[1]陆庆旺,周红海,田君明,等.韦氏正骨整治手法治疗髋-腰综合征[J].中医正骨,2022,34(09):76-79.
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韦氏正骨整治手法治疗髋-腰综合征()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年09期
页码:
76-79
栏目:
临床报道
出版日期:
2022-09-20

文章信息/Info

作者:
陆庆旺1; 周红海2; 田君明3; 李东阳3; 苏少亭3; 韦贵康3; 戴煜3
(1.广西国际壮医医院,广西南宁530001;2.广西中医骨伤科生物力学与损伤修复重点实验室,广西南宁530001;3.广西中医药大学,广西南宁530001)
关键词:
髋-腰综合征;  正骨推拿疗法;  髋关节;  腰椎;  骨关节炎; 髋;  椎管狭窄;  腰痛
摘要:
目的:观察韦氏正骨整治手法治疗髋-腰综合征的临床疗效。方法:2020年1月至2021年10月,采用韦氏正骨整治手法治疗30例髋-腰综合征患者。男13例,女17例。年龄22～66岁,中位数43岁。所有患者均表现为腰痛,一侧髋关节痛或腹股沟区疼痛,髋关节活动受限。韦氏正骨整治手法每周治疗2次,每次约30 min,共治疗3周。采用视觉模拟量表(visual analogue scale,VAS)评分评价腰髋部疼痛程度,采用日本骨科协会(Japanese Orthopaedic Association,JOA)腰痛疾患疗效评分评价患者腰椎功能改善情况,采用Harris髋关节评分评价髋关节功能改善情况,测量并观察腰椎侧位X线片上的腰椎Cobb角、骨盆入射角、骨盆倾斜角和骶骨倾斜角变化情况。结果:腰髋部疼痛VAS评分,治疗前(7.68±1.21)分、治疗开始后1周(6.04±1.03)分、治疗开始后2周(4.26±1.45)分、治疗开始后3周(3.18±0.97)分; JOA腰痛疾患疗效评分,治疗前(23.23±5.38)分、治疗开始后1周(24.07±5.27)分、治疗开始后2周(26.50±3.05)分、治疗开始后3周(27.53±2.30)分; Harris髋关节评分,治疗前(64.30±18.61)分、治疗开始后1周(70.57±15.15)分、治疗开始后2周(82.13±11.04)分、治疗开始后3周(90.20±5.21)分; 腰椎Cobb角,治疗前33.07°±9.56°、治疗结束时35.13°±9.51°; 骨盆入射角,治疗前46.27°±6.06°、治疗结束时46.07°±5.18°; 骨盆倾斜角,治疗前14.43°±2.69°、治疗结束时12.90°±2.59°; 骶骨倾斜角,治疗前31.57°±4.90°、治疗结束时35.13°±4.84°。结论:韦氏正骨整治手法治疗髋-腰综合征,能够缓解腰髋部疼痛症状,恢复脊柱-骨盆生物力学平衡,促进腰椎和髋关节功能恢复。

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81660800); 广西一流学科建设开放课题项目(2019XK028); 广西壮族自治区中医药管理局自筹项目(GZZC2020157,20210083); 广西中医药大学研究生教育创新计划项目(YCSY2020102,YCXJ2021102); 广西名中医传承工作室建设项目(2019桂中医药科教发〔2021〕6号) 通讯作者:田君明 E-mail:2844579135@qq.com
更新日期/Last Update: 1900-01-01