小针刀综合治疗对慢性下腰痛患者腰屈曲活动度及生存质量的影响

The effect of small needle scaple therapy on lumbar flexion range and quality of life in chronic low back pain patients

目的:观察小针刀治疗对慢性下腰痛患者腰屈曲活动度和生存质量的影响。方法:将265例下腰痛患者随机分为两组,Ⅰ组为对照组(132例),采用超短波、调制中频电、推拿及功能训练治疗。Ⅱ组为针刀组(133例),采用小针刀,辅以封闭和功能训练,两组治疗前后均测量腰屈曲活动度,并采用改良的Oswestry腰痛问卷进行评分,以评定生存质量。结果:针刀组患者治疗后腰屈曲活动度明显改善且Oswestry腰痛问卷评分分值明显下降,与对照组比较,差异均有显著性意义(P<0.01)。两组患者随访6—48个月,平均随访10.85±5.74个月,针刀组疗效稳定,与对照组比较,差异有显著性意义(P<0.01)。结论:小针刀治疗可明显改善慢性下腰痛患者腰屈曲活动度及生存质量,且远期疗效稳定。

Objective:To observe the effect of small needle scaple therapy on lumbar flexion range and quality of life in chronic low back pain patients.Method:265 patients with chronic low back pain were randomly divided into two groups:the control group(group Ⅰ,132cases) was treated with ultrashortwave diathermy,modulated medium frequency current,manipulation and functional training;the experimetal group(group Ⅱ,133cases) was treated with small needle scaple,block and functional training. The lumbar flexion range was measured and modified Oswestry Low Back Questionaire was used to assess quality of life before and after treatment.Result:The lumbar flexion range and the score of modified Oswersty Low Back Questionaire were all significantly improved in the experimental group(P<0.01).Follow-up averaged 10.85±5.74months,the effect was stable in experimental group compared with control group(P<0.01).Conclusion:Small needle scalpe therapy has better effects in improving the lumbar mobility and life quality in low back pain patients, and long term effect is stable.