84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]吳婷婷,楊京輝,汪亞群,等.針刺聯(lián)合太極拳訓(xùn)練治療慢性非特異性腰痛的臨床研究[J].中醫(yī)正骨,2017,29(06):32-34,38.
　WU Tingting,YANG Jinghui,WANG Yaqun,et al.Clinical study on acupuncture therapy combined with Taijiquan(太極拳)exercise for treatment of chronic nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(06):32-34,38.
點擊復(fù)制

針刺聯(lián)合太極拳訓(xùn)練治療慢性非特異性腰痛的臨床研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年06期
頁碼:
32-34,38
欄目:
臨床研究
出版日期:
2017-06-20

文章信息/Info

Title:
Clinical study on acupuncture therapy combined with Taijiquan(太極拳)exercise for treatment of chronic nonspecific low back pain
作者:
吳婷婷; 楊京輝; 汪亞群; 孫迪; 黃楚楚
浙江省立同德醫(yī)院,浙江 杭州 310012
Author(s):
WU Tingting; YANG Jinghui; WANG Yaqun; SUN Di; HUANG Chuchu
Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang,China
關(guān)鍵詞:
腰痛;  針刺療法;  太極拳;  運動療法;  臨床試驗
Keywords:
Key words low back pain;  acupuncture therapy;  taijiquan;  exercise therapy;  clinical trial
摘要:
目的:探討針刺結(jié)合太極拳訓(xùn)練治療慢性非特異性腰痛(nonspecific low back pain,NLBP)的臨床療效。方法:按照是否愿意進行太極拳訓(xùn)練將符合要求的41例患者分為聯(lián)合治療組(25例)和針刺治療組(16例)。聯(lián)合治療組采用針刺聯(lián)合太極拳訓(xùn)練治療,針刺治療組采用針刺治療。針刺治療和太極拳訓(xùn)練均每天1次,5次為1個療程,間隔3 d后進入下一療程,共治療4個療程。由1名不知道具體分組情況的研究人員分別于治療前和治療結(jié)束后采用疼痛視覺模擬量表(visual analogue scale,VAS)和Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)問卷表評定患者的腰部疼痛情況和臨床綜合療效,同時觀察治療結(jié)束后3個月內(nèi)的復(fù)發(fā)情況。結(jié)果:治療前2組患者的腰部疼痛VAS評分比較,差異無統(tǒng)計學(xué)意義[(5.95±1.04)分,(5.73±0.71)分,Z=-0.669,P=0.517]。治療結(jié)束后2組患者的腰部疼痛VAS評分均降低(Z=-4.374,P=0.000; Z=-3.517,P=0.000),聯(lián)合治療組的評分低于針刺治療組[(1.95±0.77)分,(2.46±0.70)分,Z=2.078,P=0.037]。治療前2組患者的ODI評分比較,差異無統(tǒng)計學(xué)意義[(28.28±5.37)分,(29.12±5.99)分,Z=0.362,P=0.721]。治療結(jié)束后2組患者的ODI評分均降低(Z=-4.378,P=0.000; Z=-3.522,P=0.000),聯(lián)合治療組的評分低于針刺治療組[(10.84±3.88)分,(13.31±2.15)分,Z=2.442,P=0.014]。治療結(jié)束后3個月內(nèi),聯(lián)合治療組1例失訪、3例復(fù)發(fā),針刺治療組6例復(fù)發(fā)。2組患者治療結(jié)束后3個月內(nèi)的復(fù)發(fā)率比較,差異無統(tǒng)計學(xué)意義(χ2=2.157,P=0.142)。結(jié)論:針刺聯(lián)合太極拳訓(xùn)練能有效改善慢性NLBP患者的腰部疼痛,短期療效優(yōu)于針刺治療; 而復(fù)發(fā)率與針刺治療相當,均較低。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of acupuncture therapy combined with Taijiquan(太極拳,TJQ)exercise for treatment of chronic nonspecific low back pain(CNLBP).Methods:Forty-one patients with CNLBP were enrolled in the study and were divided into combination therapy group(25 cases)and acupuncture therapy group(16 cases)according to whether they would like to receive TJQ exercise.The patients in combination therapy group were treated with acupuncture therapy combined with TJQ exercise,while the patients in acupuncture therapy group were treated with acupuncture therapy only,once a day for consecutive 4 course of treatment,5 times for each course with a 3-day rest-insertion between courses.The low back pain were evaluated using visual analogue scale(VAS)and the clinical comprehensive curative effects were evaluated using Oswestry disability index(ODI)questionnaires before and after the treatment respectively by a researcher who didn't know the grouping result.The recurrence rate of CNLBP was also observed within 3 months after the end of the treatment.Results:There was no statistical difference in low back pain VAS scores between the 2 groups before treatment(5.95+/-1.04 vs 5.73+/-0.71 points,Z=-0.669,P=0.517).The low back pain VAS scores decreased in both of the 2 groups after the end of the treatment(Z=-4.374,P=0.000; Z=-3.517,P=0.000).The low back pain VAS scores were lower in combination therapy group compared to acupuncture therapy group(1.95+/-0.77 vs 2.46+/-0.70 points,Z=2.078,P=0.037).There was no statistical difference in ODI scores between the 2 groups before treatment(28.28+/-5.37 vs 29.12+/-5.99 points,Z=0.362,P=0.721).The ODI scores decreased in both of the 2 groups after the end of the treatment(Z=-4.378,P=0.000; Z=-3.522,P=0.000).The ODI scores were lower in combination therapy group compared to acupuncture therapy group(10.84+/-3.88 vs 13.31+/-2.15 points,Z=2.442,P=0.014).One patient in combination therapy group lost to follow-up,and recrudescent CNLBP were found in combination therapy group(3)and acupuncture therapy group(6)within 3 months after the end of the treatment.There was no statisticaldifference in the recurrence rate of CNLBP between the 2 groups within 3 months after the end of the treatment(χ2=2.157,P=0.142).Conclusion:The combination therapy of acupuncture and TJQ exercise can effectively improve the low back pain in patients with CNLBP,and its short-term curative effect is better than that of acupuncture therapy.Moreover,the former is similar to the latter in low recurrence rate.

