全身振动训练结合雷火灸治疗原发性骨质疏松症腰背痛的临床观察  

The clinical observation of whole body vibration with thunder-fire moxibustion in the treatment of primary osteoporosis low back pain

作　　者：李邗峻 徐道明[2] 吴文忠[2] 刘静[2] 许华宁[2] 刘兰英[3] 郭海英 朱璐[3] 石雯[2] 李艳芳 曹雅娜 LI Hanjun;XU Daoming;WU Wenzhong;LIU Jing;XU Huaning;LIU Lanying;GUO Haiying;ZHU Lu;SHI wen;LI Yanfang;CAO Ya′na(Nanjing Qinhuai District Hospital of Traditional Chinese Medicine,Nanjing 210006;Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029;Nanjing University of Traditional Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京市秦淮区中医医院,江苏南京210006 [2]南京中医药大学附属医院,江苏南京210029 [3]南京中医药大学,江苏南京210023

出　　处：《中国骨质疏松杂志》2019年第10期1445-1449,共5页Chinese Journal of Osteoporosis

基　　金：南京市科学技术委员会项目(201611008);江苏省卫生计生委干部保健局项目(BJ16019);省级中医康复示范(江苏)中心建设项目(K2017ykf18)

摘　　要：目的探讨雷火灸干预原发性骨质疏松症腰背痛患者的临床疗效。方法纳入符合诊断标准的原发性骨质疏松症腰背痛患者60例,采用信封法随机分为全身振动训练结合雷火灸组(A组)和全身振动训练组(B组),每组30例。运用视觉模拟评分法(VAS)、Oswestry功能障碍指数问卷表(ODI)、Berg平衡量表(BBS)分别在治疗前、治疗4周结束时及治疗结束后1个月随访时进行评估。结果组间比较,治疗结束时及1个月随访时,VAS及ODI评分有差异(P<0. 05);BBS评分无差异(P>0. 05);组内比较:治疗结束时及1个月随访时与治疗前比较,VAS、ODI、BBS等评分均有差异(P<0. 05);1个月随访与治疗结束时比较VAS、ODI、BBS等评分均无差异(P>0. 05)。结论全身振动训练结合雷火灸在改善原发性骨质疏松症腰背痛患者VAS和ODI评分方面优于全身振动训练组,但在平衡能力改善方面两组无显著差异。Objective To explore the clinical effect of thunder-fire moxibustion on primary osteoporosis low back pain. Methods Sixty patients who met the primary osteoporosis low back pain diagnostic criteria were included. They were randomly divided into the whole body vibration with thunder-fire moxibustion group ( group A) and the whole body vibration group ( group B ) by envelope method , with 30 cases in each group. Visual analogue scale (VAS), Oswestry disability index ( ODI), and Berg balance scale ( BBS) were used to evaluate patients before treatment, at the end of 4 weeks of treatment, and at 1 month of follow-up. Results Comparison between groups: There were significant differences in VAS and ODI scores between the two groups at the end of treatment and 1 month follow-up ( P<0. 05), while there was no significant difference in BBS scores (P>0. 05). Intra-group comparison: VAS, ODI and BBS scores were significantly different at the end of treatment and 1 month follow-up compared with before treatment ( P<0. 05). There were no significant differences in VAS, ODI and BBS scores at the 1-month follow-up and the end of treatment ( P>0. 05). Conclusion Whole body vibration with thunder-fire moxibustion is superior to whole body vibration in improving VAS and ODI scores in primary osteoporosis low back pain, but there was no significant difference in improving balance ability between the two groups.

关 键 词：原发性骨质疏松 腰背痛 雷火灸 全身振动训练 

分 类 号：R245.8[医药卫生—针灸推拿学]