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[1]金立昆,齊越峰,唐可,等.中藥離子導(dǎo)入聯(lián)合腰背部功能鍛煉治療 非特異性腰痛的臨床研究[J].中醫(yī)正骨,2016,28(01):20-23.
　JIN Likun,QI Yuefeng,TANG Ke,et al.Clinical study on iontophoresis of traditional Chinese medicine combined with lower back functional exercise for treatment of non-specific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(01):20-23.
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中藥離子導(dǎo)入聯(lián)合腰背部功能鍛煉治療 非特異性腰痛的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年01期
頁碼:
20-23
欄目:
臨床研究
出版日期:
2016-01-20

文章信息/Info

Title:
Clinical study on iontophoresis of traditional Chinese medicine combined with lower back functional exercise for treatment of non-specific low back pain
作者:
金立昆; 齊越峰; 唐可; 劉洋; 王晨曦; 張立強
北京市豐盛中醫(yī)骨傷專科醫(yī)院,北京 100034
Author(s):
JIN Likun; QI Yuefeng; TANG Ke; LIU Yang; WANG Chenxi; ZHANG Liqiang
Fengsheng TCM Orthopedic-Traumatological special Hospital,Beijing 100034,China
關(guān)鍵詞:
腰痛;  中藥離子透入;  功能鍛煉;  治療; 臨床研究性
Keywords:
low back pain;  iontophoresis(TCD);  functional exercise;  therapies; investigational
摘要:
目的:觀察中藥離子導(dǎo)入聯(lián)合腰背部功能鍛煉治療非特異性腰痛的臨床療效。方法:將60例非特異性腰痛患者隨機分為2組,每組30例,分別采用中藥離子導(dǎo)入聯(lián)合腰背部功能鍛煉、單純中藥離子導(dǎo)入治療。分別于治療前、治療1個療程后、治療7個療程后記錄并比較2組患者腰部疼痛視覺模擬量表(visual analogue scale,VAS)評分及Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)。結(jié)果:①腰部疼痛VAS評分。治療前后不同時間點腰部疼痛VAS評分比較,差異有統(tǒng)計學(xué)意義,存在時間效應(yīng)(F=8.025,P=0.001); 2組腰部疼痛VAS評分比較,組間差異有統(tǒng)計學(xué)意義,存在分組效應(yīng)(F=5.201,P=0.023)。進(jìn)一步比較顯示,治療前及治療1個療程后2組腰部疼痛VAS評分比較,組間差異均無統(tǒng)計學(xué)意義[(6.27±1.06)分,(6.00±1.03)分,t=0.969,P=0.753;(2.50±1.02)分,(2.53±0.81)分,t=-1.380,P=0.186]; 治療7個療程后,中藥離子導(dǎo)入聯(lián)合腰背部功能鍛煉組腰部疼痛VAS評分低于單純中藥離子導(dǎo)入組[(1.20±0.75)分,(2.13±0.50)分,t=-5.588,P=0.021]。時間因素與分組因素存在交互效應(yīng)(F=9.816,P=0.001)。②ODI。治療前后不同時間點間ODI比較,差異有統(tǒng)計學(xué)意義,存在時間效應(yīng)(F=15.299,P=0.000); 2組ODI比較,組間差異有統(tǒng)計學(xué)意義,存在分組效應(yīng)(F=-4.321,P=0.001)。進(jìn)一步比較顯示,治療前2組ODI比較,差異無統(tǒng)計學(xué)意義[(47.40±9.70)%,(46.17±8.80)%,t=0.508,P=0.614]; 治療1個療程和7個療程后,中藥離子導(dǎo)入聯(lián)合腰背部功能鍛煉組ODI均低于單純中藥離子導(dǎo)入組[(22.07±3.24)%,(27.40±4.77)%,t=-4.982,P=0.000;(11.94±3.44)%,(20.07±3.81)%,t=-8.256,P=0.000]。時間因素與分組因素存在交互效應(yīng)(F=9.835,P=0.001)。結(jié)論:中藥離子導(dǎo)入聯(lián)合腰背部功能鍛煉可以緩解或消除非特異性腰痛,改善腰部功能,其療效優(yōu)于單純中藥離子導(dǎo)入,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effects of iontophoresis of traditional Chinese medicine(TCM)combined with lower back functional exercise in the treatment of non-specific low back pain(NLBP).Methods:Sixty patients with NLBP were randomly divided into 2 groups,30 cases in each group.The patients were treated with combination therapy of iontophoresis of TCM and lower back functional exercise(combination therapy group)and monotherapy of iontophoresis of TCM(monotherapy group)respectively.The lower back pain visual analogue scale(VAS)scores and Oswestry disability index(ODI)were recorded and compared between the 2 groups before treatment and after 1- and 7-course treatment respectively.Results:There was statistical difference in lower back pain VAS scores between different timepoints,in other words,there was time effect(F=8.025,P=0.001).There was statistical difference in lower back pain VAS scores between the 2 groups,in other words,there was group effect(F=5.201,P=0.023).Further comparison indicated that there was no statistical difference in the lower back pain VAS scores between the 2 groups before treatment and after 1-course treatment(6.27+/-1.06 vs 6.00+/-1.03 points,t=0.969,P=0.753; 2.50+/-1.02 vs 2.53+/-0.81 points,t=-1.38,P=0.186).The lower back pain VAS scores were lower in combination therapy group compared to monotherapy group after 7-course treatment(1.20+/-0.75 vs 2.13+/-0.50 points,t=-5.588,P=0.021).There was interaction between time factor and grouping factor(F=9.816,P=0.001).There was statistical difference in ODI between different timepoints,in other words,there was time effect(F=15.299,P=0.000).There was statistical difference in ODI between the 2 groups,in other words,there was group effect(F=-4.321,P=0.001).Further comparison indicated that there was no statistical difference in ODI between the 2 groups before the treatment(47.40+/-9.70 vs 46.17+/-8.80%,t=0.508,P=0.614),and ODI were lower in combination therapy group compared to monotherapy group after 1- and 7-course treatment(22.07+/-3.24 vs 27.40+/-4.77%,t=-4.982,P=0.000; 11.94+/-3.44 vs 20.07+/-3.81%,t=-8.256,P=0.000).There was interaction between time factor and grouping factor(F=9.835,P=0.001).Conclusion:The combination therapy of iontophoresis of TCM and lower back functional exercise can effectively relieve or eliminate the NLBP and improve the lower back function,moreover,it surpasses the monotherapy of iontophoresis of TCM in clinical curative effects,so it is worthy of popularizing in clinic.

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更新日期/Last Update: 2016-02-29