| 引用本文: |
姚金龙,刘晓岚,孙绍裘,朱光辉,马文元,吴洁,吴睿哲.孙氏正骨理筋法结合足靴外固定治疗小儿马蹄内翻足的临床疗效观察[J].湖南中医药大学学报,2020,40(6):758-762[点击复制] |
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| 孙氏正骨理筋法结合足靴外固定治疗小儿马蹄内翻足的临床疗效观察 |
| 姚金龙,刘晓岚,孙绍裘,朱光辉,马文元,吴洁,吴睿哲 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第二附属医院, 湖南 长沙 410005;湖南省儿童医院, 湖南 长沙 410007) |
| 摘要: |
| 目的 探讨孙氏正骨理筋法结合足靴外固定对先天性马蹄内翻足(congenital clubfoot,CCF)患儿影响，并探讨其疗效。方法 选取2016年4月至2018年4月,由湖南中医药大学第二附属医院及湖南省儿童医院收治的CCF患儿共68患足为研究对象，将其按照随机数字表法分为观察组及对照组，每组34足。对照组采用传统手法配合足靴外固定治疗，观察组采用孙氏正骨理筋法结合足靴外固定治疗。对两组患儿治疗前、治疗6个月后和12个月后进行治疗效果评估及步态分析，比较患儿治疗6个月后和12个月后的临床疗效。结果 治疗6个月后和12个月后，两组患儿患足功能及步态均有改善，且观察组改善效果优于对照组（P<0.05）；治疗6个月后对照组和观察组治疗总有效率分别为70.6%和85.3%，12个月后总有效率为91.2%和97.1%，差异均具有统计学意义（P<0.05）。结论 孙氏正骨理筋法结合足靴外固定治疗小儿CCF，临床疗效确切，可促进患儿足部功能恢复，值得临床推广使用。 |
| 关键词: 马蹄内翻足 孙氏正骨理筋法 外固定 步态分析 |
| DOI：10.3969/j.issn.1674-070X.2020.06.023 |
| 投稿时间：2020-01-14 |
| 基金项目:湖南省残疾人康复科研资助项目（2019XK006）。 |
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| Clinical Efficacy Observation on SUN's Bone-Setting and Tendon-Regulation Method Combined with External Fixation of Foot Boots in the Treatment of Children's Congenital Clubfoot |
| YAO Jinlong,LIU Xiaolan,SUN Shaoqiu,ZHU Guanghui,MA Wenyuan,WU Jie,WU Ruizhe |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China;Hunan Children's Hospital, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To explore the effects of SUN's bone-setting and tendon-regulation method combined with external fixation of foot boots on children with congenital clubfoot (CCF), and to explore its efficacy. Methods From April 2016 to April 2018, a total of 68 children with CCF treated by The Second Affiliated Hospital of Hunan University of Chinese Medicine and Hunan Children's Hospital were selected as the research object, and they were divided into an obsevation group and a control group according to random number table, with 34 feet in each group. The control group was treated with traditional methods combined with external fixation of foot boots, and the obsevation group was treated with SUN's bone-setting and tendon-regulation method combined with external fixation of foot boots. The treatment effect evaluation and gait analysis of the 2 groups were performed before treatment and after 6 months and 12 months of treatment, and the clinical efficacy was compared after 6 months and 12 months of treatment. Results After 6 months and 12 months of treatment, both groups had improved foot function and gait, and the improvement effect of the obsevation group was better than that of the control group (P<0.05); after 6 months of treatment, the total effective rate of the control group and the obsevation group was 70.6% And 85.3%, and the total effective rate after 12 months was 91.2% and 97.1%. The difference was statistically significant (P<0.05). Conclusion SUN's bone-setting and tendon-regulation method combined with external fixation of foot boots for the treatment of children's CCF has a definite clinical effect and can promote the functional recovery of the children's feet, which is worthy of clinical promotion and application. |
| Key words: congenital clubfoot SUN's bone-setting and tendon-regulation method external fixation gait analysis |
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