參考文獻/References:

[1] LEE JH,PARK HJ,LEE H,et al.Acupuncture for chronic low back pain:protocol for a multicenter,randomized,sham-controlled trial[J].BMC Musculoskelet Disord,2010,11:118.
[2] DELITTO A,GEORGE SZ,VAN DILLEN LR,et al.Low back pain[J].J Orthop Sports Phys Ther,2012,42(4):A1-57.
[3] STEFFENS D,MAHER CG,PEREIRA LS,et al.Prevention of low back pain a systematic review and meta-analysis[J].JAMA Intern Med,2016,176(2):199-208.
[4] KOES BW,VAN TULDER MW,THOMAS S.Diagnosis and treatment of low back pain[J].BMJ,2006,332(7555):1430-1434.
[5] YELIN E.Cost of musculoskeletal diseases:impact of work disability and functional decline[J].J Rheumatol Suppl,2003,68:8-11.
[6] 王斌.非特異性腰痛的臨床特征[J].中國臨床康復(fù),2005,9(18):234-237.
[7] 蔣協(xié)遠,王大偉.骨科臨床療效評價標準[M].北京:人民衛(wèi)生出版社,2005:123-124.
[8] FAIRBANK JC,PYNSENT PB.The oswestry disability index[J].Spine(Phila Pa 1976),2000,25(22):2940-2952.
[9] MACEDO LG,BOSTICK GP,MAHER CG.Exercise for prevention of recurrences of nonspecific low back pain[J].Phys Ther,2013,93(12):1587-1591.
[10] HIDES J,GILMORE C,STANTON W,et al.Multifidus size and symmetry among chronic LBP and healthy asymptomatic subjects[J].Man Ther,2008,13(1):43-49.
[11] Airaksinen O,Brox JI,Cedraschi C,et al.Chapter 4.European guidelines for the management of chronic nonspecific low back pain[J].Eur Spine J,2006,15(Suppl 2):S192-300.
[12] FURLAN AD,PENNICK V,BOMBARDIER C,et al.2009 updated method guidelines for systematic reviews in the cochrane back review group[J].Spine(Phila Pa 1976),2009,34(18):1929-1941.
[13] 黃雷.核心穩(wěn)定肌訓(xùn)練聯(lián)合鄭氏手法推拿治療中國女子曲棍球運動員腰痛的療效觀察[J].中醫(yī)正骨,2014,26(9):15-18.
[14] 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(1):20-23.
[15] LAM M,GALVIN R,CURRY P.Effectiveness of acupuncture for nonspecific chronic low back pain:a systematic review and meta-analysis[J].Spine(Phila Pa 1976),2013,38(24):2124-2138.
[16] 袁啟令,劉亮,馬江濤,等.針刺治療慢性非特異性腰痛的臨床研究[J].中醫(yī)正骨,2016,28(6):12-17.

