| 手法治疗伴有类冠心病症状的胸椎后关节紊乱症 |
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘益善 |
LIU Yi-shan |
空军总医院全军中西医结合正骨治疗中心,北京 100142 |
PLA Center of Integrated Traditional and Western Medicine for Manipulative Orthopedics,General Hospital of Air Force,Beijing 100142,China |
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| 范宇 |
FAN Yu |
空军总医院全军中西医结合正骨治疗中心,北京 100142 |
PLA Center of Integrated Traditional and Western Medicine for Manipulative Orthopedics,General Hospital of Air Force,Beijing 100142,China |
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| 郭伟 |
GUO Wei |
空军总医院全军中西医结合正骨治疗中心,北京 100142 |
PLA Center of Integrated Traditional and Western Medicine for Manipulative Orthopedics,General Hospital of Air Force,Beijing 100142,China |
kzgw@sina.com |
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| 期刊信息：《中国骨伤》2010年，第23卷，第2期，第95-97页 |
| DOI：10.3969/j.issn.1003-0034.2010.02.006 |
| 基金项目: |
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中文摘要:
目的：探讨冯氏手法治疗伴有冠心病症状的胸椎后关节紊乱症治疗效果及临床意义。
方法：回顾性分析2005年1月至2008年6月采用冯氏手法治疗和单纯中药热敷治疗的伴有冠心病症状的胸椎后关节紊乱症患者180例，男86例，女94例；年龄18～82岁，平均43.7岁；病程1 d～40年，平均20.6个月。其中90例以冯氏手法治疗(A组)每周治疗1～2次；90例采用单纯中药外敷治疗(B组),每日热敷2次(每次间隔6 h以上),每次20 min,治疗1个月。对两组患者治疗后的症状体征(包括胸闷、心前区疼痛、心悸、颈背疼痛、棘突压痛、痛性结节)进行观察比较。
结果：180例均获得随访，时间4个月～3年，平均12.7个月。A组在胸闷(χ2=8.932 2,P=0.002 8<0.05)、心前区疼痛(χ2=20.652 7,P<0.000 1)、心悸(χ2=24.280 4,P<0.000 1)、颈背疼痛(χ2=23.591 7,P<0.000 1)、棘突压痛(χ2=12.206 2,P=0.000 5<0.01)、痛性结节(χ2=4.026 1,P=0.044<0.05)方面均较B组有明显改善。
结论：胸椎后关节紊乱可以导致类冠心病症状的出现，手法治疗疗效肯定。 |
| 【关键词】手法，骨科 胸椎 脊椎关节紊乱 冠状动脉疾病 |
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| Manipulation treatment for the thoracic postjoint disorder accompanied by symptoms of coronary artery disease |
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ABSTRACT
Objective: To evaluate the curative effect of the Feng's manipulation on patient with thoracic postjoint disorder accompanied by symptoms of coronary artery disease.
Methods: A total of 180 cases with thoracic postjoint disorder accompanied by symptoms of coronary artery disease were retrospective analyzed from Jan. 2005 to June 2008,included 86 males and 94 females,aged from 18 to 82 years with and average of 43.7 years. The disease course was from 1 d to 40 years with the average of 20.6 months. These patients were divided into 2 groups according to the method of manipulation(group A,n=90) and hot herb(group B,n=90). The patients of group A were treated by manipulation for 1 to 2 times per week. The other group was treated by hot herb for 2 times (20 minutes each time) per day for a month. The symptom and signs (chest distress,precordium pain,cardiopalmus,nape pain,spinous tenderness,tuberculum dolorosum) were compared before and after treatment.
Results: All 180 cases were followed up for from 4 to 36 months with an average of 12.7 months. After 1 months of treatment,the χ2 test showed that there was a significant differences between the manipulation therapy group and the hot herb therapy group,including chest distress (χ2=8.932 2,P=0.002 8<0.05);precordium pain (χ2=20.652 7,P<0.000 1); cardiopalmus (χ2=24.280 4,P<0.000 1); nape pain (χ2=23.591 7,P<0.000 1);spinous tenderness (χ2=12.206 2,P=0.000 5<0.01) and tuberculum dolorosum(χ2=4.026 1,P=0.044 0<0.05).
Conclusion: Manipulation is an effective treatment method for the thoracic post joint disorders. |
| KEY WORDS Manipulation,orthopedic Thoracic vertebrae Spondyloarthropathy Coronary disease |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘益善,范宇,郭伟.手法治疗伴有类冠心病症状的胸椎后关节紊乱症[J].中国骨伤,2010,23(2):95~97 |
| 英文格式: | LIU Yi-shan,FAN Yu,GUO Wei.Manipulation treatment for the thoracic postjoint disorder accompanied by symptoms of coronary artery disease[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):95~97 |
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