首页|滞动针疗法治疗军事训练致慢性非特异性下腰痛患者的临床疗效及对其疼痛程度、腰椎功能的影响

滞动针疗法治疗军事训练致慢性非特异性下腰痛患者的临床疗效及对其疼痛程度、腰椎功能的影响

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目的 观察滞动针疗法治疗军事训练致慢性非特异性下腰痛(Chronic nonspecific low back pain,CNLBP)患者的临床疗效及对其疼痛程度、腰椎功能的影响.方法 选取2022年4月—2023年6月期间中国人民解放军联勤保障部队第九八三医院收治的军事训练所致CNLBP患者108例,根据随机数字表法分为康复治疗组、普通针刺组和滞动针治疗组,每组各36例.康复治疗组给予常规康复物理治疗,普通针刺组在康复治疗的基础上,给予传统针刺治疗,滞动针组在康复治疗的基础上,给予滞动针治疗.隔2~3 d治疗1次,每周治疗3次,2周为1个疗程.连续治疗1个疗程后,观察比较3组患者治疗前后疼痛视觉模拟评分(Visual analogue scale,VAS)、腰椎活动度(前屈度、后伸度、侧屈度、旋转度)、腰肌耐力(屈肌耐力时间、伸肌耐力时间)、腰椎Oswestry功能障碍指数评分(Oswestry disability index,ODI)及临床疗效.结果 治疗1天、1周、2周、治疗2个月后3组患者VAS评分、腰椎活动度(前屈度、后伸度、侧屈度、旋转度)、腰肌耐力(屈肌耐力时间、伸肌耐力时间)、ODI评分均优于治疗前,差异有统计学意义(P<0.05),滞动针组VAS评分、腰椎活动度(前屈度、后伸度、侧屈度、旋转度)、腰肌耐力(屈肌耐力时间、伸肌耐力时间)、ODI评分均较康复治疗组及普通针刺组明显改善,差异有统计学意义(P<0.05).治疗后康复治疗组、普通针刺组和滞动针组总有效率分别为75.76%(25/33)、93.94%(31/33)、97.06%(33/34),治疗2个月后康复治疗组、普通针刺组和滞动针组总有效率分别为72.73%(24/33)、87.88%(29/33)、94.12%(32/34).滞动针组治疗总有效率明显高于康复治疗组和普通针刺组,差异有统计学意义(P<0.05).重复测量方差分析显示,滞动针组对比康复治疗组和普通针刺组VAS、ODI评分呈明显下降趋势,腰椎活动度、腰肌耐力时间呈明显上升趋势,差异有统计学意义(P<0.05).结论 滞动针疗法以筋伤理论为指导,以调整肌肉失衡为切入点,以生物力重构为目的,以"治疗一穴,效应多经"的功效治疗军事训练致CNLBP,能简化治疗程序,缩短治疗时间,提高治疗效果,具有应用及推广价值.
Clinical Treatment Efficacy of Chronic Nonspecific Lower Back Pain Caused by Mili-tary Training with Stagnation Acupuncture Therapy Based on Tendon Injury Theory
Objective To observe the clinical efficacy of stagnation acupuncture therapy on chronic nonspecific lower back pain(CNLBP)caused by military training,and the therapy's impact on the degree of pain and lumbar spine function of patients.Methods 108 patients with CNLBP caused by military training admitted to No.983 Hospital of PLA Joint Logistics Support Force between April 2022 and June 2023 were selected.Meanwhile,according to the random num-ber table method,the patients were divided into the rehabilitation treatment group,ordinary acupuncture group,and stagna-tion acupuncture group,with 36 cases in each group.The rehabilitation treatment group received routine rehabilitation phys-ical therapy,the ordinary acupuncture group received traditional acupuncture treatment based on rehabilitation treatment,and the stagnation acupuncture group received stagnation acupuncture treatment based on rehabilitation treatment.The treatment was conducted every two or three days and three times every week,with two weeks for a course.After constant treatment for a course,this paper observed and compared the pain visual analogue scale(VAS),lumbar range of motion(forward flexion,backward extension,lateral flexion,rotation),lumbar muscle endurance(flexor endurance time and exten-sor endurance time),lumbar Oswestry disability index(ODI),and clinical effect before treatment and after treatment in the three groups.Results After treatment for one day,one week,two weeks,and two months,the VAS score,lumbar range of motion(forward flexion,backward extension,lateral flexion,rotation),lumbar muscle endurance(flexor endurance time and extensor endurance time),and ODI score of the three groups are significantly improved compared to those before treatment,with differences of statistical significance(P<0.05).The VAS score,lumbar range of motion(forward flexion,backward extension,lateral flexion,rotation),lumbar muscle endurance(flexor endurance time and extensor endurance time),and ODI score of the stagnation acupuncture group are notably enhanced compared to those of the rehabilitation treatment and ordinary acupuncture groups,with differences of statistical significance(P<0.05).The total effective rate of the rehabilita-tion treatment group,ordinary acupuncture group,and stagnation acupuncture group after treatment is 75.76%,93.94%,and 97.06%respectively.After treatment for two months,the effective rates of the above three groups are 72.73%,87.88%,and 94.12%respectively.The total effective rate of the stagnation acupuncture group is significantly higher than that of the rehabilitation group and ordinary treatment group,with differences of statistical significance(P<0.05).Repeat-ed measure analysis of variance shows that the VAS and ODI scores of the stagnation acupuncture group present a signifi-cant downward trend compared to the rehabilitation treatment group and the ordinary acupuncture group,while the lumbar range of motion and lumbar muscle endurance time show a notable upward trend,with significant statistical differences(P<0.05).Conclusion The stagnation acupuncture therapy for CNLBP caused by military training is guided by the tendon injury theory,to adjust muscle imbalance and biological force reconstruction.The therapy has the efficacy of"treating one acupoint with multiple effects",simplifies treatment procedures,shortens treatment time,and improves treatment effective-ness,providing application and promotion significance.

Stagnation Acupuncture TherapyChronic Nonspecific Lower Back PainMilitary TrainingMuscle Im-balanceBiological Force Reconstruction

肖蕾、邵靓宇、王胜

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中国人民解放军联勤保障部队第九八三医院,天津 300142

滞动针疗法 慢性非特异性下腰痛 军事训练 肌肉失衡 生物力重构

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(11)