李氏砭法治疗非特异性下腰痛临床研究  

Clinical effect of Lee′s span method on nonspecific low back pain

作　　者：李海燕 施思 孙红 LI Haiyan;SHI Si;SUN Hong(Department of Traditional Chinese Medicine Nursing,Nantong Hospital of Traditional Chinese Medicine,Nantong,Jiangsu 226001)

机构地区：[1]江苏省南通市中医院中医护理门诊,江苏南通226001

出　　处：《河北中医》2024年第6期989-991,995,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：南通市社会民生科技计划指令性项目(编号:MS22022070)。

摘　　要：目的观察李氏砭法治疗非特异性下腰痛(NLBP)的临床疗效。方法将95例NLBP患者按照随机数字表法分为2组,对照组47例予常规干预,治疗组48例在对照组干预基础上联合李氏砭法。2组均治疗4周。比较2组治疗前后疼痛数字评价量表(NRS)评分、Oswestry功能障碍指数(ODI)评分、中文简体版恐惧-回避信念问卷(FABQ-CHI)评分变化。结果2组治疗2、4周NRS评分、ODI评分、FABQ-CHI评分均较本组治疗前降低(P<0.05);2组治疗4周NRS评分、ODI评分、FABQ-CHI评分均低于本组治疗2周(P<0.05);治疗组治疗2、4周NRS评分、ODI评分、FABQ-CHI评分低于对照组同期(P<0.05)。结论李氏砭法能有效缓解NLBP患者腰部疼痛,改善腰椎功能,调节疾病对患者造成的恐惧-回避心理。Objective To evaluate the clinical effect of Lee′s span method on nonspecific low back pain(NLBP).Methods Ninety-five patients with NLBP were randomly divided into the control group(n=47)and the treatment group(n=48).All patients were treated with routine nursing,and those in the treatment group were additionally treated with Lee's span method.A 4-week treatment was performed in the two groups.The changes in pain numerical rating scale(NRS)score,Oswestry Disability Index(ODI)score and simplified Chinese version of Fear-Avoidance Belief Questionnaire(FABQ-CHI)score before and after treatment were included as comparators between the two groups.Results The 2-week and 4-week scores of NRS,ODI and FABQ-CHI in the two groups were significantly lower than those before treatment(P<0.05).The 4-week NRS score,ODI score and FABQ-CHI score of the two groups were significantly lower than those of 2-week(P<0.05).After treatment,the NRS score,ODI score and FABQ-CHI score in the treatment group were significantly lower than those of the control group(P<0.05).Conclusion Lee's span method can effectively relieve the lumbar pain of patients with NLBP,improve lumbar function,and regulate the fear-avoidance psychology caused by pain.

关 键 词：腰痛 砭镰疗法 

分 类 号：R441.1[医药卫生—诊断学] R244.4[医药卫生—临床医学]