骨盆旋移综合征骨盆查体的临床诊断意义

发布时间：2017-12-27 20:31

本文关键词：骨盆旋移综合征骨盆查体的临床诊断意义　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的通过美式整脊的临床查体结果与骨盆正位片在冈氏X光判读法下的结果做对比,进行骨盆旋移综合征骨盆查体的临床诊断意义的研究,验证美式整脊临床查体对骨盆旋移综合征诊断的准确性,从而为以后对骨盆旋移综合征的诊断提供一套准确、客观、方便、实惠的检查方案。方法随机抽取40例符合纳入标准并且不符合排除标准的确诊为骨盆旋移综合征的患者(必须在专业美式整脊医师的指导下进行拍片,并由医师按照冈氏X光判读法为标准进行读片),采用单盲法,记录其读片结果并进行保密。然后对40例患者进行美式整脊骨盆旋移综合征临床查体,并记录结果。将两组记录的数据结果进行比较,采用行×列表χ2检验,使用SPSS 20.0进行统计分析判定两者之间的量效关系。结果40例受试者均为来自江苏省中医院推拿科患者,男性22例,女性18例。最大年龄70岁,最小年龄14岁,平均年龄(40.75±17.826)岁。具有可比性。χ~2=0.943,P=1.0,P0.05,说明临床查体结果和影像结果没有显著性差异,不具统计学意义,因此美式整脊骨盆查体可以作为骨盆旋移综合征的临床诊断方法,并且具有准确性。结论美式整脊骨盆的临床查体可以代替骨盆平片拍摄,且具有准确性。针对骨盆旋移综合征患者,临床医师可以采用临床查体的方法快速、准确、有效的作出诊断,无需让病人去影像科摄片,加快疾病诊断和治疗,减少影像装置对患者的辐射。量效关系分析揭示,美式整脊临床查体取代骨盆平片拍摄具有可靠性。
[Abstract]:To check the results of clinical departments of chiropractic and radiograph of the pelvis in the gang's X method under the comparative study of clinical diagnosis significance of pelvic rotation shift syndrome pelvic examination and verification of the American chiropractic clinical examination of pelvic rotation and movement accuracy of syndrome diagnosis, thus providing a set of accurate, objective, convenient and affordable solutions for inspection after the diagnosis of pelvic rotation shift syndrome. Methods: 40 cases were randomly selected in accordance with the inclusion criteria and exclusion criteria do not meet the diagnosis for pelvic rotation shift syndrome patients (which must be in the film, a professional American chiropractic physician under the guidance by physicians according to ghon's interpretation method for X optical reading as standard), using the single blind method, record the reading results and confidential. The clinical examination of 40 patients with American pelvic rotation syndrome was performed and the results were recorded. The data of the two groups were compared, using the line x list chi 2 test, and using SPSS 20 to make statistical analysis to determine the quantity effect relationship between the two groups. Results all the 40 subjects were from the Jiangsu Province Traditional Chinese Medicine Hospital massage department, 22 male and 18 female. The maximum age is 70 years, the minimum age is 14 years, the average age is (40.75 + 17.826) years. It has comparability. Chi square ~2=0.943, P=1.0 and P0.05 showed that there was no significant difference between the results of clinical examination and imaging results. There was no statistical significance. Therefore, the American pelvis pelvis examination can be used as a clinical diagnostic method for pelvic rotation syndrome, and it has the accuracy. Conclusion the clinical examination of the American whole spinal pelvis can be taken as a substitute for the pelvis flat film, and it is accurate. For patients with pelvic rotation syndrome, clinicians can make rapid, accurate and effective diagnosis by using clinical examination. No need for patients to take photographs, accelerate disease diagnosis and treatment, and reduce the radiation of imaging devices to patients. The quantitative relationship analysis revealed that it was reliable to take the replacement of the pelvic flat film by the American whole spine clinical examination.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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