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调曲整脊法治疗腰椎管狭窄症90例疗效报告
引用本文:韦以宗,王秀光,潘东华,张盛强,林廷章,陈东军,戴国文,吴宁,谭树生. 调曲整脊法治疗腰椎管狭窄症90例疗效报告[J]. 中华中医药杂志, 2012, 0(2): 498-503
作者姓名:韦以宗  王秀光  潘东华  张盛强  林廷章  陈东军  戴国文  吴宁  谭树生
作者单位:北京市昌平区光明骨伤医院;广东省佛山市中医院;广东省潮州市中心医院;湖南省湘潭市中西医结合医院;广西平南县同安骨伤医院;广西民族医院
基金项目:国家中医药管理局资助课题(No.2009ZL06)~~
摘    要:目的:观察通过调曲为主的整脊法治疗腰椎管狭窄症的临床疗效。方法:应用四维牵引调腰曲并辅助正脊骨和练功的疗法,按照椎曲改变类型辨证施治。结果:总有效率98.9%,临床治愈率83.3%,缓解率13.3%,显效率2.2%,无效率1.1%,椎曲改善率为81.0%,3个月随访健康状况优良率为98.8%,症状体征康复优良率为96.4%。结论:调曲整脊法是以调整腰椎曲度为主要目标。椎曲恢复和稳定与功能锻炼呈正相关。从随访的病例中得知,能否坚持功能锻炼是巩固疗效的关键。

关 键 词:腰椎管狭窄症  四维牵引  调曲法  正脊骨法  腰曲

Clinical report of 90 cases of lumbar stenosis treating by spinal curvature adjusting method and Chinese orthopedic spinal therapy
WEI Yi-zong,WANG Xiu-guang,PAN Dong-hua,ZHANG Sheng-qiang,LIN Ting-zhang,CHEN Dong-jun,DAI Guo-wen,WU Ning,TAN Shu-sheng. Clinical report of 90 cases of lumbar stenosis treating by spinal curvature adjusting method and Chinese orthopedic spinal therapy[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2012, 0(2): 498-503
Authors:WEI Yi-zong  WANG Xiu-guang  PAN Dong-hua  ZHANG Sheng-qiang  LIN Ting-zhang  CHEN Dong-jun  DAI Guo-wen  WU Ning  TAN Shu-sheng
Affiliation:WEI Yi-zong 1,WANG Xiu-guang 1,PAN Dong-hua 1,ZHANG Sheng-qiang 2,LIN Ting-zhang 3,CHEN Dong-jun 2,DAI Guo-wen 4,WU Ning 5,TAN Shu-sheng 6(1 Beijing Guangming Orthopedic Hospital,Beijing 102200,China;2 TCM Hospital of Foshan City,Foshan 134003,China;3 Chaozhou Central Hospital,Chaozhou 521000,China;4 Integrative Medicine Hospital of Xiangtan City,Xiangtan 411104,China;5 Tong’an Orthopedics Hospital of Pingnan County of Guangxi Province,Pingnan 537300,China;6 Minzu Hospital of Guangxi Zhuang Autonomous Region,Nanning 530001,China)
Abstract:Objective: To investigate the efficacy of Chinese orthopedic spinal therapy based on adjusting spinal curvature on lumbar stenos.Methods: According to the changes of spinal curvatures,we adopted the differential treatments of the four direction spinal pulling methods with spinal setting and exercise training.Results: The total efficiency rate was 98.9%,including clinical cure rate 83.3%,response rate 13.3%,markedly effective rate 2.2% and inefficiency rate 1.1%.The improvement rate of spinal curvature was 81.0%.The excellent and good rate of health status evaluation was 98.8% in 3 months follow-up.The excellent rate of symptoms and signs was 96.4%.Conclusion: Lumbar curvature adjusting maneuver is the principal objective of Chinese spinal therapy.The exercise practicing has a positive correlation with spinalcurvature recovery and stability.It is the key point of continue spinal exercise practicing to maintain the good result.
Keywords:Lumbar stenosis  Four direction spinal pulling  Spinal curvature adjusting method  Spinal setting method  Lumbar curvature
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