背部皮神经卡压综合征的不同物理治疗方法及其组合方案对比研究

A comparative study on effects of three rehabilitation therapies with different sequences on patients with cutaneous nerve entrapment syndrome of the back

目的:探讨振动、微波、低频电三种物理治疗手段在背部皮神经卡压综合征康复中的作用。方法:将150例背部皮神经卡压综合征的患者随机分为3组(每组50例),分别采用上述三种物理治疗方法的不同施治顺序进行组合治疗,用视觉类比法评估三种治疗顺序的第一个治疗手段在单次治疗前后的疼痛程度,并用统一的疗效标准来评估相应的疗效。结果:三个不同的治疗手段单次治疗前后VAS评分差异有非常显著性(P<0.01)。单次治疗后,机械振动及低频电治疗组的患者局部疼痛明显减轻。不同治疗顺序组合施治后,痊愈率有组间差异。结论:单次局部机械振动治疗与低频电治疗背部皮神经卡压综合征,均可以减轻局部疼痛,与微波组比较差异有显著性意义,合并应用可达到更有效缓解疼痛的目的。采用组合治疗时,合理安排治疗序列可提高一次治疗的痊愈率。

Objective：To discuss the therapeutic effect of three physical therapies （vibration, microwave and low frequency electrotherapy） with different sequences on patients with cutaneous nerve entrapment syndrome of the back. Method： One hundred and fifty patients with cutaneous nerve entrapment syndrome of the back were divided into 3 random groups. Three groups were treated with vibration therapy, microwave therapy and low frequency electrotherapy, but the treatment sequence of three therapies was different in each group. Patients＇ pain severity was evaluated by visual analogue scale before and after the first treatment method. Result：The visual analogue scale scores evaluated before and after treatment were significantly different （P〈0.01） among three different methods. Patients in vibration group and low frequency electrotherapy group had significant improvement in pain reduction after the first treatment method. Interclass differences were observed among groups in full recovery rate after three physical therapies. Conclusion：Single vibration therapy and low frequency electrotherapy can reduce local pain in patients with cutaneous nerve entrapment syndrome of the back. The combination of three physical therapies with different sequences can further reduce the pain. The rational arrangement of treatment sequence in single combined therapies can increase the full recovery rate.