DMS联合平乐推按法治疗慢性下腰痛的效果  

The Curative Effect of DMS Combined with Pingle’s Manipulation on Chronic Low Back Pain

作　　者：陈佳旭[1] 陈佳惟 蒋拥军[1] CHEN Jiaxu;CHEN Jiawei;JIANG Yongjun(Pingle Orthopedic Hospital in Shenzhen,Shenzhen 518000,China;不详)

机构地区：[1]深圳平乐骨伤科医院,广东深圳518000

出　　处：《中外医学研究》2021年第14期48-51,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察深层肌肉刺激疗法(DMS)联合平乐推按法治疗慢性下腰痛的临床效果。方法:选取2019年6-12月份平乐骨伤科医院康复科收治的门诊及住院治疗的慢性下腰痛(chronic low back pain,CLBP)60例,随机分为三组,分别为A组(DMS组)、B组(手法治疗组)和C组(DMS结合手法组),每组20例。A组给予DMS治疗;B组采用平乐郭氏推按法治疗;C组予DMS治疗和平乐郭氏推按法治疗。治疗均20 min/次,1次/d,每周5次,共治疗4周。分别于治疗前、治疗4周后采用日本骨科学会腰痛评分(JOA)评价临床效果;运用Oswestry功能障碍指数(ODI)评定患者功能的改善程度。结果:三组治疗前JOA评分、ODI评分比较,差异均无统计学意义(P>0.05)。治疗4周后,三组JOA评分较治疗前明显增加,且组间比较B组优于A组,C组优于B组,差异均有统计学意义(P<0.05);ODI评分较治疗前明显降低,且组间比较B组优于A组,C组疗效优于B组,差异均有统计学意义(P<0.05)。治疗后,B组疗效优于A组,C组疗效优于B组,三组比较差异有统计学意义(P<0.05)。结论:DMS联合平乐推按法治疗能有效缓解慢性下腰痛患者疼痛症状,改善其腰背部功能。Objective:To observe the clinical efficacy of DMS combined with Pingle’s manipulation in the treatment of CLBP.Method:A total of 60 cases of CLBP patients admitted to the rehabilitation department of Pingle Orthopedic Hospital from June to December 2019 were divided into group A(the DMS group),group B(the manual therapy group)and group C(DMS combined with manual therapy group)according to the random number table method.The group A was treated with the method of Pingle’s manipulation.The group B was treated with DMS.In the group C,DMS treatment and Pingle’s manipulation were performed,all for 20 min each time,once a day,five times a week for a total of 4 weeks.Before treatment and after 4 weeks of treatment.The Japanese Orthopaedic Society Low Back Pain Score(JOA)was used to evaluate the clinical effect of all patients.The functional improvement of all patients was assessed by the Oswestry Disability Index(ODI).Result:Before treatment,there was no statistical significance in the comparison of JOA score and ODI score among the three groups(P>0.05).After 4 weeks of treatment,JOA scores in all three groups were significantly higher than before treatment.The group B was better than group A,and group C was better than group B,the differences were statistically significant(P<0.05).The ODI scores were significantly lower than those before treatment.The group B was better than roup A,and group C was better than group B,the differences were statistically significant(P<0.05).The efficacy of group B was better than that of group A,and that of group C was better than that of group B(P<0.05).Conclusion:DMS combined with Pingle’s manipulation can effectively relieve the pain of patients with chronic low back pain and improve their back dysfunction,which is worthy of clinical application.

关 键 词：慢性下腰痛 深层肌肉刺激仪 平乐推按法 

分 类 号：R681.5[医药卫生—骨科学]