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DOI:
:2018,32(3):50-55
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经筋刺法配合普拉提训练治疗慢性非特异性腰痛的随机对照研究
张颖1,董宝强2,林星星2,张小卿2
(1.辽宁省锦州市第二医院软伤康复科(辽宁锦州121003);2.辽宁中医药大学针灸推拿学院(辽宁沈阳110847))
Tendon puncture combined with pilates training in the treatment of chronic nonspecific low back pain:A randomized controlled study
ZHANG Ying1,DONG Baoqiang2,LIN Xingxing2,ZHANG Xiaoqing2
(1.Department of Rehabilitation,Jinzhou Second Hospital,Jinzhou 121003,China;2.College of Acupuncture and Massage,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)
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中文摘要:   目的:观察经筋刺法联合普拉提训练治疗慢性非特异性腰痛的临床疗效。  方法:将88例慢性非特异性腰痛患者随机分为经筋组(29例)、训练组(29例)和结合组(30例)。经筋组采用经筋刺法治疗,训练组采用普拉提训练治疗,结合组采用经筋刺法与普拉提训练结合的方法治疗,三组均连续治疗8周。治疗后评价三组患者的临床疗效,治疗前后比较三组患者的腰部疼痛视觉模拟评分(visual analogue score,VAS)、Roland-Morris功能障碍问卷调查表(Roland-Morris disability questionnaire,RMDQ)评分及腰部静、动态肌耐力情况。  结果:治疗后,经筋组、训练组、结合组的临床总有效率分别为82.76%、79.31%、86.67%,三组临床疗效比较,差异具有统计学意义(P<0.05),结合组的疗效优于经筋组和训练组,经筋组的疗效亦优于训练组。治疗后,三组患者的VAS、RMDQ评分较治疗前均显著降低(P<0.05),且结合组的VAS、RMDQ评分改善情况优于经筋组、训练组(P<0.05),经筋组的评分改善情况优于训练组(P<0.05)。治疗后,三组患者的静、动态肌耐力均显著改善(P<0.05),且结合组的改善情况优于经筋组、训练组(P<0.05),经筋组的改善情况优于训练组(P<0.05)。  结论:经筋刺法结合普拉提训练治疗慢性非特异性腰痛可明显缓解疼痛,改善腰部功能及静、动态肌耐力,应在临床中推广应用。
Abstract:  Objective:To observe the clinical efficacy of tendon puncture combined with pilates training in the treatment of chronic nonspecific low back pain.   Methods:88 patients with chronic nonspecific low back pain were randomly divided into the tendon group(29 cases),training group(29 cases) and combination group(30 cases). The tendons group was treated with tendon puncture,the training group was treated with pilates training,and the combination group was treated with tendon puncture and pilates training,with a course of continuous 8 weeks. After treatment,the clinical efficacy of the three groups was evaluated. The visual analogue score(VAS)score,Roland-Morris disability questionnaire(RMDQ)score and the static and dynamic muscular endurance of waist were compared before and after treatment.   Results:After treatment,the clinical total effective rates were 82.76% in the tendon group,79.31% in the training group and 86.67% in the combination group. There were statistically significant differences on the clinical efficacy among the three groups(P<0.05). The efficacy of the combination group was better than that of the tendon group and the training group,and the efficacy of the tendon group was better than that of the training group. After treatment,the VAS and RMDQ scores were significantly decreased in the three groups compared with treatment before(P<0.05),and the improvements on VAS and RMDQ scores in the combination group were better than those in the tendon group and the training group(P<0.05),and the improvements on VAS and RMDQ scores in the tendon group were better than those in the training group(P<0.05). After treatment,the static and dynamic muscular endurance were significantly improved in the three groups(P<0.05),and the improvements in the combination group were better than those in the tendon group and the training group(P<0.05),and the improvements in the tendon group were better than those in the training group(P<0.05).   Conclusion:Tendon puncture combined with pilates training in the treatment of chronic nonspecific low back pain can obviously relieve the pain,improve the lumbar function and static and dynamic muscular endurance,which should be applied in clinical practice.
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基金项目:国家自然科学基金面上项目(81574050);辽宁省第二批次科学技术计划项目(2013226012) [
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