| 引用本文: |
杨薇,唐锦忠,刘松涛,张如飞,唐静,叶勇,艾坤.针刺联合悬吊运动治疗非特异性下腰痛的临床观察[J].湖南中医药大学学报,2024,44(4):600-605[点击复制] |
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| 针刺联合悬吊运动治疗非特异性下腰痛的临床观察 |
| 杨薇,唐锦忠,刘松涛,张如飞,唐静,叶勇,艾坤 |
| (湖南中医药大学针灸推拿与康复学院, 湖南 长沙 410208;湖南中医药大学第一附属医院针灸推拿康复科, 湖南 长沙 410007;湘南学院附属医院, 湖南 郴州 423000) |
| 摘要: |
| 目的 研究针刺联合悬吊运动治疗非特异性下腰痛（nonspecific low back pain，NLBP）的临床效果。方法 采用随机数字表法，将2020年3月至2023年1月在湖南中医药大学第一附属医院针灸推拿康复科进行治疗的60例NLBP患者分为观察组、对照组，各30例。两组患者在常规处理的基础上，对照组采用针刺治疗，观察组采用针刺联合悬吊运动治疗，均治疗4周。观察两组患者疼痛视觉模拟评分（visual analogue scale，VAS）、功能障碍问卷（roland morris disability questionnaire，RMDQ）、中医症候积分、肌肉紧张度、生物力学特征、生活质量综合评定问卷（generic quality of life inventory 74，GQOL-74）、生活活动能力（Barthel指数）及疗效。结果 治疗后，两组患者VAS、RMDQ评分、中医症候积分、两侧竖脊肌、多裂肌紧张度及腰背屈/伸比值（flexion/extension，F/E）均较治疗前下降（P＜0.05），且观察组上述指标均低于对照组（P＜0.05）；治疗后，两组患者腰背伸状态下峰力矩（peak torque，PT）、平均功率（average power，AP）、GQOL-74及Barthel评分较治疗前升高（P＜0.05），且观察组上述指标均高于对照组（P＜0.05）；经过治疗后，观察组总有效率（93.33%）高于对照组的（73.33%）（P＜0.05）。结论 单纯针刺和针刺联合悬吊运动在治疗NLBP上均有一定的疗效，可有效缓解患者疼痛，改善竖脊肌、多裂肌主动活动功能，提高生活质量，且针刺结合悬吊运动疗效优于单纯针刺治疗，值得临床推广应用。 |
| 关键词: 非特异性下腰痛 针刺 悬吊运动 视觉模拟评分 功能障碍问卷 中医症候积分 |
| DOI：10.3969/j.issn.1674－070X.2024.04.011 |
| 投稿时间：2024-01-22 |
| 基金项目:湖南省中医药科研计划项目重点课题（201907）。 |
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| Clinical observation of acupuncture combined with sling exercise therapy for nonspecific low back pain |
| YANG Wei,TANG Jinzhong,LIU Songtao,ZHANG Rufei,TANG Jing,YE Yong,AI Kun |
| (School of Acupuncture-moxibustion, Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Department of Acupuncture-moxibustion, Tuina and Rehabilitation, the First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Affiliated Hospital of Xiangnan University, Chenzhou, Hunan 423000, China) |
| Abstract: |
| Objective To study the clinical efficacy of acupuncture combined with sling exercise therapy for nonspecific low back pain (NLBP).Methods Using the random number table method,60 NLBP patients treated in Acupuncture-moxibustion,Tuina and Rehabilitation Department of the First Hospital of Hunan University of Chinese Medicine from March 2020 to January 2023 were divided into observation group and control group,with 30 patients in each group.On the basis of routine treatment,the control group was treated with acupuncture,while the observation group received acupuncture combined with sling exercise therapy,both for a duration of four weeks.The visual analogue scale (VAS) for pain,Roland-Morris Disability Questionnaire (RMDQ),TCM pattern score,muscle tone,biomechanical characteristics,generic quality of life inventory (GQOL-74),Barthel Index for Activities of Daily Living (ADL),and treatment effectiveness were observed in both groups.Results After treatment,the VAS,RMDQ,and TCM pattern scores,bilateral erector spinae and multifidus muscle tone,and lumbar flexion/extension (F/E) ratio in both groups decreased compared with those before treatment (P＜0.05),and the above indicators in the observation group were lower than those in the control group (P＜0.05);after treatment,the peak torque (PT),average power (AP),GQOL-74 and Barthel scores in both groups during lumbar extension increased compared with those before treatment (P＜0.05),and the above indicators in the observation group were higher than those in the control group (P＜0.05);after treatment,the total effective rate in the observation group (93.33%) was higher than that in the control group (73.33%)(P＜0.05).Conclusion Both acupuncture alone and acupuncture combined with sling exercise therapy have certain effects in treating NLBP,which can effectively relieve pain,improve the active function of erector spinae and multifidus muscles,and improve the quality of life.Moreover,the efficacy of acupuncture combined with sling exercise therapy is superior to that of acupuncture alone,and it is worthy of clinical promotion and application. |
| Key words: nonspecific low back pain acupuncture sling exercise therapy visual analogue scale Roland-Morris Disability Questionnaire TCM pattern score |
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