补肾活血方联合核心稳定训练治疗慢性非特异性腰痛的疗效观察
Effect of Bushen Huoxue Formula Combined with Core Stability Training in Improving Clini-cal Symptoms and Fat Content of Paravertebral Multifidus in Elderly Patients with Chronic Non-specific Low Back Pain
周彪 1于杰 2魏戌 2孙凯 2金哲峰 2朱立国2
作者信息
- 1. 中国中医科学院望京医院,北京 100102;湘潭市第一人民医院,湖南湘潭 411101
- 2. 中国中医科学院望京医院,北京 100102
- 折叠
摘要
目的 研究补肾活血方联合核心稳定性训练(CST)对慢性非特异性腰痛(CNLBP)老年患者临床症状及椎旁多裂肌脂肪含量的影响.方法 选取84例老年CNLBP患者按简单随机法分为对照组和观察组.两组患者均在专业康复治疗师指导下进行CST,其中观察组患者在此基础上予以补肾活血方口服.两组患者均治疗12周.比较两组治疗前后的腰痛症状变化、各腰椎节段旁多裂肌脂肪含量、多裂肌表面肌电信号、疼痛与炎症介质相关水平、步态动力学参数等.结果 观察组患者治疗4周、治疗12周时VAS均显著低于对照组(P＜0.05);治疗后,观察组患者的L2～5各腰椎节段旁多裂肌脂肪含量、白细胞介素-1β(IL-1β)水平、初始双支撑、单支撑相及终末双支撑垂直地面反作用力(vGRF)均显著低于对照组(P＜0.05);治疗后,观察组患者伸展时的屈曲放松比值(EXT/MVF)、屈曲时的屈曲放松比值(FLEX/MVF)检测值、β-内啡肽(β-EP)水平均高于对照组(P＜0.05).结论 补肾活血方联合CST治疗可以有效改善CNLBP老年患者的临床症状及降低椎旁多裂肌脂肪含量,提高生活质量.
Abstract
Objective To study the effect of Bushen Huoxue Formula combined with core stability training(CST)on the clinical symp-toms and fat content of paravertebral multifidus muscle in elderly patients with chronic non-specific low back pain(CNLBP).Methods A total of 84 elderly patients with CNLBP were selected and divided into control group and observation group according to simple random method.The patients in both groups underwent CST under the guidance of professional rehabilitation therapists,in which the patients in the observation group were orally treated with Bushen Huoxue Formula on this basis.Patients in both groups were treated for 12 w.The changes in low back pain symptoms,fat content of the multifidus muscle adjacent to each lumbar vertebral segment,electromyographic signals on the surface of the multifidus muscle,levels of pain associated with inflammatory mediators,and gait kinetic parameters were compared between the two groups before and after treatment.Results The VAS of the patients in the observation group was significantly lower than that of the control group at 4 w and 12 w(P＜0.05).After treatment,the L2～5 parasegmental polyfidus muscle fat content of each lumbar vertebrae,interleukin-1 β(IL-1 β)level,the initial double brace,single brace phase and final double brace vertical Ground Reaction Force(vGRF)in the observation group were significantly lower than those in the control group(P＜0.05).After treat-ment,the flexion-relaxation ratio during extension(EXT/MVF),flexion-relaxation ratio during flexion(FLEX/MVF),and β-en-dorphins(β-EP)level in the observation group were higher than those in the control group(P＜0.05).Conclusion The combination of Bushen Huoxue Formula combined with CST can effectively improve the clinical symptoms of elderly patients with CNLBP,reduce the fat content of paravertebral bifidus muscle,and improve the quality of life.
关键词
补肾活血方/核心稳定性训练/慢性非特异性腰痛/椎旁多裂肌脂肪Key words
Bushen Huoxue Formula/Core stability training/Chronic non-specific low back pain/Paravertebral multifidus muscle fat引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据