动推疗法与单纯推拿疗法治疗慢性非特异性腰痛的近期疗效对比研究  

A comparative study of short-term clinical curative effect of massage during exercise versus monotherapy of TUINA for treatment of chronic nonspecific low back pain

作　　者：熊国星[1] 王鑫[1] 程元辉[1] 肖湘[1] 吴夏[1] 

机构地区：[1]重庆医药高等专科学校,重庆401331

出　　处：《中医正骨》2017年第11期33-37,共5页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：重庆医药高等专科学校人才引进计划项目(ygz2016303)

摘　　要：目的:比较动推疗法与单纯推拿疗法治疗慢性非特异性腰痛(chronic nonspecific low back pain,CNLBP)的近期疗效。方法:将180例CNLBP患者随机分为动推疗法组和单纯推拿组,每组90例。2组患者每周均治疗2次,每次10 min,连续治疗3周。分别于治疗前和治疗结束后1个月,比较2组患者腰部疼痛视觉模拟量表(visual analogue scale,VAS)评分、Roland腰椎功能障碍评分和Oswestry功能障碍指数(Oswestry disability index,ODI)评分。结果:(1)腰部疼痛VAS评分。治疗前2组患者腰部疼痛VAS评分比较,差异无统计学意义[(2.6±0.7)分,(2.4±0.8)分,t=0.672,P=0.678];治疗结束后1个月,动推疗法组腰部疼痛VAS评分低于单纯推拿组[(1.2±0.6)分,(1.8±0.8)分,t=2.652,P=0.014],2组患者腰部疼痛VAS评分均低于治疗前(t=27.465,P=0.000;t=2.533,P=0.012)。(2)Roland腰椎功能障碍评分。治疗前2组患者Roland腰椎功能障碍评分比较,差异无统计学意义[(10.3±1.5)分,(9.8±1.8)分,t=0.473,P=0.908];治疗结束后1个月,动推疗法组Roland腰椎功能障碍评分低于单纯推拿组[(1.6±0.6)分,(3.7±1.1)分,t=41.951,P=0.000],2组患者Roland腰椎功能障碍评分均低于治疗前(t=29.456,P=0.000;t=21.013,P=0.000)。(3)ODI评分。治疗前2组患者ODI评分比较,差异无统计学意义[(15.35±2.62)分,(14.81±3.41)分,t=0.612,P=0.532];治疗结束后1个月,动推疗法组ODI评分低于单纯推拿组[(6.52±1.64)分,(9.34±2.41)分,t=2.413,P=0.025],2组患者ODI评分均低于治疗前(t=32.467,P=0.000;t=19.314,P=0.000)。结论:采用动推疗法和单纯推拿法治疗CNLBP均能缓解腰部疼痛,改善腰部功能,但前者的近期临床疗效优于后者。Objective： To compare the short - term clinical curative effect of massage during exercise versus monotherapy of TUINA in the treatment of chronic nonspecific low back pain（CNLBP）. Methods：One hundred and eighty patients with CNLBP were randomly divid- ed into monotherapy of massage during exercise group （group A） and TUINA group（ group B） ,90 cases in each group. All patients were treated twice a week, 10 minutes at a time for consecutive $ weeks. The low back pain visual analogue scale （VAS）scores, Roland lumbar dysfunction scores and Oswestry disability index（ODI） scores were compared between the 2 groups before treatment and at 1 month after the end of the treatment respectively. Results：There was no statistical difference in the low back pain VAS scores between the 2 groups before treatment （2.6 ＋/- 0.7 vs 2. d ＋/- 0.8 points, t = 0. 672, P - 0. 678 ）. The low back pain VAS scores were lower in group A compared to group B at 1 month after the end of the treatment（ 1.2 ＋/-0.6 vs 1.8 ＋/-0.8 points,t =2. 652,P =0.014） ,and the low back pain VAS scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre - treatment （t = 27.465,P = 0. 000 ; t = 2. 533, P =0.012）. There was no statistical difference in the Roland lumbar dysfunction scores between the 2 groups before treatment（ 10.3 ＋/- 1.5 vs 9.8 ＋/- 1.8 points, t = 0. 473,P = 0. 908）. The Roland lumbar dysfunction scores were lower in group A compared to group B at I month after the end of the treatment （ 1.6 ＋/-0.6 vs 3.7 ＋/- 1.1 points, t = 41.951, P = 0.000）, and the Roland lumbar dysfunction scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre - treatment（t = 29. 456 ,P = 0. 000;t = 21. 013 ,P = 0.000）. There was no statistical difference in the ODI scores between the 2 groups before treatment （15.35 ＋/-2. 62 vs 14. 81 ＋/- 3.41 points,t = 0. 612,P = 0.532）. The ODI scores were lower in group A compared to group B at

关 键 词：腰痛 慢性非特异性腰痛 推拿 运动疗法 动推疗法 临床试验 

分 类 号：R244.1[医药卫生—针灸推拿学]