导引术联合调制中频电疗法治疗慢性腰痛临床研究  

Clinical Study on Daoyin Combined with Modulated Medium Frequency Electrotherapy in Treating Chronic Lumbago

作　　者：王丽敏[1] 毕鸿雁[2] 孙文玉 曹海豪 席晓明 WANG Limin;BI Hongyan;SUN Wenyu;CAO Haihao;XI Xiaoming(College of Rehabilitation,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Department of Rehabilitation,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学康复医学院,山东济南250355 [2]山东中医药大学附属医院康复科,山东济南250014

出　　处：《山东中医杂志》2022年第4期408-413,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金青年项目(编号:81802239);山东省中医药科技项目重点项目(编号:2020Z04)。

摘　　要：目的:观察导引术联合调制中频电疗法对慢性腰痛患者疼痛、腰椎活动度以及腰背肌肌力的影响。方法:选取慢性腰痛患者64例,按照随机数字表法分为对照组和观察组各32例。对照组采用健康宣教和调制中频电疗法,观察组在对照组的基础上加练导引术,每周5次,每次30 min,共6周。对两组患者治疗前后视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)、腰椎前屈活动度、腰背肌峰力矩(PT)进行评定。结果:治疗6周后,观察组与对照组VAS评分、ODI均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后观察组腰椎前屈活动度以及腰背肌PT均较治疗前改善,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:导引术联合调制中频电疗法可以缓解慢性腰痛患者的疼痛,提高患者腰背肌肌力,改善腰部功能。Objective :To observe the effects of Daoyin combined with modulated medium frequency electrotherapy on pain,lumbar spine mobility and back muscle strength of patients with chronic low back pain. Method:A total of 64 patients with chronic low back pain were selected and divided into control group and an observation group according to random number table,with 32 cases in each group.The control group was given health education and modulated medium frequency electrotherapy,while the observation group was given Daoyin on the basis of the control group,which was 5 times a week,30 minutes each time,the treatment was of a total of 6 weeks. The visual analogue scale(VAS)score,oswestry disability index(ODI),lumbar flexion range of motion and lumbar back muscle peak torque(PT) were evaluated before and after treatment in the two groups. Results:After 6 weeks of treatment,the VAS score and ODI of the observation group and the control group were lower than those before treatment,and the observation group was lower than the control group,which was with a statistically significant difference(P<0.05). The lumbar flexion range of motion and lumbar back muscle PT of both groups was improved compared with that before treatment,and the observation group was higher than the control group,the difference was statistically significant( P < 0. 05). Conclusions : Daoyin combined with modulated medium frequency electrotherapy can relieve the pain of patients with chronic low back pain,improve the muscle strength of the low back muscles,and promote the function of the low back.

关 键 词：慢性腰痛 导引术 调制中频电疗法 疼痛 腰椎活动度 腰背肌肌力 峰力矩 

分 类 号：R274.9[医药卫生—中西医结合]