牵引联合“龙氏正骨手法”治疗早期青少年特发性脊柱侧弯临床观察

目的:观察牵引联合“龙氏正骨手法”治疗早期青少年脊柱侧弯的临床疗效。方法:选取符合特发性脊柱侧弯诊断标准的青少年患者60例,按随机数字表法分为两组。其中对照组采用牵引联合常规青少年脊柱侧弯推拿治疗,治疗组在对照组治疗的基础上增加“龙氏正骨手法”,观察并统计分析治疗前、治疗1个疗程后,两组VAS评分、Cobb角的变化,评估两组临床疗效。结果:治疗1个疗程后,两组Cobb角及VAS评分方面均较治疗前有明显改善,且治疗组疗效优于对照组,差异有统计学意义(P<0.05)。结论:牵引联合“龙氏正骨手法”治疗青少年特发性脊柱侧弯能有效缩小Cobb角,减轻患者患侧疼痛程度,明显提高患者生活质量。

Exploration of the therapeutic effect and clinical outcomes of acupuncture at pain-sensitive points to treat chronic nonspecific low back pain:Application of the acupoint sensitization theory

Objectives:To investigate the clinical and therapeutic effects of acupuncture at the pain-sensitive points of patients with chronic nonspecific low back pain and optimize the acupuncture treatment for chronic nonspecific low back pain.Methods:Using the FDK 20 pressure algometer,the pain-sensitive points were probed in 30 patients with chronic nonspecific low back pain.The top 5 points that elicited the most painful reaction were selected and stimulated with an even-needling technique after deqi.The needles were retained for 30 min.TDP irradiation was concurrently administered.The treatment was administered once daily on weekdays(Monday to Friday) and discontinued for 2 days during the weekend(Saturday and Sunday).The treatment lasted for 2 consecutive weeks.The changes in the range of motion(ROM) of the lumbar vertebrae,visual analogous scale(VAS) score,and the Oswestry disability index(ODI) score of the lumbar vertebrae were assessed before treatment and after 5 and 10 treatment sessions.Results:Compared with the data before treatment,the spinal ROM increased after 5 and 10 treatment sessions in the patients with chronic nonspecific low back pain.The ROM after 10 treatment sessions was remarkably wider than that after 5 treatments,with statistical significance(all P<0.05).Compared with that before treatment,the immediate VAS score showed statistically significant reduction after 5 treatment sessions(P<0.05).Moreover,compared with the score after 5 treatment sessions,the immediate VAS score reduced after 10 treatment sessions,but without any statistical significance.After 5 and 10 treatment sessions,the ODI score was reduced in the patients and it was significantly different from that before treatment(both P<0.05).Conclusion:Acupuncture at the pain-sensitive points alleviates pain and improves lumbar vertebral function in patients with chronic nonspecific low back pain.Thus,further research is needed to confirm whether acupuncture can be a better intervention for chronic nonspecific low back pain.