中西医结合治疗脊柱侧凸的研究进展
作者:
  • 周璇a

    周璇a

    上海交通大学医学院附属新华医院 a: 康复医学科 ;b: 门急诊部,上海 200092
    在百度中查找
  • 马飞b

    马飞b

    上海交通大学医学院附属新华医院 a: 康复医学科 ;b: 门急诊部,上海 200092
    在百度中查找
  • 李颖娴a

    李颖娴a

    上海交通大学医学院附属新华医院 a: 康复医学科 ;b: 门急诊部,上海 200092
    在百度中查找
  • 杜青a

    杜青a

    上海交通大学医学院附属新华医院 a: 康复医学科 ;b: 门急诊部,上海 200092
    在百度中查找
作者单位:

上海交通大学医学院附属新华医院 a: 康复医学科 ;b: 门急诊部,上海 200092

中图分类号:

R682.3

基金项目:

上海市 2022 年度“科技创新行动计划”医学创新研究专项项目(编号:22Y21900600);上海市中医药三年行动计划(2021 -2023)项目[编号:ZY(2021-2023)-0201-05]


Research progress in integrated treatment of traditional Chinese and western medicine for scoliosis
Author:
Affiliation:

a.Department of Rehabilitation Medicine ; b.Outpatient and Emergency Department, Xin Hua Hospital, ShanghaiJiao Tong University School of Medicine, Shanghai 200092 , China

  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献 [42]
  • |
  • 相似文献 [20]
  • | | |
  • 文章评论
    摘要:

    脊柱侧凸是一种常见的脊柱三维畸形,治疗不及时会对患者的功能、活动和生活质量产生严重影响。脊柱侧凸的常用治疗方法有脊柱侧凸特定运动疗法、支具治疗和手术治疗。近年来,传统中医疗法被较多地联合用于脊柱侧凸的治疗。本文对传统功法训练结合康复治疗、推拿结合康复治疗、针灸结合康复治疗、中药结合康复治疗研究现状进行综述,以期为脊柱侧凸的临床治疗方案的选择和今后临床研究的开展提供参考。

    Abstract:

    Scoliosis is a common three-dimensional deformity of the spine, which can cause serious effects on function, mobility, and quality of life if treatment is delayed. Common treatments for scoliosis include physiotherapy, specific exercise, brace therapy, and surgery. In recent years, traditional Chinese medicine has been used in combination with western medicine for scoliosis. This article reviewed traditional exercise training combined with rehabilitation treatment, Tuina combined with rehabilitation treatment, acupuncture combined with rehabilitation treatment, and Chinese medicine combined with rehabilitation treatment, in order to provide an reference for the selection of clinical treatment and future clinical research.

