三维平衡正脊手法对强直性脊柱炎患者疼痛、矢状面脊柱骨盆参数的影响研究

A Study on the Effects of Three Dimensional Balanced Chiropractic Manipulation on Pain and Sagittal Spinal Pelvic Parameters in Patients with Ankylosing Spondylitis

摘要:

摘要：[目的] 探究三维平衡正脊手法对强直性脊柱炎（ankylosing spondylitis，AS）患者疼痛、矢状面脊柱骨盆参数的影响。 [方法] 选择2021年1月-2023年6月收治的AS患者102例，抽签法随机分为常规组51例（常规西医治疗）与正脊组51例（常规西医治疗+三维平衡正脊手法干预）。对比两组临床、血清及影像学指标。[结果] 正脊组治疗3个月的疗效、晨僵时间、脊柱疼痛VAS/BASDAI/BASFI评分、中医证候总积分、脊柱功能与Schober试验均优于常规组（P＜0.05）。正脊组治疗3个月血清ESR、CRP、IL-6/17/23水平均显著低于常规组（P＜0.05）。正脊组治疗3个月SVA[（15.6±5.3）vs（25.4±8.0）mm]、TK[（28.8±10.0）vs（35.7±11.2）°]、PT[（14.2±5.6）vs（17.0±6.7）°]均显著低于常规组（P＜0.05），LL[（45.3±7.8）vs（39.8±8.2）°]、PI[（45.6±6.7）vs（42.6±6.3）°]、SS[（33.5±7.0）vs（28.4±7.6）°]显著高于常规组（P＜0.05）。两组毒副反应对比无统计学意义（P＞0.05）。[结论] 三维平衡正脊手法治疗AS安全有效，能明显缓解其疼痛，改善脊柱功能及矢状面脊柱盆骨相关参数。

Abstract:

Abstract: Objective To explore the effects of three-dimensional balanced correct spine manipulation on pain and sagittal spinal pelvic parameters in patients with ankylosing spondylitis (AS). Methods A total of 102 AS patients admitted from January 2021 to June 2023 were randomly divided into 51 cases in the conventional group (conventional Western medicine treatment) and 51 cases in the correct spine group (conventional Western medicine treatment + three-dimensional balanced correct spine manipulation intervention) by drawing lot. The clinical, serum and imaging indexes of the two groups were compared. Results The 3-month efficacy, morning rigor time, VAS/BASDAI/BASFI score, TCM syndrome score, spinal function and Schober test in the correct spine group were better than those in the conventional group (P < 0.05). The levels of serum ESR, CRP and IL-6/17/23 in the correct spine group after 3 months of treatment were significantly lower than those in the conventional group (P < 0.05). After 3 months of treatment, SVA [(15.6±5.3) vs (25.4±8.0) mm], TK [(28.8±10.0) vs (35.7±11.2) °] and PT [(14.2±5.6) vs (17.0±6.7) °] in the correct spine group were significantly lower than those in the conventional group (P < 0.05). LL [(45.3±7.8) vs (39.8±8.2) °], PI [(45.6±6.7) vs (42.6±6.3) °] and SS [(33.5±7.0) vs (28.4±7.6) °] were significantly higher than those in the conventional group (P < 0.05). There was no statistically significance in toxic and side effects between the two groups (P > 0.05). Conclusions Three-dimensional balanced correct spine manipulation is safe and effective in the treatment of AS, which can significantly relieve pain, improve spinal function and sagittal spine pelvis related parameters. Key words: Ankylosing spondylitis; Three-dimensional balanced correct spine manipulation; Pain; Sagittal plane; Spinal pelvic parameters