摘要
目的:观察核心肌力训练联合针刺推拿治疗慢性非特异性下腰痛(CNLBP)临床疗效。方法:选择我院CNLBP患者随机分为针推组(n=55)和联合组(n=61),针推组选用膀胱经、督脉相应腧穴进行为期4周的治疗,联合组在针推治疗的基础上进行核心肌力训练。观察治疗前后两组患者的VAS、ODI、核心肌力(一分钟内卷腹个数、一分钟内背桥个数、平板支撑时间)变化及治疗后6个月的复发情况。结果:治疗后两组患者VAS、ODI均降低(P<0.05),核心肌力改善(P<0.05);且联合组患者治疗后VAS、ODI低于针推组,核心肌力高于针推组,差异具有统计学意义(P<0.05);随访6个月发现联合组复发率低于针推组(P<0.05)。结论:核心肌力训练联合针刺推拿治疗慢性非特异性下腰痛近远期效果显著,可有效减轻患者腰部疼痛症状、增强腰椎稳定性,提高患者生活质量。
Objective:This study aimed to investigate the clinical effectiveness of combining core muscle training with acupuncture and tuina therapy for the treatment of chronic nonspecific low back pain(CNLBP).Methods:We randomly assigned patients with CNLBP to either the acupuncture&tuina group(n=55)or the combined group(n=61).The acupuncture&tuina group received treatment using corresponding acupoints of the bladder meridian and Du pulse for four weeks,while the combined group received core muscle strength training in addition to acupuncture and tuina therapy.The Visual Analog Scale(VAS),Oswestry Disability Index(ODI),and core muscle strength(number of abdominal rolls in one minute,number of back tilts in one minute,plank time)were measured before and after treatment,as well as 6 months post-treatment for recurrence.Results:After treatment,both groups showed significant reductions in VAS and ODI scores(P<0.05),as well as significant improvement in core muscle strength(P<0.05).The combined group had lower VAS and ODI scores and higher core muscle strength compared to the acupuncture&tuina group(P<0.05).After 6 months of follow-up,the recurrence rate of the combined group was lower than that of the acupuncture&tuina group(P<0.05).Conclusion:Combining core muscle strength training with acupuncture and tuina therapy can effectively reduce symptoms of CNLBP,enhance lumbar stability,and improve the quality of life of patients with CNLBP in both the short-term and long-term.
作者
虞多多
徐章猛
胡毓诗
YU Duoduo;XU Zhangmeng;HU Yushi(Sichuan Orthopaedics Hospital,Chengdu Sichuan 610041,China;Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610072,China;Chengdu Sport University,Chengdu Sichuan 610041,China)
出处
《四川中医》
2023年第5期187-191,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
虞亚明全国名老中医药专家传承工作室
四川省干部保健科研课题(川干研-2020-606)
关键词
慢性非特异性腰痛
核心肌力
针刺推拿
Chronic nonspecific low back pain
Core muscle strength
Acupuncture and Tuina
