首页|长蛇灸联合核心稳定运动训练在慢性非特异性腰痛患者中的应用效果

长蛇灸联合核心稳定运动训练在慢性非特异性腰痛患者中的应用效果

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目的:观察长蛇灸联合核心稳定运动训练在慢性非特异性腰痛(CNLBP)患者中的应用效果.方法:选取 2020 年 12 月至2022 年 12 月该院运动医学科收治的 115 例CNLBP患者进行前瞻性研究,以掷硬币法将其分为对照组 57 例和研究组 58 例.对照组给予核心稳定运动训练治疗,研究组在对照组基础上联合长蛇灸治疗,比较两组临床疗效、治疗前后腰椎活动度、疼痛程度[视觉模拟评分法(VAS)]评分和实验室指标[皮质醇(Cor)、β-内啡肽(β-EP)]水平.结果:研究组治疗总有效率为 96.55%(56/58),高于对照组的84.21%(48/57),差异有统计学意义(P<0.05);治疗后,研究组腰椎前屈、后伸、左侧屈、右侧屈、左旋、右旋活动度均大于对照组,差异有统计学意义(P<0.05);治疗后,两组VAS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,研究组Cor水平低于对照组,β-EP水平高于对照组,差异均有统计学意义(P<0.05).结论:长蛇灸联合核心稳定运动训练应用于CNLBP患者可提高治疗总有效率和腰椎活动度,改善实验室指标水平,降低疼痛程度评分,效果优于单纯核心稳定运动训练治疗.
Application effects of long snake moxibustion combined with core stable exercise training in patients with chronic nonspecific low back pain
Objective:To observe application effects of long snake moxibustion combined with core stable exercise training in patients with chronic nonspecific low back pain(CNLBP).Methods:A prospective study was conducted on 115 patients with CNLBP admitted to the department of sports medicine of the hospital from December 2020 to December 2022.They were divided into control group(57 cases)and study group(58 cases)by using the coin tossing method.The control group was treated with core stable exercise training,while the study group was treated with long snake moxibustion on the basis of that of the control group.The clinical efficacy,the lumbar range of motion,the pain degree[visual analogue scale(VAS)]score,and the laboratory indexes[cortisol(Cor),β-endorphin(β-EP)]levels were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the study group was 96.55%(56/58),which was higher than 84.21%(48/57)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the range of motions of lumbar flexion,extension,left flexion,right flexion,left rotation and right rotation of the study group were greater than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the VAS scores of the two groups were lower than those before the treatment,that of the study group was lower than that of the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the level of Cor in the study group was lower than that in the control group,the level of β-EP was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Long snake moxibustion combined with core stability exercise training for the CNLBP patients can improve the total effective rate of treatment and the lumbar range of motion,improve the levels of laboratory indexes,and reduce the pain scores.Moreover,it is superior to single core stable exercise training.

Chronic nonspecific low back painLong snake moxibustionCore stable exercise trainingPain degreeLumbar range of motion

杜莹、母晓华、郭耀光

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郑州市骨科医院运动医学科,河南 郑州 450000

慢性非特异性腰痛 长蛇灸 核心稳定运动训练 疼痛程度 腰椎活动度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(11)
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