    参考文献
    [1] Y?lmaz H,Zateri C,Kusvuran Ozkan A,et al.Prevalence of adolescent idiopathic scoliosis in Turkey:an epidemiological study [J].Spine J,2020,20(6):947-955.DOI:10.1016/j.spinee.2020.01.00 8.
    [2] Adamczewska K,Wiernicka M,Malchrowicz-Mo?ko E,et al.The angle of trunk rotation in school children:a study from an idiopathic scoliosis screening.Prevalence and optimal age screening value [J].Int J Environ Res Public Health,2019,16(18):3426.DOI:10.3390/ijerph16183426.
    [3] 崔学锋,梁文杰,刘德斌,等.青少年特发性脊柱侧凸胸椎形态学MRI临床价值 [J].中国矫形外科杂志,2019,27(18):1706-1709.DOI:10.3977/j.issn.1005-8478.2019.18.16.Cui XF,Liang WJ,Liu DB,et al.Clinical value of thoracic vertebra morphological MRI in adolescent idiopathic scoliosis [J].Orthopedic Journal of China,2019,27(18):1706-1709.DOI:10.397 7/j.issn.1005-8478.2019.18.16.
    [4] 陈绍丰,李雄飞,李博,等.青少年特发性脊柱侧凸术后女性妊娠相关问题 [J].中国矫形外科杂志,2022,30(4):333-336.DOI:10.3977/j.issn.1005-8478.2022.04.10.Chen SF,Li XF,Li B,et al.Pregnancy related problems in women secondary to surgical correction for adolescent idiopathic scoliosis [J].Orthopedic Journal of China,2022,30(4):333-336.DOI:10.3977/j.issn.1005-8478.2022.04.10.
    [5] 谭焜月,刘春霞,赵正凯,等.先天性脊柱侧弯胸弯对心肺功能的影响 [J].中国矫形外科杂志,2022,30(15):1361-1365.DOI:10.3977/j.issn.1005-8478.2022.15.04.Tan KY,Liu CX,Zhao ZK,et al.Effect of thoracic curve on cardiopulmonary function in congenital scoliosis [J].Orthopedic Journal of China,2022,30(15):1361-1365.DOI:10.3977/j.issn.1005-8478.2022.15.04.
    [6] Tambe AD,Panikkar SJ,Millner PA,et al.Current concepts in the surgical management of adolescent idiopathic scoliosis [J].Bone Joint J,2018,100-b(4):415-424.DOI:10.1302/0301-620X.100 B4.BJJ-2017-0846.R2.
    [7] 王纯,夏楠,王莉,等.青少年特发性脊柱侧凸的自然发展过程再认识 [J].中国康复,2021,36(5):305-308.DOI:10.3870/zgkf.2021.05.011.Wang C,Xia N,Wang L,et al.Reunderstanding the natural development process of idiopathic scoliosis in adolescents [J].Chinese Journal of Rehabilitation,2021,36(5):305-308.DOI:10.3870/zg kf.2021.05.011.
    [8] Negrini S,Donzelli S,Aulisa AG,et al.2016 SOSORT guidelines:orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth [J].Scoliosis Spinal Disord,2018,13:3.DOI:10.1186/s13013-017-0145-8.
    [9] Fang MQ,Huang XL,Wang W,et al.The efficacy of Schroth exercises combined with the Chêneau brace for the treatment of adolescent idiopathic scoliosis:a retrospective controlled study [J].Disabil Rehabil,2022,44(18):5060-5068.DOI:10.1080/09638288.2021.1922521.
    [10] Ro?ek K,Jasiewicz B.Effect of preoperative SpineCor? treatment on surgical outcome in idiopathic scoliosis:an observational study [J].Med Sci Monit,2019,25:754-759.DOI:10.12659/MSM.9122 28.
