中医推拿按摩对脊柱侧弯行3D打印技术矫形术患者脊椎功能康复效果的影响

目的:探讨中医推拿按摩对脊柱侧弯行3D打印矫形术患者脊椎功能康复效果的影响。方法:自2013年1月至2019年1月收治262例行3D打印技术矫形术的脊柱侧弯(adolescent idiopathic scoliosis,AIS)患者,根据患者术后采取的康复治疗方法分为对照组和观察组,各131例,观察组术后采取中医推拿按摩进行康复治疗,对照组采取常规康复治疗。测量对比两组患者干预前后躯干旋转角、最大Cobb角,采用Oswestry功能障碍指数(Oswestry Disability Index,ODI)进行功能评价,采用疼痛视觉模拟评分(visual analogue scale,VAS)评价患者康复干预前后疼痛变化情况。结果:干预90 d后,观察组躯干旋转角、最大Cobb角明显优于对照组,治疗90 d后观察组Oswestry功能障碍指数明显低于对照组,观察组患者VAS评分低于对照组,差异均具有统计学意义(P<0.05)。结论:在脊柱侧弯患者行术前3D打印矫正术后,科学、合理的实施中医推拿按摩能有效改善患者的椎体旋转角、最大Cobb角,提高患者脊柱功能。

Effect of traditional Chinese medicine massage on the rehabilitation of spinal function in scoliosis patients undergoing 3D printing orthopedic surgery

Objective: To explore the effect of Chinese massage on the rehabilitation of scoliosis patients undergoing 3D printing orthopedics.Methods: A retrospective selection of 262 patients with adolescent idiopathic scoliosis(AIS) who underwent 3D printing technology orthopedics admitted to the Department of Orthopedics in our hospital from January 2013 to January 2019 were selected for clinical research. According to the rehabilitation treatment methods adopted by the patients after the operation,the patients were divided into control group and observation group,there were 131 cases in each group. The observation group was treated with traditional Chinese acupuncture and massage after operation,and the control group was treated with conventional rehabilitation. The torso rotation angle and the maximum Cobb angle before and after intervention were measured and compared between two groups,Oswestry Disability Index(ODI) was used for functional evaluation,and the visual analogue scale(VAS) was used to evaluate the changes in pain before and after rehabilitation intervention.Results: After the intervention,the trunk rotation angle and maximum Cobb angle of the observation group were significantly better than those of the control group,the VAS score of the observation group was significantly lower than that of the control group,ODI in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion: After scoliosis patients undergo preoperative 3D printing correction,the scientific and reasonable implementation of TCM acupuncture and massage can effectively improve the patient''s vertebral rotation angle,maximum Cobb angle,and improve the patient''s spinal function.