整脊调曲牵引治疗青少年特发性脊柱侧弯症的临床研究

Clinical Study for Chiropractic Traction on the Treatment of Patients with Adolescent Idiopathic Scoliosis

目的:观察整脊调曲牵引法联合手法治疗青少年特发性脊柱侧弯症的疗效。方法:选取青少年特发性脊柱侧弯症患者60例,随机分为观察组和对照组,每组各30例。所有患者均采用手法及锻炼的方法治疗,观察组患者联合整脊调曲牵引治疗,对照组患者联合骨盆牵引治疗。比较两组患者治疗前后的疗效、Cobb角、腰背部引发压痛值、Oswestry功能障碍指数(ODI)评分变化及组间差异。结果:治疗结束后,观察组有效率优于对照组,差异有统计学意义(P<0.05),观察组治愈率同样优于对照组,差异无统计学意义(P>0.05);观察组腰背部疼痛引发值、Cobb角、ODI评分指标均较对照组显著改善,差异有统计学意义(P<0.05);治疗全过程患者均无严重不良反应发生。结论:整脊调曲牵引联合手法及锻炼治疗青少年特发性脊柱侧弯症能减轻患者腰背部疼痛,矫正脊柱侧弯程度并改善患者生活质量。

Objective:To observe the efficacy of chiropractic traction combined with manipulation on the treatment of patients with adolescent idiopathic scoliosis.Methods:A total of 60 adolescent idiopathic scoliosis patients were selected and randomly divided into observation group and control group,30 cases in each group.All patients were treated with manipulation and exercise.The curative efficacy,Cobb angle,low back induced tenderness value,Oswestry disability index(ODI)score before and after treatment were compared between the two groups.Results:After treatment,the effective rate of the observation group was better than that of the control group,the difference was statistically significant(P<0.05),the cure rate of the observation group was also better than that of the control group,the difference was not statistically significant(P>0.05).The lower back pain trigger value,Cobb angle and ODI score of the observation group were significantly improved than those of the control group,and the differences were statistically significant(P<0.05).No serious adverse reactions occurred during the whole treatment process.Conclusion:Chiropractic traction combined with manipulation and exercise on the treatment of patients with adolescent idiopathic scoliosis can reduce the pain of lower back,correct the degree of scoliosis and improve the quality of life.