    [11] 姜林鸿,陆兴华,赵莉娟,等.传统功法训练对卒中后运动功能障碍影响的研究进展 [J].按摩与康复医学,2021,12(13):63-66.DOI:10.19787/j.issn.1008-1879.2021.13.020.Jiang LH,Lu XH,Zhao LJ,et al.Advance research on influence of traditional method training on motor dysfunction after stroke [J].Chinese Manipulation and Rehabilitation Medicine,2021,12(13):63-66.DOI:10.19787/j.issn.1008-1879.2021.13.020.
    [12] 胡泊.中医推拿联合功法训练治疗颈椎病颈痛的疗效分析 [J].颈腰痛杂志,2019,40(5):700-701.DOI:10.3969/j.issn.100 5-7234.2019.05.043.Hu B.Analysis of curative effect of traditional Chinese massage combined with exercise training on cervical spondylosis and neck pain [J].The Journal of Cervicodynia and Lumbodynia,2019,40(5):700-701.DOI:10.3969/j.issn.1005-7234.2019.05.043.
    [13] 王建月,徐梅,刘国华,等.中医传统疗法干预运动员腰肌劳损的疗效分析 [J].兰州文理学院学报(自然科学版),2017,31(6):103-107.Wang JY,Xu M,Liu GH,et al.Analysis on the curative effect of traditional Chinese medicine therapy on athletes' lumbar muscle strain [J].Journal of Lanzhou University of Arts and Science(Natural Sciences),2017,31(6):103-107.
    [14] 陈元奎.Q 版八段锦治疗青少年特发性脊柱侧弯的短期临床疗效观察 [D].福州:福建中医药大学,2022.Chen YK.Short-term clinical efficacy of Q version of BaDuanJin in the treatment of adolescent idiopathic scoliosis [D].Fuzhou:Fujian University of Traditional Chinese Medicine,2022.
    [15] 张琳,张佳蕾,郭郁,等.基于Cobb角测量法分析五禽戏调节脊柱曲度及柔韧性研究 [J].辽宁中医药大学学报,2018,20(4):94-97.DOI:10.13194/j.issn.1673-842x.2018.04.025.Zhang L,Zhang JL,Guo Y,et al.Analysis of spine curvature and flexibility effect of five-animal exercises based on Cobb angle measurement [J].Journal of Liaoning University of TCM,2018,20(4):94-97.DOI:10.13194/j.issn.1673-842x.2018.04.025.
    [16] 朱安琪.五禽戏结合旋转式呼吸训练治疗青少年特发性脊柱侧弯的疗效观察 [D].上海:上海中医药大学,2020.DOI:10.27320/d.cnki.gszyu.2020.000264.Zhu AQ.Therapeutic effect of Wuqinxi exercise combined with rotational breathing training on adolescent idiopathic scoliosis [D].Shanghai:Shanghai University of Traditional Chinese Medicine,2020.DOI:10.27320/d.cnki.gszyu.2020.000264.
    [17] 付士芳,李跃彤,任凤蛟,等.中医传统功法易筋经在骨伤科疾病康复中的研究进展 [J].天津中医药,2022,39(5):675-680.DOI:10.11656/j.issn.1672-1519.2022.05.26.Fu SF,Li YT,Ren FJ,et al.Research progress of Yi Jin Jing,a traditional Chinese medicine exercise,in rehabilitation of orthopedic diseases [J].Tianjin Journal of Traditional Chinese Medicine,2022,39(5):675-680.DOI:10.11656/j.issn.1672-1519.2022.05.26.
    [18] 房庆华,房宇轩.“健身气功·易筋经”对青少年脊柱康复干预研究 [J].武术研究,2018,3(1):112-114,131.DOI:10.3969/j.issn.1004-5643.2018.01.033.Fang QH,Fang YX.The study of " fitness Qigong YiJinJing" on adolescent spine rehabilitation [J].Wushu Research,2018,3(1):112-114,131.DOI:10.3969/j.issn.1004-5643.2018.01.033.
    [19] 龚厦莉,贾超.改良版易筋经结合呼吸训练治疗脊柱侧弯1例 [J].中医药导报,2019,25(17):130-132.DOI:10.13862/j.cnki.cn43-1446/r.2019.17.035.Gong XL,Jia C.A case of scoliosis treated by modified Yijinjing combined with breathing training [J].Guiding Journal of Traditional Chinese Medicine and Pharmacology,2019,25(17):130-132.DOI:10.13862/j.cnki.cn43-1446/r.2019.17.035.
