摇脊牵伸法治疗小儿早发性脊柱侧凸肾气不足型90例临床观察
Clinical observation on 90 cases of pediatric early-onset scoliosis of kidney qi insufficiency type treated by rocking spine and stretching method
施芳英 1赵犇微 1李小梅 2罗丹 1骆姝君 2蒋晨琳 1詹强1
作者信息
- 1. 浙江中医药大学附属浙江省中西医结合医院推拿科,浙江 杭州 310003
- 2. 杭州市儿童医院推拿科,浙江 杭州 310014
- 折叠
摘要
目的 观察摇脊牵伸法治疗小儿早发性脊柱侧凸肾气不足型的临床疗效.方法 选取2021年1月至2022年12月于杭州市儿童医院推拿科就诊的早发性脊柱侧凸肾气不足型患儿90例,采用Microsoft Excel产生随机数字,分为对照组和治疗组,各45例.对照组采用推拿手法治疗,治疗组采用摇脊牵伸法推拿治疗.2组均每次30～45 min,每周1次,连续治疗3个月后统计临床疗效.结果 对照组临床总有效率为66.67％(30/45),治疗组为86.67％(39/45),2组比较,差异有统计学意义(P＜0.05).对照组中医证候总有效率为57.78％(26/45),治疗组为80.00％(36/45),2组比较,差异有统计学意义(P＜0.05).治疗前2组Cobb角比较,差异无统计学意义(P＞0.05),具有可比性;治疗后,2组Cobb角均显著下降,与同组治疗前比较,差异有统计学意义(P＜0.01),且治疗组下降更显著(P＜0.05).2组患儿在治疗期间均未出现头晕目眩、恶心呕吐、胸闷胸痛、皮肤破损、皮下出血、胸腰段活动受限、软组织损伤等不良反应.结论 摇脊牵伸法治疗小儿早发性脊柱侧凸肾气不足型,可有效减轻临床症状,改善Cobb角,且安全性高,值得临床推广应用.
Abstract
Objective To observe the clinical efficacy of shaking spine and stretching method in treating chil-dren with early-onset scoliosis of kidney qi insufficiency type.Methods Ninety cases of children with early-onset scoliosis of kidney qi insufficiency type who attended the Tuina Department of Hangzhou Children's Hospital from January 2021 to December 2022 were selected,and were divided into a control group and a treatment group of 45 cases each by using Microsoft Excel to generate random numbers.The control group was treated with the tuina tech-niques,and the treatment group was treated with the tuina method of rocking the spine and stretching.The two groups were treated for 30-45 minutes each time,once a week,and the clinical efficacy was counted after 3 consec-utive months of treatment.Results The total clinical effective rate was 66.67％(30/45)in the control group and 86.67％(39/45)in the treatment group,and the difference between the 2 groups was statistically significant(P＜0.05).The total effective rate of traditional Chinese medicine syndrome in the control group was 57.78％(26/45),while in the treatment group it was 80.00％(36/45),and the difference between the 2 groups was statistically sig-nificant(P＜0.05).Comparison of Cobb angle of the 2 groups before treatment,the difference was not statistically significant(P＞0.05),and it was comparable;after treatment,the Cobb angle of the 2 groups decreased significant-ly,and the difference was statistically significant compared with that of the same group before treatment(P＜0.01),and the decrease of the treatment group was more significant(P＜0.05).Both groups of children did not experience adverse reactions such as dizziness,nausea,vomiting,chest tightness,chest pain,skin damage,subcutaneous bleed-ing,restricted thoracolumbar movement,or soft tissue damage during the treatment period.Conclusion Rocking spine and stretching method for treating pediatric early-onset scoliosis of kidney qi insufficiency type can effectively reduce the clinical symptoms and improve the Cobb's angle,and it is safe and worthy of clinical promotion and application.
关键词
小儿/早发性脊柱侧凸/肾气不足型/摇脊牵伸法/推拿/临床观察Key words
children/early onset scoliosis/kidney qi insufficiency type/rocking spine and stretching method/tuina/clinical observation引用本文复制引用
基金项目
浙江省中医药现代化专项资助项目(2022ZX015)
出版年
2024
国家科技期刊平台
NSTL
万方数据