针灸推拿联合康复运动治疗青少年脊柱侧弯的疗效观察

Therapeutic observation of treating adolescent scoliosis with acupuncture-moxibustion and tuina plus rehabilitation exercise

目的观察针灸推拿联合康复运动治疗青少年脊柱侧弯的临床疗效。方法选取90例青少年脊柱侧弯为研究对象分为对照组和观察组,每组45例。对照组予以康复运动干预,观察组在对照组的基础上予以针灸推拿(益肾调脊策略的针灸)治疗。观察两组治疗前后脊柱侧凸研究学会22项(Scoliosis Research Society-22,SRS-22)量表评分、腰背肌力和脊柱功能恢复情况,并比较两组临床疗效。结果观察组总有效率(92.9%)显著高于对照组(76.9%),两组比较差异具有统计学意义(P<0.05)。治疗1个月后,两组SRS-22量表各项评分和总分均降低(P<0.05),但组间比较差异无统计学意义(P>0.05);治疗后,两组SRS-22量表各项评分和总分均较治疗1个月后降低(P<0.05),且观察组低于对照组(P<0.05)。治疗1个月后,两组腰背肌力均较治疗前升高(P<0.05),但组间比较差异无统计学意义(P>0.05);治疗后,两组腰背肌力均较治疗1个月后升高(P<0.05),且观察组高于对照组(P<0.05)。治疗后,两组脊柱功能分度优于治疗前(P<0.05),且观察组优于对照组(P<0.05)。结论针灸推拿联合康复运动治疗青少年脊柱侧弯,可改善脊柱功能,提高腰背肌力,加快症状恢复,提高临床疗效。

Objective To observe the clinical efficacy of treating adolescent scoliosis with acupuncture-moxibustion and tuina plus rehabilitation exercise.Method Ninety adolescent patients with scoliosis were recruited as the subjects and divided into a control group and an observation group,with 45 cases in each group.The control group was offered rehabilitation exercise,and the observation group was given additional acupuncture-moxibustion and tuina treatment(acupuncture-moxibustion treatment based on the strategy of tonifying the kidney and regulating the spine).The score of Scoliosis Research Society-22(SRS-22)scale,dorsolumbar muscle strength,and spinal function were observed before and after the treatment,and the clinical efficacy was compared between the two groups.Result The observation group had a higher total effective rate than the control group(92.9%versus 76.9%),and the difference was statistically significant(P<0.05).After 1-month treatment,both groups showed decreases in the component and total scores of SRS-22(P<0.05),but the between-group differences were statistically insignificant(P>0.05);the component and total scores of SRS-22 dropped after the treatment compared with those after 1-month treatment in both groups(P<0.05)and were lower in the observation group than in the control group(P<0.05).The dorsolumbar muscle strength increased after 1-month treatment in both groups compared with the baseline(P<0.05),but the between-group difference was statistically insignificant(P>0.05);the dorsolumbar muscle strength increased after the treatment compared with that after 1-month treatment in each group(P<0.05)and was higher in the observation group than in the control group(P<0.05).After the treatment,both groups showed improvements in the spinal function grading compared to the baseline(P<0.05),and the observation group was superior to the control group(P<0.05).Conclusion In treating adolescent scoliosis,acupuncture-moxibustion and tuina plus rehabilitation exercise can improve spinal function,increase dorsolumbar muscle strength,accelerate the recovery of symptoms,and enhance clinical efficacy.