核心肌群训练联合平衡罐疗法在慢性非特异性下腰痛患者中的应用  

Effects of core muscle training combined with balance cup therapy in patients with chronic nonspecific low back pain

作　　者：肖彬娥[1] 陈衍尧[1] 范伟锋[1] 吕燕碧[1] 何敏峰[1] 招少环[1] 关露娟[1] 王燕璇 孙平秀[1] 林舒婷 Xiao Bin'e;Chen Yanyao;Fan Weifeng;Lyu Yanbi;He Minfeng;Zhao Shaohuan;Guan Lujuan;Wang Yanxuan;Sun Pingxiu;Lin Shuting(Twelfth Ward of Orthopedics,Foshan Hospital of Traditional Chinese Medicine of Guangdong Province,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院骨十二科,528000

出　　处：《中华现代护理杂志》2021年第8期1060-1064,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨核心肌群训练联合平衡罐疗法在慢性非特异性下腰痛患者中的应用效果。方法采用便利抽样法,于2017年1月—2019年12月选择广东省佛山市中医院的130例慢性非特异性下腰痛患者,依据随机数字表法分为核心肌群组和联合治疗组,每组各65例。核心肌群组予以瑞士球按端坐、双桥、屈膝双桥、反桥和俯卧撑的顺序进行核心肌群训练,联合治疗组在核心肌群训练基础上予以平衡罐按照闪罐、走罐、坐罐进行治疗。干预4周后,比较两组患者的腰痛视觉模拟量表(VAS)评分、Roland-Morris功能障碍问卷调查表(RMDQ)评分、指地距离(FFD)、静态及动态肌耐力时间、治疗总有效率。结果干预后,联合治疗组的VAS评分、RMDQ评分及FFD低于核心肌群组,差异有统计学意义(P<0.01);联合治疗组的静态肌、动态肌耐力时间均高于核心肌群组,差异有统计学意义(P<0.01)。联合治疗组的总有效率为90.77%(59/65),高于核心肌群组的76.92%(50/65),差异有统计学意义(P<0.05)。结论核心肌群训练联合平衡罐疗法能减轻慢性非特异性下腰痛患者的腰痛程度,改善腰部功能障碍,提高腰部柔韧性及肌耐力,临床疗效较好。Objective To explore the effect of core muscle group training combined with balance cup therapy in patients with chronic nonspecific low back pain.Methods From January 2017 to December 2019,convenience sampling method was used to select 130 patients with chronic nonspecific low back pain in Guangdong Province Foshan Hospital of Traditional Chinese Medicine.According to the random number table,patients were divided into core muscle group and combined treatment group,with 65 cases in each group.The core muscle group was given the Swiss ball to perform core muscle training in the order of sitting,double bridge,knee flexion double bridge,reverse bridge and push-ups.The combined treatment group was given a balance tank based on core muscle training,followed by flash tank,walking tank,and sitting tank treatment.After 4 weeks of intervention,we compared the scores of the Visual Analogue Scale(VAS),Roland-Morris Disability Questionnaire(RMDQ),Finger-Floor Distance(FFD),and static and dynamic muscle endurance time,and the total effective rate of treatment between the two groups of patients.Results After intervention,the scores of VAS,RMDQ and FFD of combined treatment group were lower than those of core muscle group,and the differences were statistically significant(P<0.01).The static and dynamic muscle endurance time of combined treatment group were higher than those of core muscle group,and the differences were statistically significant(P<0.01).The total effective rate of combined treatment group was 90.77%(59/65),which was higher than 76.92%(50/65)of core muscle group,and the difference was also statistically significant(P<0.05).Conclusions Core muscle training combined with balance cup therapy can reduce the degree of pain in patients with chronic nonspecific low back pain,improve waist dysfunction,waist flexibility and muscle endurance,and have good clinical effects.

关 键 词：慢性病 腰痛 康复护理 疼痛 核心肌群训练 拔火罐 

分 类 号：R681.5[医药卫生—骨科学]