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小针刀结合运动康复治疗非特异性慢性腰痛的临床观察

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目的:探讨小针刀结合运动康复治疗非特异性慢性腰痛的临床效果。方法:选取62例非特异性慢性腰痛患者,按照随机数表法分为治疗组与对照组,各31例。对照组给予小针刀治疗,治疗组在此基础上于术后3d给予中医运动康复治疗。治疗2周后统计对比两组下腰痛疼痛评分(感觉疼痛和运动疼痛)、下腰痛失能(RMDQ评分和ODI评分)、腰椎曲度(腰屈曲范围和腰椎曲度)的改善情况,并评估临床疗效。结果:治疗组总有效率为90。3%,对照组为71。0%,差异有统计学意义(P<0。05);两组治疗后感觉疼痛评分和运动疼痛评分均显著降低,治疗组降低程度更明显,与对照组比较,差异有统计学意义(P<0。05);两组治疗后RMDQ评分和ODI评分均显著降低,治疗组降低程度更明显,与对照组比较,差异有统计学意义(P<0。05);两组治疗后腰屈曲范围和腰椎曲度均显著升高,治疗组升高程度更明显,与对照组比较,差异有统计学意义(P<0。05)。结论:小针刀结合运动康复治疗非特异性慢性腰痛,能够有效缓解患者腰痛,改善患者腰椎曲度,促进腰椎功能的恢复。
Clinical Study of Acupotomy Therapy combined with Exercise Rehabilitation in Treatment of Chronic Nonspecific Low Back Pain
Objective:To explore the clinical effect of acupotomy therapy combined with exercise rehabilitation in treatment of chronic nonspecific low back pain.Methods:62 cases of chronic nonspecific low back pain patients diagnosed in our hospital were randomly divided into observation group and control group,31 cases in each.The control group was given acupotomy treatment.Based on this,the observation group was given exercise rehabilitation in three days after operation.After 2 weeks of treatment,the low back pain (sensation and movement),low back pain movement disability (RMDQ score and ODI score),andlumbar curvature (lumbar flexion range and lumbar curvature) of the two groups were observed and compared.Results:The total effective rate of observation group was 90.3%,and which was 71.0% in the control group,with statistically significant (P<0.05).After treatment,the sensationpain score and movement pain score were significantly reduced.and the pain scores decreased of observation group were more significant than the control group (P<0.05);The RMDQ score and ODI score of the two groups after treatment were significantly decreased,and the scores decreased in the observation group were more significant than the control group (P<0.05);Thelumbar flexion range and lumbar curvature of the two group after treatment were significantly increased,and the observation group increased more significantly (P<0.05).Conclusion:The application of acupotomy therapy combined with exercise rehabilitation in treatment of chronic nonspecific low back pain can effectively relieve pain,improve patients with lumbar lumbar curvature,and promote functional recovery.

chronic nonspecific low back painacupotomyrehabilitationlumbar curvaturelumbar function

王晓霞、王丽芬、石子璇

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陕西省中医医院,陕西 西安710003

非特异性慢性腰痛 小针刀 运动康复 腰椎曲度 腰椎功能

2017

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2017.23(22)
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