摘要
【目的】观察温针灸联合腰椎稳定性训练治疗慢性腰背痛(LBP)的临床疗效。【方法】将124例慢性LBP患者随机分为观察组和对照组,每组各62例。对照组给予腰椎稳定性训练及常规治疗,观察组在对照组治疗的基础上给予温针灸治疗。连续治疗4周。治疗4周后,评价2组临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分的变化情况,比较2组患者治疗前后腰痛障碍指数(ODI)评分的变化情况。【结果】(1)观察组总有效率为91.94%(57/62),对照组为79.03%(49/62)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者VAS评分治疗前后差值比较,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的ODI评分明显改善(P<0.05),且观察组在改善ODI评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者ODI评分治疗前后差值比较,差异有统计学意义(P<0.05)。【结论】温针灸联合腰椎稳定性训练治疗慢性LBP,能明显改善患者腰背疼痛的临床症状,改善腰椎功能障碍,临床效果显著。
Objective To observe the clinical efficacy of warm needling acupuncture combined with lumbar stability training in the treatment of chronic low back pain(LBP).Methods The 124 patients with chronic LBP were randomly divided into the observation group and the control group,with 62 patients in each group.The control group was given lumbar stability training and conventional treatment,while the observation group was given warm needling acupuncture treatment on the basis of the treatment in the control group.The treatment lasted for 4 consecutive weeks.After 4 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the visual analogue scale(VAS)scores were observed before and after treatment,and the changes in the Oswestry disability index(ODI)scores were compared between the two groups before and after treatment.Results(1)The total effective rate of the observation group was 91.94%(57/62)and that of the control group was79.03%(49/62).The efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,the VAS scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the VAS scores,the difference being statistically significant(P<0.05).The difference values of the VAS scores before and after treatment were statistically significantly different between the two groups(P<0.05).(3)After treatment,the ODI scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the ODI scores,the difference being statistically significant(P<0.05).The difference values of the ODI scores before and after treatment were statistically significant between the two groups(P<0.05).Conclusion Warm needling acupuncture combined with lumbar stability training for the treatment of chronic LBP has significant therapeutic effect in improving the clinical symptoms of LBP and the dysfunction of the lumbar spine in patients.
作者
崔丽
杨波
朱忠强
金艳
CUI Li;YANG Bo;ZHU Zhong-Qiang;JIN Yan(Dept.of Acupuncture and Moxibustion,Shanghai Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200080,China;Dept.of Orthopedics,Shanghai Traditional Chinese Medicine Integrated Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200080 China;Dept.of Internal Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Dept.of Internal Medicine,Shanghai Hospital of Integrated Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200080,China)
出处
《广州中医药大学学报》
CAS
2022年第11期2587-2592,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
上海市卫生和计划生育委员会科研课题资助项目(编号:20174Y0047)
上海市卫生局青年科研课题资助项目(编号:2010Y091)
虹口区卫生计划生育委员会医学科研课题资助项目(编号:虹卫1703-03)。
关键词
温针灸
腰椎稳定性训练
慢性腰背痛
腰痛障碍指数
warm needling
lumbar stability training
chronic low back pain(LBP)
Oswestry disability index(ODI)
