超声剪切波成像技术引导下针刺疗法对慢性非特异性腰痛患者竖脊肌杨氏模量及腰背功能康复的影响  

Effects of SSI-guided Acupuncture on the Young's Modulus of Erector Spinae and Functional Rehabilitation of the Low back in Patients with Chronic Nonspecific Low Back Pain

作　　者：冯思仪 郭俊彪 吴树旭 FENG Siyi;GUO Junbiao;WU Shuxu(Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广州中医药大学第二附属医院,广东广州510000

出　　处：《西部中医药》2022年第9期138-142,共5页Western Journal of Traditional Chinese Medicine

基　　金：广东省中医药管理局项目(20181100)。

摘　　要：目的:探讨超声剪切波成像技术(supersonic shear imaging,SSI)引导下针刺疗法对慢性非特异性腰痛(chronic non-specific low back pain,CNSLBP)患者竖脊肌杨氏模量及腰背功能康复的影响。方法:对100例CNSLBP患者病历资料进行回顾性分析。对照组50例采用单纯针刺穴位疗法,观察组50例在超声引导下针刺竖脊肌硬度最高点处。观察两组患者总有效率及竖脊肌杨氏模量、竖脊肌肌筋膜厚度、Os-westry功能障碍指数(Oswestry disability index,ODI)、视觉模拟量表(visual analogue scale,VAS)评分变化情况。结果:观察组总有效率高于对照组(P<0.05);治疗后两组杨氏模量均低于治疗前(P<0.05),观察组低于对照组(P<0.05);两组治疗后竖脊肌肌筋膜厚度比较差异无统计学意义(P>0.05);治疗1、4周,两组VAS评分均较治疗前降低(P<0.05),观察组低于对照组(P<0.05);治疗后12周两组VAS评分比较差异无统计学意义(P>0.05);治疗后两组ODI评分均低于治疗前(P<0.05),观察组低于对照组(P<0.05)。结论:SSI引导下针刺治疗CNSLBP,患者腰背功能康复效果优于单纯针刺穴位疗法。Objective:To discuss the impact of SSI-guided acupuncture on the Young's modulus of erector spinae and functional rehabilitation of the low back in patients with CNSLBP.Methods:The data of 100 patients was retrospectively analyzed.The control group adopted simple acupoints acupuncture therapy,and the observation group SSI-guided needling of the highest stiffness of the erector spinae.To observe total effective rate,Young's modulus value,myofascial thickness values of erector spinae,ODI and VAS between both groups.Results:Total effective rate of the observation group was higher than that of the control group(P<0.05);after the treatment,Young's modulus value of the two groups was lower than that before the treatment(P<0.05),the observation group was lower than the control group(P<0.05);the difference had no statistical meaning in myofascial thickness values of erector spinae between both groups after the treatment(P>0.05);VAS scores one and four weeks of the therapy were lower than these before the treatment in two groups(P<0.05),the observation group was lower than the control group(P<0.05);the difference had no statistical meaning in VAS scores between both groups 12 weeks after the treatment(P>0.05);after the treatment,ODI scores of the two groups were lower than these before the treatment(P<0.05),the observation group was lower than the control group(P<0.05).Conclusion:SSI-led acupuncture is applied in the treatment of CNSLBP,the effects of functional rehabilitation of the low back are better than these of simple acupoints acupuncture therapy.

关 键 词：腰痛 非特异性 慢性 腰背功能 杨氏模量 超声剪切波成像技术 针刺疗法 

分 类 号：R245.311[医药卫生—针灸推拿学]