摇脊牵伸法治疗小儿早发性脊柱侧凸肾气不足型90例临床观察

Clinical observation on 90 cases of pediatric early-onset scoliosis of kidney qi insufficiency type treated by rocking spine and stretching method

目的观察摇脊牵伸法治疗小儿早发性脊柱侧凸肾气不足型的临床疗效。方法选取2021年1月至2022年12月于杭州市儿童医院推拿科就诊的早发性脊柱侧凸肾气不足型患儿90例,采用Microsoft Excel产生随机数字,分为对照组和治疗组,各45例。对照组采用推拿手法治疗,治疗组采用摇脊牵伸法推拿治疗。2组均每次30~45 min,每周1次,连续治疗3个月后统计临床疗效。结果对照组临床总有效率为66.67%(30/45),治疗组为86.67%(39/45),2组比较,差异有统计学意义(P<0.05)。对照组中医证候总有效率为57.78%(26/45),治疗组为80.00%(36/45),2组比较,差异有统计学意义(P<0.05)。治疗前2组Cobb角比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组Cobb角均显著下降,与同组治疗前比较,差异有统计学意义(P<0.01),且治疗组下降更显著(P<0.05)。2组患儿在治疗期间均未出现头晕目眩、恶心呕吐、胸闷胸痛、皮肤破损、皮下出血、胸腰段活动受限、软组织损伤等不良反应。结论摇脊牵伸法治疗小儿早发性脊柱侧凸肾气不足型,可有效减轻临床症状,改善Cobb角,且安全性高,值得临床推广应用。

Objective To observe the clinical efficacy of shaking spine and stretching method in treating children with early-onset scoliosis of kidney qi insufficiency type.Methods Ninety cases of children with early-onset scoliosis of kidney qi insufficiency type who attended the Tuina Department of Hangzhou Children's Hospital from January 2021 to December 2022 were selected,and were divided into a control group and a treatment group of 45 cases each by using Microsoft Excel to generate random numbers.The control group was treated with the tuina techniques,and the treatment group was treated with the tuina method of rocking the spine and stretching.The two groups were treated for 30-45 minutes each time,once a week,and the clinical efficacy was counted after 3 consecutive months of treatment.Results The total clinical effective rate was 66.67%(30/45)in the control group and 86.67%(39/45)in the treatment group,and the difference between the 2 groups was statistically significant(P<0.05).The total effective rate of traditional Chinese medicine syndrome in the control group was 57.78%(26/45),while in the treatment group it was 80.00%(36/45),and the difference between the 2 groups was statistically significant(P<0.05).Comparison of Cobb angle of the 2 groups before treatment,the difference was not statistically significant(P>0.05),and it was comparable;after treatment,the Cobb angle of the 2 groups decreased significantly,and the difference was statistically significant compared with that of the same group before treatment(P<0.01),and the decrease of the treatment group was more significant(P<0.05).Both groups of children did not experience adverse reactions such as dizziness,nausea,vomiting,chest tightness,chest pain,skin damage,subcutaneous bleeding,restricted thoracolumbar movement,or soft tissue damage during the treatment period.Conclusion Rocking spine and stretching method for treating pediatric early-onset scoliosis of kidney qi insufficiency type can effectively reduce the clinical symptoms and improve the Cobb's angle,and it is safe and worthy of clinical promotion and application.