摘要
目的:探讨中医体质类型及韧带松弛与足[足母]外翻的相关性。方法:选取2018年10月至2019年12月就诊的足[足母]外翻患者89例(161足),选取因踝关节扭伤、跟痛症等就诊的非足[足母]外翻患者46例(53足)。按患病与否分为患病组与非患病组,收集两组患者足部正侧位X线片,测量[足母]外翻角(HVA),第1,2跖间角(IMA),记录Beighton’s评分及中医体质分类与判定自测表信息。采用多元线性回归及二元Logistic回归,分析中医体质类型及韧带松弛与足[足母]外翻的相关性。结果:多元线性回归分析显示,两组Beighton’s评分与双足HVA角存在线性相关,差异有统计学意义(P<0.05);二元Logistic回归分析显示,Beighton’s评分、阳虚质是[足母]外翻的独立影响因素,差异有统计学意义(P<0.05)。结论:足[足母]外翻与韧带松弛、阳虚体质存在相关性,在预防及治疗过程中应注意韧带松弛和体质类型等因素的影响。
Objective:To explore the correlation between traditional Chinese medicine constitution type with ligament laxity and hallux valgus. Methods:From October 2018 to December 2019,89 patients(161 feet) with moderate hallux valgus who were treated in our hospital were selected. 46 patients(53 feet) without hallux valgus was treated in our hospital due to ankle sprain and heel pain were selected. Patients were divided into the affected group and the non-affected group according to whether hallux valgus. Patient’s foot X-ray,measured hallux valgus angle(HVA),intermetatarsal angle(IMA),recording Beighton’s scale and TCM constitution classification and judgment self-test information were collected. Multiple linear regression and binary logistic regression were used to analyze the correlation. Results:Multiple linear regression analysis showed that there was a linear correlation between the Beighton’s score and the bipedal HVA angle in the two groups. There was statistically significant difference(P<0.05). The binary Logistic regression analysis showed that the Beighton’s score and Yang deficiency were extrathalamic. The independent influencing factors of translation were statistically significant(P<0.05). Conclusion:There is a correlation between hallux valgus and ligament relaxation and Yang deficiency. Influence of factors such as ligament relaxation and traditional Chinese medicine constitution type need to be focused during the prevention and treatment.
作者
陶经纬
陈兆军
TAO Jingwei;CHEN Zhaojun(Beiing University of Chinese Medicine,Beiing 100029,China;Beijing University of Chinese Medicine Third Affliated Hospital,Beijing 100029,China)
出处
《中国中医骨伤科杂志》
CAS
2020年第7期24-28,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
北京市科委计划项目-首都特色临床应用研究与成果推广(Z171100001017205)。
