韩氏穴位神经刺激仪联合心理支持疗法对妊娠晚期腰背痛的影响  

HAN'S ACUPOINT NERVE STIMULATOR(HANS) COMBINED WITH PSYCHOLOGICAL SUPPORTING THERAPY FOR THE MANAGEMENT OF LOW BACK PAIN IN LATE PREGNANCY

作　　者：陈伟业 席四平 王爱群[2] 张立贤[2] 

机构地区：[1]广州市天河区妇幼保健院麻醉科,广州510620 [2]广州市红十字会医院麻醉科,广州510220

出　　处：《中国疼痛医学杂志》2013年第1期39-41,51,共4页Chinese Journal of Pain Medicine

摘　　要：目的:评估韩氏穴位神经刺激仪(Han’s acupoint nerve stimulator,HANS)联合心理支持疗法对妊娠晚期腰背痛的疗效。方法:96例妊娠晚期腰背痛孕妇随机分入HANS组(n=31)、联合组(n=35)、对照组(n=30)。HANS组给予每周1次、持续6周的HANS治疗;联合组在HANS组治疗基础上予心理支持疗法;对照组未予治疗。采用视觉模拟评分(visual analogue score,VAS)评估孕妇腰背痛程度。采用Zung焦虑量表(self-rating anxiety scale,SAS)和Zung抑郁量表(self-rating depression scale,SDS)分别评估孕妇焦虑、抑郁程度。结果:随着孕期进展,对照组孕妇腰背痛VAS较治疗前有渐增趋势。HANS组孕妇治疗4周后VAS较治疗前下降,较对照组降低(P<0.05);治疗6周后SDS较治疗前下降(P<0.05)。联合组孕妇治疗3周后VAS、SAS及SDS较治疗前均下降,较对照组均降低(P<0.05)。治疗3周后,联合组SAS较HANS组降低(P<0.05)结论:HANS可减轻妊娠晚期腰背痛并缓解抑郁。HANS联合心理支持疗法治疗妊娠晚期腰背痛可能更具优势。Objective： To evaluate the effects of HANS combined with psychological supporting therapy for managing low back pain in late pregnancy.Methods： 96 women in late pregnancy reporting low back pain were randomly divided into HANS group（n = 31）,combined group（n = 35）,control group（n = 30）.HANS group received weekly HANS therapy for 6 weeks,combined group received both HANS and psychological supporting therapy,and control group was given no treatment.The severity of low back pain was assessed by visual analogue scale（VAS）.The degree of anxiety and depression was rated respectively by means of self-rating anxiety scale（SAS） and self-rating depression scale（SDS）.Results： VAS of low back pain in control group increased with advancing pregnancy.In HANS group VAS reduction were observed from 4 weeks after treatment,and which was significantly lower than control group（P 0.05）.SDS in HANS group decreased 6 weeks after treatment（P 0.05）.Compared with either pretherapy or the control group,VAS,SAS and SDS in combined group reduced significantly from 3 weeks after treatment（P 0.05）.Compared with HANS group,SAS in combined group reduced significantly from 3 weeks after treatment（P 0.05）.Conclusion： HANS treatment relieved the severity of low back pain and alleviated the degree of depression in late pregnancy.During late pregnancy,it may be more advantageous to combine HANS with psychological supporting therapy for managing low back pain.

关 键 词：腰背痛 韩氏穴位神经刺激仪 心理支持疗法 妊娠晚期 

分 类 号：R714.2[医药卫生—妇产科学]