    [20] 王瑀,林自立,梁英业,等.中医外治法治疗青少年特发性脊柱侧弯的研究进展 [J].按摩与康复医学,2023,14(3):41-44,49.DOI:10.19787/j.issn.1008-1879.2023.03.012.Wang Y,Lin ZL,Liang YY.Research progress in the treatment of idiopathic scoliosis in adolescents by external treatment of traditional Chinese medicine [J].Chinese Manipulation and Rehabilitation Medicine,2023,14(3):41-44,49.DOI:10.19787/j.issn.10 08-1879.2023.03.012.
    [21] 王媛媛,詹红生.中医手法治疗青少年特发性脊柱侧凸的思考 [J].上海中医药杂志,2023,57(6):56-58.DOI:10.16305/j.1007-1334.2023.2303029.Wang YY,Zhan HS.Reflections on treatment of adolescent idiopathic scoliosis with traditional Chinese medicine manipulation [J].Shanghai Journal of Traditional Chinese Medicine,2023,57(6):56-58.DOI:10.16305/j.1007-1334.2023.2303029.
    [22] 田俊松,应晓明,叶鑫.“分节段式”脊柱推拿手法联合改良Schroth体操治疗青少年特发性脊柱侧凸的临床研究 [J].中医正骨,2021,33(7):23-27.DOI:10.3969/j.issn.1001-6015.2021.07.005.Tian JS,Ying XM,Ye X.A clinical study of segmental spinal manipulation combined with modified Schroth gymnastics for treatment of adolescent idiopathic scoliosis [J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(7):23-27.DOI:10.3969/j.issn.1001-6015.2021.07.005.
    [23] 卢跃伦,骆国钢,谢海风,等.施罗斯疗法联合正骨推拿在青少年特发性脊柱侧弯康复中的疗效研究 [J].中国全科医学,2022,25(32):4059-4064.DOI:10.12114/j.issn.1007-9572.202 2.0386.Lu YL,Luo GG,Xie HF,et al.Rehabilitative effects of Schroth therapy with bonesetting massage for adolescent idiopathic scoliosis [J].Chinese General Practice,2022,25(32):4059-4064.DOI:10.12114/j.issn.1007-9572.2022.0386.
    [24] 刘李文姬.脊柱正骨推拿联合牵引法治疗特发性脊柱侧弯疗效观察 [J].北京中医药,2020,39(1):72-74.DOI:10.16025/j.1674-1307.2020.01.022.Liu LWJ.Clinical effect of spinal orthopedic massage combined with traction on the treatment of idiopathic scoliosis [J].Beijing Journal of Traditional Chinese Medicine,2020,39(1):72-74.DOI:10.16025/j.1674-1307.2020.01.022.
    [25] 陈玉华,景绘涛,卢松.倒悬推拿配合运动康复治疗特发性脊柱侧弯的临床研究 [J].时珍国医国药,2020,31(3):638-639.DOI:10.3969/j.issn.1008-0805.2020.03.040.Chen YH,Jing HT,Lu S.A clinical study on the treatment of idiopathic scoliosis with inverted massage combined with exercise rehabilitation [J].Lishizhen Medicine and Materia Medica Research,2020,31(3):638-639.DOI:10.3969/j.issn.1008-0805.20 20.03.040.
    [26] 吴云军,王华军,郑小飞,等.针灸治疗脊柱相关疾病的研究进展 [J].中华针灸电子杂志,2020,9(3):105-108.DOI:10.3877/cma.j.issn.2095-3240.2020.03.007.Wu YJ,Wang HJ,Zheng XF,et al.Research progress of acupuncture and moxibustion on spinal diseases [J].Chinese Journal of Diagnostics(Electronic Edition),2020,9(3):105-108.DOI:10.387 7/cma.j.issn.2095-3240.2020.03.007.
    [27] 魏娅楠.支具矫正联合针灸治疗脾肾阳虚型青少年特发性脊柱侧弯的疗效观察 [D].承德:承德医学院,2023.Wei YN.Observation of therapeutic effect of brace correction combined with acupuncture on adolescent idiopathic scoliosis with deficiency of spleen-yang and kidney-yang [D].Chengde:Chengde Medical College,2023.
