2周易筋经锻炼和骨盆牵引治疗腰椎间盘突出源性急性下腰痛疗效观察

Observation on the Effects of 2-Week YiJinjing Gong Practice and Pelvic Traction in theTreatment of Acute Low Back Pain in Patients with Lumbar Intervertebral Disc Herniation

目的:观察比较2周健身气功·易筋经锻炼和骨盆牵引治疗腰椎间盘突出源性急性下腰痛疗效。方法:将62例确诊的腰椎间盘突出源性急性下腰痛患者随机分为易筋经组(32例)和骨盆牵引组(30例),分别采用中国国家体育总局2003年颁布的健身气功·新编易筋经功法锻炼(每天练习2遍,持续锻炼45min)和骨盆牵引(每天1次,每次约60分钟)治疗,共2周。治疗前后采用Roland-Morris(MRMQ)功能障碍调查表以及疼痛视觉类比评分进行评定。分别于治疗前、治疗后3、6个月电话随访两组患者的腰椎间盘突出源性下腰痛的自觉复发情况。结果:(1)治疗后两组MRMQ功能障碍记分较治疗前均显著下降(P<0.01),治疗后易筋经组MRMQ功能障碍记分显著低于骨盆牵引组(P<0.05)。治疗后两组疼痛视觉类比记分较治疗前均显著下降(P<0.01),治疗后两组疼痛视觉类比记分组间比较无显著差异(P>0.05)。(2)治疗结束后3个月随访,易筋经组有1例复发,骨盆牵引组有4例复发;治疗结束后6个月随访,易筋经组有3例复发,骨盆牵引组有7例复发。结论:易筋经锻炼治疗可有效改善腰椎间盘突出源性急性下腰痛患者功能障碍,迅速缓解其下腰痛症状,效果优于常规的骨盆牵引疗法。

Objective To observe and compare the effects of 2-week YiJinjing Gong practice and pelvic traction inthe treatment of acute low back pain（ALBP）in patients with lumbar intervertebral disc herniation（LIDH）. MethodsSixty two patients with diagnosed LIDH accompanied with ALBP were randomly divided into YiJinjing Gong group（n=32,received YiJinjing Gong practice twice a day,45min per practice） and pelvic traction group（n=30,pelvictraction,once a day for 60 minutes）. All of the treatments lasted for 2 weeks. Roland-Morris questionnaire（MRMQ）and ache vision analogy grading were used for evaluating the effectiveness of treatment before and after the treatment.Before the treatment,and 3 and 6 months after treatment,telephone survey was used to collect the condition ofALBP. Results（1）MRMQ dysfunction scores and visual analog scores were significant reduced after the treatment inboth groups （P〈0.01）. MRMQ dysfunction score was significantly improved in YiJinjing Gong group comparing tothe traction group （P〈0.05）,but there was no significant difference in visual analog scores between the two groups（P〉0.05）. （2）Follow-up showed 1 recrudescence in YiJinjing group and 4 in traction group 3 months after thetreatment; 3 in YiJinjing group and 7 in traction group 6 months after treatment. Conclusion YiJinjing Gong practicecan effectively improve patient＇s functional disturbance,quickly alleviate the LBP,and was superior to conventional pelvic traction in the treatment of LIDH patients with ALBP.