柔式正骨治疗寰枢椎半脱位临床研究
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R681.5

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Clinical Study on Flexible Bone Setting for Atlanto-Axial Subluxation
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    摘要:

    目的:观察柔式正骨治疗寰枢椎半脱位临床效果。方法:将80 例寰枢椎半脱位的患者随机分为2 组。对照组予常规的治疗方法解痉松肌法、整复错位法、理筋顺络法三步法治疗;治疗组予柔式正骨四步法治疗。观察比较2 组临床疗效、日本骨科协会(JOA) 颈椎评分、DR 寰齿前间隙差值、DR 寰齿侧间隙差值、临床症状、体征积分以及随访6 个月后复发率情况。结果:临床疗效总有效率治疗组97.5%,对照组87.5%,2 组总有效率比较,差异有统计学意义(P<0.05)。治疗后,2 组JOA 颈椎评分、DR 寰齿前间隙差值、DR 寰齿侧间隙差值与本组治疗前比较,差异均有统计学意义(P<0.05),2 组间上述各项指标比较,差异均有统计学意义(P<0.05)。治疗后,2 组临床症状积分比较,差异均有统计学意义(P<0.05)。治疗后,2 组体征积分比较,差异均有统计学意义(P<0.05)。随访6 个月后,2 组复发率比较,差异有统计学意义(P<0.05)。结论:柔式正骨治疗寰枢椎半脱位有良好的临床疗效,能改善JOA 颈椎评分、DR 寰齿前间隙差值、DR 寰齿侧间隙差值,效果优于普通治疗的三步法。

    Abstract:

    Abstract:Objective:To observe the clinical effect of flexible bone setting on atlanto-axial subluxation. Methods:A total of 80 cases with atlanto- axial subluxation were randomly divided into two group. The control group was adopted with conventional three- step treatment including spasmolytic and muscle- loosing method, reconstructive dislocation method, sinew-reinforcing and collaterals-normalizing method. The treatment group was adopted with four-step treatment of flexible bone setting. The clinical effect, cervical spine score of JOA, difference of DR atlanto- dental interval, difference of DR variance of bilateral lateral atlanto dental space,score of clinical symptoms and signs,and the recurrence rate after half a year of follow-up were all observed and compared between the two groups. Results:The total effective rate was 97.5% in the treatment group and 87.5% in the control group,the difference being significant(P<0.05). After treatment,there were significant differences in the comparison of JOA score, difference of DR atlanto- dental interval, and difference of DR variance of bilateral lateral atlanto dental space when compared with those in the same group before treatment(P<0.05). After treatment,there were significant differences in the comparison of the above indexes between the two groups(P<0.05). After treatment,there were significant differences in the comparison of scores of clinical symptoms between the two groups(P< 0.05). After treatment,there were significant differences in the comparison of scores of body signs between the two groups (P<0.05). After six-month follow-up,there was significant difference in the comparison of the recurrence rate between the two groups(P<0.05). Conclusion:Flexible bone-setting has great clinical effect in treating atlanto-axial subluxation,which can improve JOA score, difference of DR atlanto- dental interval, and difference of DR variance of bilateral lateral atlanto dental space,whose effect is better than the common three-step treatment.

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车德文,王冕,周耿标.柔式正骨治疗寰枢椎半脱位临床研究[J].新中医,2020,52(17):91-94

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  • 在线发布日期: 2020-09-06
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