摘要
目的:观察八段锦对慢性非特异性腰痛的临床疗效。方法:将60例慢性非特异性腰痛患者按照随机数字表法分为观察组和对照组各30例。对照组采用常规的康复治疗,观察组在对照组的基础上进行八段锦练习。分别于治疗前、治疗8周后采用视觉模拟评分(VAS)评定患者的疼痛情况;采用疼痛自我效能问卷(PSEQ)评估患者从事日常活动的信心;采用医院焦虑与抑郁评分(HADS)评估患者的焦虑和抑郁情况;采用Oswestry功能障碍指数(ODI)评定患者的功能情况。结果:治疗8周末,2组的VAS、HADS、ODI评分较治疗前均明显降低,PSEQ评分明显提高,差异具有统计学意义(P<0.05);观察组VAS、HADS、ODI评分较对照组降低程度更明显,观察组PSEQ评分较对照组提高程度更明显,差异具有统计学意义(P<0.05)。结论:八段锦可以有效缓解慢性非特异性腰痛患者的疼痛问题,提高自我效能感,改善患者的功能障碍以及焦虑和抑郁情绪,临床疗效较好。
Objective： To observe the clinical curative effect of Baduanjin training in the therapy of chronic nonspecific low back pain. Methods： A total of 60 cases of chronic nonspecific low back pain were randomly divided into observation group and control group with 30 cases in each group. The control group only was treated by conventional rehabilitation therapy, the observation group was trained by Baduanjin practice on the basis of the control group. The patient＇s pain was assessed by Visual Analogue Scale（VAS）,the patient＇s confidence in daily activities was assessed by the Pain Self-efficacy Questionnaire（PSEQ）, the patient＇s anxiety and depression were assessed by the Hospital Anxiety and Depression Scale（HADS）, the patient＇s functional status were assessed by the Oswestry Disability Index（ODI） before treatment and at the end of the treatment. Results： At the end of 8 weeks treatment, the VAS, HADS and ODI scores of the observation group and the control group were significantly lower than before treatment, the PSEQ was significantly higher than before the treatment, with statistically significant differences（P〈0.05）. Compared with the control group, the VAS, HADS, ODI scores of the observation group were significantly lower, the PSEQ scores in the observation group was more significant than that in the control group, with statistically significant differences（P〈0.05）. Conclusion： Baduanjin can effectively relieve pain in patients with chronic nonspecific low back pain, improve patients＇ self-efficacy, functional disorders, anxiety and depression with a disirable clinical curative effect.
作者
高峰
袁松
刘娜
郑树基
GAO Fengl;YUAN Song;LIU Na;ZHENG Shuji(Shiyan Taihe Hospital,Hubei University of Medicine,Shiyan,Hubei 442000,China;Guangdong Work Injury Rehabilitation Hospital,Guangzhou,Guangdong 510400,China;Department of Rehabilitation Science,Hong Kong Polytechnic University,Hong Kong,China)
出处
《康复学报》
2018年第4期13-17,共5页
Rehabilitation Medicine
基金
湖北省卫生计生委2016-2017年度中医药
中西医结合科研指导性项目(32)
关键词
慢性非特异性腰痛
八段锦
焦虑
抑郁
功能障碍
chronic nonspecific low back pain
Baduanjin
anxiety
depression
dysfunction
