保守治疗慢性非特异性下腰痛的疗效观察  

Efficacy of Conservative Treatment of Chronic Non-Specific Low Back Pain

作　　者：薛清天 贺思思 于正文 谢晓信[1] 廖琛[1] 朱隽琇 林志坚 邓敏 黄丽 XUE Qingtian;HE Sisi;YU Zhengwen;XIE Xiaoxin;LIAO Chen;ZHU Junxiu;LIN Zhijian;DENG Min;HUANG Li(Hezhou University;The People's Hospital of Hezhou,Hezhou,Guangxi Zhuang Autonomous Region,542899 China)

机构地区：[1]贺州学院 [2]贺州市人民医院,广西贺州542899

出　　处：《当代体育科技》2023年第3期35-38,共4页Contemporary Sports Technology

基　　金：贺州学院科研项目(2021ZZZK12);贺州学院教改项目(hzxyybjg202220);贺州学院科研项目(2022ZZSK02);广西大学生创新创业训练计划项目(202211838006)。

摘　　要：目的:观察保守方式治疗慢性非特异性下腰痛的疗效。方法:将受试者分为实验组和对照组,实验组干预方案包括针刀松解、腰部斜扳法、核心肌群训练,对照组干预方案包括手法推拿、牵引床牵引及八段锦功法练习。结果:实验组和对照组的VAS评分和ODI指数实验前后的t检验均显示具有高度显著性差异(P<0.01);腰椎主动关节活动度(AROM)方面,实验组的配对t检验均无显著性差异(P>0.05);对照组实验前后的t检验,除侧屈具有显著性差异(P<0.05)外,屈伸和旋转均无显著性差异(P>0.05)。结论:在下腰痛的干预中,实验组和对照组实验方案均可以有效改善患者的疼痛和日常生活能力;但对于改善腰椎主动关节活动度屈伸、旋转效果均不明显,对照组的实验方案在改善侧屈腰椎主动关节活动度方面优于实验组。Objective:To observe the effect of conservative treatment of chronic nonspecific low back pain.Methods:The subjects were divided into experimental group and control group.The intervention programs of the experimental group included needle-knife release,lumbar oblique manipulation and core muscle training,while and the intervention program of the control group included manual massage,traction of traction bed,and Baduanjin exercise.Results:The VAS score and the t-test of ODI index in the experimental group and the control group before and after the experiment showed a highly significant difference(P<0.01);In the aspect of active joint range of motion(AROM)of lumbar spine,there was no significant difference in paired t-test of the experimental group(P>0.05);The t-test of the control group before and after the experiment showed that there was no significant difference in flexion,extension and rotation(P>0.05)except for lateral flexion(P<0.05).Conclusion:In the intervention of low back pain,both the experimental group and the control group can effectively improve the pain and the ability of daily life of patients;However,the effect of the experimental scheme in the control group was better than the experimental group in improving the active joint range of lateral lumbar flexion.

关 键 词：保守治疗 八段锦 慢性非特异性下腰痛 疗效观察 

分 类 号：G806[文化科学—运动人体科学]