摘要
目的探讨循经推拿结合康复训练对腰腿痛病人疼痛、血浆P物质含量及生活质量的影响。方法选择2018年6月至2020年12月武汉市江夏区第一人民医院收治的腰腿痛病人134例,按照随机数字表法分为两组,对照组67例,给予常规西医治疗与康复训练;研究组67例,在对照组基础上给予循经推拿。比较两组临床疗效、疼痛评分、疼痛消失时间、腰椎功能、生活质量、血浆P物质含量、腰背肌生物力学性能。结果研究组总体疗效(痊愈23例、显效29例、有效9例、无效6例)优于对照组(痊愈15例、显效22例、有效14例、无效16例)。研究组疼痛消失时间(5.53±1.25)d短于对照组(8.42±2.69)d(P<0.05)。治疗后,两组视觉模拟评分法(VAS)评分均较治疗前低,日本骨科协会(JOA)评分、生活质量综合评定问卷-74(GQOLI-74)各维度评分均较治疗前高,且研究组VAS评分均较对照组低,JOA评分、GQOLI-74各维度评分均较对照组高(P<0.05)。治疗后,两组血浆P物质含量[(22.82±2.47)ng/L、(26.43±3.78)ng/L]均较治疗前[(39.92±3.02)ng/L、(40.54±2.83)ng/L]低,且研究组血浆P物质含量较对照组低(P<0.05)。治疗后,两组60°/s角速平均功率(AP)、60°/s角速峰力矩(PT)、120°/s角速AP、120°/s角速PT均较治疗前高,60°/s角速腰背屈与伸峰力矩比值(F/E)[(71.06±9.03)%、(77.29±9.62)%]、120°/s角速F/E[(62.96±7.85)%、(67.89±8.43)%]均较治疗前[(85.08±10.01)%、(82.48±10.17)%、(70.17±8.46)%、(72.78±9.05)%]低,且研究组60°/s角速AP、60°/s角速PT、120°/s角速AP、120°/s角速PT较对照组高,60°/s角速F/E、120°/s角速F/E均较对照组低(P<0.05)。结论腰腿痛病人采用循经推拿结合康复训练治疗的效果肯定,可减轻疼痛,缩短疼痛消失时间,改善腰椎功能、腰背肌生物力学性能、生活质量,降低血浆P物质含量。
Objective To explore the effects of meridian massage combined with rehabilitation training on pain,plasma substance P content and quality of life in patients with back and leg pain.Methods A total of 134 patients with back and leg pain treated in The First People's Hospital of Jiangxia District,Wuhan City from June 2018 to December 2020 were randomly divided into two groups.Sixty-seven patients in the control group were given routine western medicine treatment and rehabilitation training,while 67 patients in the study group were given meridian massage on the basis of the control group.The clinical efficacy,pain score,pain disappearance time,lumbar function,quality of life,plasma substance P content and biomechanical properties of lumbar and dorsal muscles were compared between the two groups.Results The overall efficacy of the study group(cured 23 cases,markedly effective 29 cases,effective 9 cases,ineffective 6 cases)was better than that of the control group(15 cases cured,22 cases markedly effective,14 cases effective,16 cases ineffective).The pain disappearance time in the study group(5.53±1.25)d was shorter than that in the control group(8.42±2.69)d(P<0.05).After treatment,the VAS scores of the two groups were lower than those before treatment,JOA scores and GQOLI-74 scores were higher than those before treatment,and the VAS scores of the study group were lower than those of the control group,JOA scores and GQOLI-74 scores were higher than those of the control group(P<0.05).After treatment,the content of plasma substance P in the two groups[(22.82±2.47)ng/L,(26.43±3.78)ng/L]was lower than that before treatment[(39.92±3.02)ng/L,(40.54±2.83)ng/L],and the content of plasma substance P in the study group was lower than that in the control group(P<0.05).After treatment,60°/s angular velocity AP,60°/s angular velocity PT,120°/s angular velocity AP and 120°/s angular velocity PT in the two groups were higher than those before treatment,60°/s angular velocity F/E[(71.06±9.03)%,(77.29±9.62)%]and 120°/s angular velocity F/E[(62.96±7.85)%,(67.89±8.43)%]were lower than those before treatment[(85.08±10.01)%,(82.48±10.17)%,(70.17±8.46)%,(72.78±9.05)%],and 60°/s angular velocity AP,60°/s angular velocity PT,120°/s angular velocity AP and 120°/s angular velocity PT in the study group were higher than those in the control group,and 60°/s angular velocity F/E and 120°/s angular velocity F/E were lower than those in the control group(P<0.05).Conclusion The effect of meridian massage combined with rehabilitation training in patients with low back and leg pain is positive,which can reduce pain,shorten the time of pain disappearance,improve lumbar function,biomechanical properties of low back muscles,quality of life,and reduce the content of substance P in plasma.
作者
曹中正
CAO Zhongzheng(Department of Rehabilitation Medicine,The First People's Hospital of Jiangxia District,Wuhan City,Wuhan,Hubei 430200,China)
出处
《安徽医药》
CAS
2023年第7期1413-1417,共5页
Anhui Medical and Pharmaceutical Journal
关键词
腰痛
循经推拿
康复训练
P物质
疼痛消失时间
生活质量
Low back pain
Meridian massage
Rehabilitation training
Substance P
Pain disappearance time
Quality of life
