| 高磊,瞿玉兴,沈鹏飞,等.脊柱平衡疗法应用于青少年特发性脊柱侧凸病人中的效果[J].安徽医药,2020,24(12):2390-2393. |
| 脊柱平衡疗法应用于青少年特发性脊柱侧凸病人中的效果 |
| Effect of spinal balance therapy in adolescent idiopathic scoliosis |
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| DOI：10.3969/j.issn.1009?6469.2020.12.015 |
| 中文关键词: 脊柱侧凸 脊柱平衡疗法 青少年 姿势平衡 导引 肌电描记术 肺功能 |
| 英文关键词: Scoliosis Spinal balance therapy Adolescent Postural balance Physical & breathing exercises Electromy? ography Lung function |
| 基金项目:江苏省中医药局科技项目(LZ11137) |
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| 中文摘要: |
| 目的探究脊柱平衡疗法应用于青少年特发性脊柱侧凸病人中的效果。方法选取 2016年 7月至 2017年 7月常州市中医医院收治的给予常规疗法(佩戴支具)的青少年特发性脊柱侧凸病人 60例作为对照组，另选取 2017年 8月至 2018年 8月该院收治的给予脊柱平衡疗法(对病人进行脊柱平衡导引训练、脊柱平衡推拿正骨等)的青少年特发性脊柱侧凸病人 60例作为观察组，疗程均为 6个月。对比两组凸凹侧表面平均肌电(AEMG)比值与脊柱侧弯角度(Cobb角)、肺功能改善情况及临床疗效。结果观察组干预 6个月后凸凹侧 AEMG比值为(1.09±0.16)低于对照组的(1.63±0.45)(P＜0.001)观察组 Cobb角为(9.08±1.43)°小于对照组的(10.32±2.11)°(P＜0.001)；观察组干预6个，月后用力肺活量(FVC)为(93.21±4.54)L，、第 1秒用力呼气容积占用力肺活量的百分比(FEV1/FVC)为(93.01±3.65)L、每分钟最大通气量(MVV)为(75.46±3.27)L，均高于对照组的(87.64±4.02)、(88.03±4.38)、(70.65±4.51)L(P＜0.001)；观察组干预 6个月后临床总疗效为 95.00%，高于对照组的 |
| 英文摘要: |
| Objective To explore the effect of spinal balance therapy in adolescent idiopathic scoliosis patients.Methods Sixtyadolescent idiopathic scoliosis patients treated with conventional therapy(wear orthosis)in Changzhou Hospital of Traditional Chi? nese Medicine from July 2016 to July 2017 were selected as the control group，and another 60 adolescent idiopathic scoliosis pa? tients treated with spinal balance therapy(through spinal balance guidance training，spinal balance massage and bone setting，etc.) from August 2017 to August 2018 were selected as the observation group.The course of treatment in both groups was 6 months. Theaverage surface electromyogram(AEMG)ratio，Scoliosis angle(Cobb angle)，improvement of pulmonary function and clinical effi? cacy were compared between the two groups.Results The AEMG ratio of the observation group after 6 months of intervention was(1.09±0.16)，which was lower than that of the control group(1.63±0.45)，and the Cobb angle of the observation group was(9.08±1.43)°，which was smaller than that of the control group(10.32±2.11)，with statistically significant difference(P＜0.001)； After 6 months of intervention，FVC，FEV1/FVC and MVV of the observation group were(93.21±4.54)L，(93.01±3.65)L and(75.46±3.27)L，respectively，all higher than those of the control group(87.64±4.02)L，(88.03±4.38)L，(70.65±4.51)L，and the difference was statistically significant(P＜0.001)； the total clinical efficacy of the observation group after 6 months of intervention was 95.00%，which was higher than 80.00% of the control group，the difference was statistically significant(P＜0.05).Conclusion The application of spinal balance therapy in adolescent idiopathic scoliosis patients can significantly improve the AEMG ratio，re? duce the Cobb angle，improve the improvement of pulmonary function，and effectively improve the clinical efficacy，which is worthy of promotion. |
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