。

Objective： To observe the clinical effect and adverse reaction of three integrated methods with traditional Chinese chiropractic technique, personal dimensional traction combined with orthopedic brace for adolescent idiopathic seoliosis. Methods： 80 cases with adolescent idiopathic scoliosis, according to the consulting order, were divided into treatment group （the single number） and control group （the double num- ber）. The treatment group was carried out the treatment by three integrated Methods： traditional Chinese chi- ropractic technique, personal dimensional traction combine with orthopedic brace. The control group was trea- ted only by Boston orthopedic brace. Each group was treated for three months. The changes of Cobb angle, VAS score before and after the treatment, the clinical effects and whether adverse reactions were observed. All the data were analyzed by SPSS19.0. Results： Cobb angle and VAS score in treatment group were obviously lower than control group,there was a statistical significance（P〈0.05） ; the cure and improvement rate in treat- ment group was obviously higher than the control group. There was no adverse reaction in both groups. Conclu- sions ： The three integrated methods with traditional Chinese chiropractic technique, personal dimensional traction combined with orthopedic brace for adolescent idiopathic scoliosis has a good efficacy. There is no adverse reactions and it is worthy of further clinical promotion.