    [28] Weiss HR,Bohr S,Jahnke A,et al.Acupucture in the treatment of scoliosis-a single blind controlled pilot study [J].Scoliosis,2008,3:4.DOI:10.1186/1748-7161-3-4.
    [29] 谭志,陈俊伟,余伯亮,等."通督五线" 针法配合Schroth训练治疗青少年特发性脊柱侧弯临床观察 [J].上海针灸杂志,2021,40(5):611-615.DOI:10.13460/j.issn.1005-0957.2021.05.0611.Tan Z,Chen JW,Yu BL,et al.Clinical observations on five-line Du-unblocking acupuncture plus Schroth training for adolescent idiopathic scoliosis [J].Shanghai Journal of Acupuncture and Moxibustion,2021,40(5):611-615.DOI:10.13460/j.issn.1005-0957.2021.05.0611.
    [30] 李红,王春南.针灸联合呼吸训练对青少年脊柱侧弯的疗效分析 [J].中国实用医药,2022,17(12):179-181.DOI:10.14163/j.cnki.11-5547/r.2022.12.062.Li H,Wang NC.Analysis of curative effect of acupuncture combined with breathing training on adolescent scoliosis [J].Chinese Practical Medicine,2022,17(12):179-181.DOI:10.14163/j.cnki.11-5547/r.2022.12.062.
    [31] 吴靖国.针刺配合扳推法治疗脊柱侧弯的临床观察 [D].广州:南方医科大学,2008.DOI:10.7666/d.y1395405.Wu JG.A clinical observation on treating scoliosis by acupuncture and pulling manipulation(Banfa)[D].Guangzhou:Southern Medical University,2008.DOI:10.7666/d.y1395405.
    [32] Liu CT,Chen KC,Chiu EH.Adult degenerative scoliosis treated by acupuncture [J].J Altern Complement Med,2009,15(8):935-937.DOI:10.1089/acm.2008.0515.
    [33] 朱博文,孔令军,吴志伟,等.赤凤迎源针法治疗成年特发性脊柱侧弯腰背疼痛26例 [J].中国针灸,2024,44(2):163-165.DOI:10.13703/j.0255-2930.20230602-0001.Zhu BW,Kong LJ,Wu ZW,et al.Chifeng Yingyuan acupuncture for 26 cases of adult idiopathic scoliosis with low back pain [J].Chinese Acupuncture and Moxibustion,2024,44(2):163-165.DOI:10.13703/j.0255-2930.20230602-0001.
    [34] 沈嘉平,李海龙.中医综合疗法对青少年特发性脊柱侧凸患者肺功能及表面平均肌电比值的影响 [J].解放军医学杂志,2016,41(8):668-672.DOI:10.11855/j.issn.0577-7402.2016.08.11.Shen JP,Li HL.Influences of combined therapies with traditional Chinese medicine on pulmonary function and surface average electromyogram ratio in adolescent idiopathic scoliosis patients [J].Medical Journal of Chinese People's Liberation Army,2016,41(8):668-672.DOI:10.11855/j.issn.0577-7402.2016.08.11.
    [35] 屈庆,周翔,罗华送,等.超微针刀联合平衡复位正骨推拿法治疗青少年特发性脊柱侧凸33例观察 [J].浙江中医杂志,2021,56(12):910-911.DOI:10.3969/j.issn.0411-8421.2021.12.034.Qu Q,Zhou X,Luo HS,et al.Observation of 33 cases of adolescent idiopathic scoliosis treated by ultramicro-acupotomy combined with balanced reduction and bone-setting massage [J].Zhejiang Journal of Traditional Chinese Medicine,2021,56(12):910-911.DOI:10.3969/j.issn.0411-8421.2021.12.034.
    [36] 苟甜,鄢卫平,马德睿,等.青少年特发性脊柱侧凸的中医治疗进展 [J].中医临床研究,2022,14(4):126-129.DOI:10.3969/j.issn.1674-7860.2022.04.035.Gou T,Yan WP,Ma DR,et al.A review on treating adolescent idiopathic scoliosis in TCM [J].Clinical Journal of Chinese Medicine,2022,14(4):126-129.DOI:10.3969/j.issn.1674-7860.2022.04.0 35.
