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小针刀综合治疗对慢性非特异性下背痛患者疼痛及腰屈曲活动度的影响 被引量:12

Effects of small needle-knife comprehensive therapy on pain and lumbar flexion range in the chronic nonspecific low back pain patient
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摘要 目的:观察小针刀为主综合治疗慢性非特异性下背痛患者的疗效。方法:将305例患者随机分为针刀组(153例)、理疗组(152例)。针刀组采用小针刀松解治疗,辅以封闭和功能训练;理疗组行超短波、调制中频电、推拿及功能训练治疗。两组患者治疗前后均采用视觉模拟评分(visual analogue scale,VAS)法评定疼痛程度,并测量腰屈曲活动度。结果:两组患者疼痛程度及腰屈曲活动度均明显改善,治疗后针刀组VAS评分为(1.60±0.38)分,腰屈曲活动度为(65.76±15.11)cm,理疗组分别为(4.59±1.09)分、(53.74±15.13)cm,针刀组明显优于理疗组(P〈0.01)。两组患者随访6-36个月,针刀组VAS评分与腰屈曲活动度均优于理疗组(P〈0.01)。结论:小针刀综合治疗可明显改善慢性非特异性下背痛患者疼痛及腰屈曲活动度,且远期疗效稳定。 Objective To observe therapeutic effect of small needle-knife comprehensive therapy on pain and lumbar flexion range in the chronic nonspecific low back pain patient. Methods Three hundred and five cases were randomly divided into a needle-knife group of 153 cases and a physiotherapy group of 152 cases. The needle-knife group were treated with small needle-knife releasing therapy, blocking and functional training. The physiotherapy group were treated with ultra-short wave, modulated medium frequency current, massage and functional training. Pain was assessed by visual analogue scale (VAS) and the lumbar flexion range was determined before and after treatment. Results After treatment, the pain and the lumbar flexion range were significantly improved in the two groups; and after treatment, the VAS score and the lumbar flexion range were (1.60±0.38) points and (65.76±15.11) cm in the needle-knife group and (4.59±1.09) points and (53.74±15.13) cm in the physiotherapy group, respectively, the needle-knife group being significantly better than the physiotherapy group (P〈0.01).Follow-up survey of 6-36 months showed that the VAS score and the lumbar flexion range in the needle-knife group were superior to those in the physiotherapy group. Conclusion Small needle-knife comprehensive therapy can significantly improve pain and lumbar flexion range in the chronic nonspecific low back pain patient, with a stable long-term thera-peutic effect.
作者 刘敏 黄兆民
出处 《中国针灸》 CAS CSCD 北大核心 2008年第10期733-735,共3页 Chinese Acupuncture & Moxibustion
关键词 慢性病 腰痛 活动障碍 小刀针 慢性非特异性下背痛 Chronic Disease Low Back Pain Movement Disorders Small Knife Needle Chronic Nonspecific Low Back Pain
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