相似文獻/References:

[1]江濤,江林,史俊德,等.動氣針法在踝關(guān)節(jié)骨折術(shù)后中后期康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(11):20.
　JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(動氣針法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):20.
[2]寧興明,伍亮,王廷,等.五禽戲配合核心肌力訓(xùn)練治療非特異性腰痛的臨床研究[J].中醫(yī)正骨,2015,27(11):25.
　NING Xingming,WU Liang,WANG Ting,et al.Clinical study on five mimic-animal boxing combined with core muscular strength exercise for the treatment of nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):25.
[3]江建春.神經(jīng)根型頸椎病的中醫(yī)藥治療研究概況[J].中醫(yī)正骨,2015,27(11):71.
[4]張莉,秦丹霞,張細姣.腹針治療椎間盤源性腰痛[J].中醫(yī)正骨,2015,27(10):38.
[5]劉劍偉,王芳.針刺后溪、陽陵泉穴配合運動療法治療落枕20例[J].中醫(yī)正骨,2015,27(05):58.
[6]譚福柱,張樂鑫,任樹軍.針刺配合口服骨力膠囊治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的 臨床研究[J].中醫(yī)正骨,2015,27(01):20.
　TAN Fuzhu,ZHANG Lexin,REN Shujun.Clinical study on acupuncture therapy combined with oral application of Guli Jiaonang(骨力膠囊)for treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):20.
[7]趙如意,劉克鋒,李沛.經(jīng)筋針刺配合中藥外敷治療運動員髕骨軟化癥[J].中醫(yī)正骨,2015,27(01):54.
[8]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.
　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(06):20.
[9]赫軍,諸葛天諭,李冬冬,等.中藥內(nèi)服聯(lián)合針刺與埋針法治療幼年強直性脊柱炎[J].中醫(yī)正骨,2016,28(01):41.
[10]楊勇,王雷生,張娟.經(jīng)椎關(guān)節(jié)突關(guān)節(jié)溫針治療腰椎關(guān)節(jié)突關(guān)節(jié)源性腰痛[J].中醫(yī)正骨,2016,28(02):67.
[11]袁啟令,劉亮,馬江濤,等.針刺治療慢性非特異性腰痛的臨床研究[J].中醫(yī)正骨,2016,28(06):12.
　YUAN Qiling,LIU Liang,MA Jiangtao,et al.A clinical study of acupuncture therapy for treatment of chronic nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(06):12.
[12]徐大星,曾玲玲,梁媚.脊柱定點旋轉(zhuǎn)復(fù)位法配合密集型銀質(zhì)針導(dǎo)熱療法 治療慢性非特異性腰痛[J].中醫(yī)正骨,2018,30(09):78.
[13]鄭為波,楊進鋒,夏威夷,等.基于《黃帝內(nèi)經(jīng)》探討腰痛的經(jīng)絡(luò)系統(tǒng)分層特點及針刺治療方法[J].中醫(yī)正骨,2022,34(03):56.

備注/Memo

備注/Memo:
通訊作者:楊京輝 E-mail:[email protected]
更新日期/Last Update: 2017-06-20