浮针疗法联合腰腹部核心肌群训练治疗慢性非特异性下腰痛临床观察  

Clinical Observation on Floating Needle Therapy Combined with Lumbar and Abdominal Core Muscle Training in Treating Chronic Non-specific Low Back Pain

作　　者：刘彬[1] 赵睿 韩康 戚军 陶星 LIU Bin;ZHAO Rui;HAN Kang;QI Jun;TAO Xing(Department of Rehabilitation Medicine,Wuhan First Hospital,Wuhan 430022,China;Department of Traditional Chinese Medicine,Zhile Rehabilitation Hospital of Wuhan,Wuhan 430000,China)

机构地区：[1]武汉市第一医院康复医学科,湖北武汉430022 [2]武汉知了康复医院中医科,湖北武汉430000

出　　处：《山东中医药大学学报》2020年第5期544-549,共6页Journal of Shandong University of Traditional Chinese Medicine

摘　　要：目的:观察浮针疗法联合腰腹部核心肌群训练对慢性非特异性下腰痛(CNLBP)的临床疗效。方法:将80例符合研究纳入标准的CNLBP患者随机分为对照组与观察组各40例,对照组采用腰腹部核心肌群训练法,观察组在对照组的基础上另行浮针疗法。两组均治疗2周后观察临床疗效,并于疗程结束后1个月进行随访,以视觉模拟评分法(VAS)、腰部功能障碍指数(ODI)评分及指地间距(FFD)水平作为两组治疗前后及随访1个月时疗效观察指标。结果:两组治疗后及随访时VAS评分、ODI评分及FFD长度均较同组治疗前显著降低(P<0.05),且观察组低于对照组,差异有统计学意义(P<0.05);与同组治疗后比较,对照组随访时VAS评分、ODI评分及FFD长度明显增高(P<0.05),观察组随访时FFD长度较同组治疗后明显增高(P<0.05),VAS评分、ODI评分无明显变化(P> 0.05)。结论:浮针疗法联合腰腹部核心肌群训练能有效缓解CNLBP患者反复腰痛症状,改善腰部功能障碍及弯腰困难,即时效应及远期疗效均优于单纯腰腹部核心肌群训练法,临床症状不易反复。Objective:To observe the clinical effect of floating needle therapy combined with lumbar and abdominal core muscle training on chronic nonspecific low back pain(CNLBP).Methods:Total 80 patients with CNLBP who met the inclusion criteria were randomly divided into the control group and the observation group,40 patients in each group.The control group received lumbar and abdominal core muscle training method,and the observation group received floating needle therapy on the basis of lumbar and abdominal core muscle training in the control group.Clinical efficacy was observed after 2 weeks of treatment in both groups,and follow-up was conducted 1 month after the course of treatment.Visual analogue scale(VAS),lumbar dysfunction index(ODI)score and finger floor distance(FFD)level were used as the efficacy indexes before and after treatment and one month of follow-up in the two groups.Results:VAS score,ODI score and FFD length in both groups after treatment and during follow-up were significantly lower than those in the same group before treatment(P<0.05),and VAS score,ODI score and FFD length in the observation group were lower than those in the control group after treatment and during follow-up,with statistically significant differences(P<0.05).Compared with the same group after treatment,VAS score,ODI score and FFD length significantly increased in the control group(P<0.05),while VAS score and ODI score were not significantly increased in the observation group(P>0.05),and FFD length was significantly increased(P<0.05).Conclusions:Floating needle theraphy combined with lumbar and abdominal core muscle training can effectively relieve repeated low back pain in patients with CNLBP,and improve lumbar dysfunction and difficulty in bending.The immediate effect and long-term effect are better than the simple core muscle group training of waist and abdomen,and the clinical symptoms are not easy to repeat.

关 键 词：浮针疗法 核心肌群训练 慢性非特异性下腰痛 腰部功能障碍指数 指地间距 视觉模拟评分法 

分 类 号：R681.5[医药卫生—骨科学]