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[1]陳立,張秀玲,蘭秀芳.推拿配合軀干肌功能鍛煉治療慢性盤(pán)源性腰痛的臨床分析[J].中醫(yī)正骨,2011,23(03):9-12.
　CHEN Li*,ZHANG Xiu-ling,LAN Xiu-fang.*.Analysis of the effects of Chinese traditional manipulation combined with active trunk muscle exercises on chronic discogenic low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(03):9-12.
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推拿配合軀干肌功能鍛煉治療慢性盤(pán)源性腰痛的臨床分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期數(shù):
2011年03期
頁(yè)碼:
9-12
欄目:
臨床研究
出版日期:
2011-03-30

文章信息/Info

Title:
Analysis of the effects of Chinese traditional manipulation combined with active trunk muscle exercises on chronic discogenic low back pain
作者:
陳立; 張秀玲; 蘭秀芳
中國(guó)人民解放軍海軍杭州療養(yǎng)院,浙江 杭州 310002
Author(s):
CHEN Li*; ZHANG Xiu-ling; LAN Xiu-fang.*
Naval Convalescent Hospital of PLA,Hangzhou 310002,Zhejiang,China
關(guān)鍵詞:
腰痛 椎間盤(pán) 推拿; 脊柱 軀干肌鍛煉
Keywords:
Low back pain;  Intervertebral disc;  Manipulation; Spinal;  Trunk muscle exercise
摘要:
目的:觀察推拿配合軀干肌功能鍛煉治療慢性盤(pán)源性腰痛的療效,為該療法的臨床應(yīng)用提供依據(jù)。方法:將123例慢性盤(pán)源 性腰痛患者隨機(jī)分為3組:Ⅰ組46例,采用推拿配合軀干肌功能鍛煉法治療; Ⅱ組41例,僅行推拿手法治療; Ⅲ組36例,僅采用軀干 肌功能鍛煉治療。分別于治療前、療程結(jié)束后及治療后12個(gè)月,采用視覺(jué)模擬評(píng)分法和Oswestry腰椎功能障礙指數(shù)問(wèn)卷表評(píng)價(jià)患 者最大腰痛程度及腰痛對(duì)患者日常社會(huì)生活和勞動(dòng)能力的影響。結(jié)果:①視覺(jué)模擬評(píng)分:3組VAS評(píng)分存在分組效應(yīng) (F=131.727,P=0.000)、時(shí)間效應(yīng)(F=570.366,P=0.000)、分組與時(shí)間交互效應(yīng)(F=121.005,P=0.000)。不同時(shí)點(diǎn)3組間兩兩比較: 治療后Ⅰ組與Ⅱ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅰ組與Ⅲ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅱ組與Ⅲ組間差異無(wú)統(tǒng)計(jì)學(xué)意義 (P=0.146); 治療后12個(gè)月,Ⅰ組與Ⅱ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅰ組與Ⅲ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅱ組與Ⅲ組 間差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.543)。②Oswestry腰椎功能障礙指數(shù):3組患者Oswestry腰椎功能障礙指數(shù)存在分組效應(yīng) (F=126.032,P=0.000)、時(shí)間效應(yīng)(F=136.665,P=0.000)、分組與時(shí)間交互效應(yīng)(F=121.010,P=0.000)。不同時(shí)點(diǎn)3組間兩兩比較: 治療后Ⅰ組與Ⅱ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅰ組與Ⅲ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅱ組與Ⅲ組間差異無(wú)統(tǒng)計(jì)學(xué)意義 (P=0.182); 治療后12個(gè)月,Ⅰ組與Ⅱ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅰ組與Ⅲ組間差異有統(tǒng)計(jì)學(xué)意義(P=0.000),Ⅱ組與Ⅲ組 間差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.245)。結(jié)論:推拿療法和軀干肌功能鍛煉療法的有機(jī)結(jié)合,避免了單獨(dú)使用其中一種方法的弊端,對(duì)慢 性盤(pán)源性腰痛有良好的治療效果。
Abstract:
Objective:To observe the effects of Chinese traditional manipulation combined with active trunk muscle exercises on chronic discogenic low back pain.Methods:123 patients with chronic discogenic low back pain were randomly allocated to 3 groups.46 cases in GroupⅠreceived Chinese traditional manipulation treatment plus active trunk muscle exercises once daily for total 30 times.41 cases in GroupⅡreceived only Chinese traditional manipulation treatment once daily for total 30 times.36 cases in GroupⅢ received only active trunk muscle exercises once daily for total 30 times.The intensity of low back pain and its influence on quality of life and work ability of patients were evaluated and compared among groups according to visual analogue scale (VAS)and Oswestry disability index(ODI)before treatment,after treatment and 12 months after treatment.Results: ①VAS:There were group effect(F=131.727,P=0.000),time effect(F=570.366,P=0.000),interaction of group and time (F=121.005,P=0.000)among groups.Compare between groups at different time node:statistical significance presented between GroupⅠand GroupⅡ(P=0.000)and between GroupⅠand GroupⅢ(P=0.000)after treatment,no statistical significance presented between GroupⅢand GroupⅡ(P=0.146)after treatment.12 months after treatment,there was statistical significance between GroupⅠand GroupⅡ(P=0.000)and between GroupⅠand GroupⅢ (P=0.000),while there was no statistical significance between GroupⅢand GroupⅡ(P=0.543).②ODI:Group effect (F=126.032,P=0.000),time effect(F=136.665,P=0.000),interaction of group and time(F=121.010,P=0.000)presented among groups.Compare between groups at different time node:statistical significance presented between GroupⅠand GroupⅡ(P=0.000)and between GroupⅠand GroupⅢ(P=0.000)after treatment,no statistical significance presented between GroupⅢand GroupⅡ(P=0.182)after treatment.12 months after treatment,there was statistical significance between GroupⅠand GroupⅡ(P=0.000)and between GroupⅠand GroupⅢ(P=0.000),while there was no statistical significance between GroupⅢand GroupⅡ(P=0.245).Conclusion:Chinese traditional manipulation therapy combined with active trunk muscle exercises has good effect on chronic discogenic low back pain,while the shortages of single application of each method are obviated.

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備注/Memo

備注/Memo:
基金項(xiàng)目:南京軍區(qū)衛(wèi)生部122人才資助項(xiàng)目,南京軍區(qū)衛(wèi)生部科研基金資助項(xiàng)目(06MA164)
更新日期/Last Update: 2011-03-30