《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (11): 1056-1058.

• 论文 • 上一篇    下一篇

脊柱三扳法对早中期强直性脊柱炎胸腰椎活动的影响

陈民1，高彦平1，张晓2，李嘉1，李腾辉1   

  1. 1.广东省人民医院，广东省医学科学院正骨科，广东广州市510080；2.广东省人民医院风湿免疫科，广东广州市510080。
  • 收稿日期:2011-06-13 修回日期:2011-09-26 出版日期:2011-11-25 发布日期:2011-11-25

Effects of Sanban Manipulation of Spine on Thoracolumbar Activities in Patients with Ankylosing Spondylitis at Early-middle tage

CHEN Min, GAO Yan-ping, ZHANG Xiao, et al.   

  1. Department of Traditional Chinese Orthopedics, Guangdong General Hospital,Guangzhou 510080, Guangdong, China
  • Received:2011-06-13 Revised:2011-09-26 Published:2011-11-25 Online:2011-11-25

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被引次数

7

摘要： 目的探讨脊柱三扳法治疗早中期强直性脊柱炎(AS)的疗效。方法60 例AS 早中期患者按照进入研究的顺序分为药物组(n=30)和手法组(n=30)。药物组口服柳氮磺胺吡啶和正清风痛宁缓释片；手法组在此基础上接受脊椎三扳手法。按自行研制AS 调查表在治疗前和治疗后第1、3、6 个月对两组患者进行随访。结果治疗3 个月时，手法组的腰椎活动度和指-地距离优于药物组(P<0.05)；治疗6 个月时，手法组腰椎活动度、指-地距离、胸廓活动度和VAS 评分均优于药物组(P<0.05)。结论脊柱三扳法可以改善早中期AS 患者的胸腰椎活动范围。

关键词: 强直性脊柱炎, 脊柱三扳法, 活动度

Abstract: Objective To explore the effects of Sanban manipulation of spine on ankylosing spondylitis (AS) at the early-middle stage.Methods 60 AS patients at the early-middle stage were divided into drug group (n=30) and manipulation group (n=30). The drug group wastreated with sulfasalazine and the sustained-release pills of Zhengqingfengtongning, while the manipulation group were treated with Sanbanmanipulation of spine additionally. Self-developed questionnaire were used to follow up before and 1, 3 and 6 months after treatment. ResultsThe Schober index and the finger-floor distance improved more in the manipulation group than in the drug group (P<0.05) 3 months aftertreatment. All the index improved more in the manipulation group than in the drug group (P<0.05) 6 months after treatment. ConclusionSanban manipulation of spine can improve the thoracolumbar activities in the AS patients at the early-middle stage.

Key words: ankylosing spondylitis, Sanban manipulation of spine, activity