    [37] 李丽,于少泓,周霞,等.中医康复临床实践指南·儿童青少年特发性脊柱侧弯 [J].康复学报,2023,33(4):295-302.DOI:10.3724/SP.J.1329.2023.04002.Li L,Yu SH,Zhou X,et al.Clinical practice guidelines of traditional Chinese medicine rehabilitation for idiopathic scoliosis in children and adolescents [J].Rehabilitation Medicine,2023,33(4):295-302.DOI:10.3724/SP.J.1329.2023.04002.
    [38] 陈庆贺,李乃民,王仑,等.血藤芄鹿伸脊丸加针刺推拿治疗特发性脊柱侧凸的体会 [J].黑龙江医学,2013,37(3):217-219.DOI:10.3969/j.issn.1004-5775.2013.03.027.Chen QH,Li NM,Wang L,et al.Clinical observation of idiopathic scoliosis treated with XTJLSJW [J].Heilongjiang Medical Journal,2013,37(3):217-219.DOI:10.3969/j.issn.1004-5775.2013.03.0 27.
    [39] 刘倩,祖翠华.右美托咪定联合羟考酮多模式镇痛在脊柱侧弯矫形术中的应用价值 [J].现代中西医结合杂志,2019,28(35):3956-3959.DOI:10.3969/j.issn.1008-8849.2019.35.021.Liu Q,Zu CH.Application value of dexmedetomidine combined with oxycodone multimodal analgesia in orthopedics for scoliosis [J].Modern Journal of Integrated Traditional Chinese and Western Medicine,2019,28(35):3956-3959.DOI:10.3969/j.issn.1008-8849.2019.35.021.
    [40] 闵甦.经后路开窗减压矫形融合内固定术联合杜仲腰痛丸治疗退行性脊柱侧凸的临床研究 [D].兰州:甘肃中医药大学,2021.Min S.Clinical study on degenerative scoliosis treated by posterior fenestration decompression and orthopedics combined with internal fixation combined with Duzhong Yaotong Pills [D].Lanzhou:Gansu University of Chinese Medicine,2021.
    [41] 王淑梅,郭金惠,李莹莹.中药熏蒸联合康复训练护理对青少年特发性脊柱侧弯恢复和生活质量的影响 [J].实用中医内科杂志,2023,37(11):98-101.DOI:10.13729/j.issn.1671-7813.Z20222145.Wang SM,Guo JH,Li YY.Effect of traditional Chinese medicine fumigation combined with rehabilitation training and nursing on recovery of scoliosis and quality of life [J].Journal of Practical Traditional Chinese Internal Medicine,2023,37(11):98-101.DOI:10.13729/j.issn.1671-7813.Z20222145.
    [42] 谢锐填,魏伟明,黄济嘉,等.中药酊剂联合施罗特疗法治疗青少年特发性脊柱侧弯效果 [J].中外医学研究,2020,18(9):35-37.DOI:10.14033/j.cnki.cfmr.2020.09.013.Xie RT,Wei WM,Huang JJ,et al.Effect of Chinese medicine tincture combined with Schrott therapy on adolescent idiopathic scoliosis [J].Chinese and Foreign Medical Research,2020,18(9):35-37.DOI:10.14033/j.cnki.cfmr.2020.09.013.
    引证文献
    网友评论
    网友评论
    分享到微博
    发 布
引用本文

周璇a,马飞b,李颖娴a,等. 中西医结合治疗脊柱侧凸的研究进展[J]. 中国矫形外科杂志, 2025, 33 (8): 701-706. DOI:10.20184/j. cnki. Issn1005-8478.110031.
ZHOU Xuana, MA Feib, LI Ying-xiana, et al. Research progress in integrated treatment of traditional Chinese and western medicine for scoliosis[J]. Orthopedic Journal of China , 2025, 33 (8): 701-706. DOI:10.20184/j. cnki. Issn1005-8478.110031.

复制
文章指标
  • 点击次数:42
  • 下载次数: 21
  • 引用次数: 0
历史
  • 收稿日期:2024-01-09
  • 在线发布日期: 2025-04-22
关闭