电针结合腰腹肌训练治疗非特异性下腰痛疗效观察

Observation on the Effects of Electric Acupuncture with Muscle Training on Nonspecific Low Back Pain

目的:观察电针结合腰腹肌训练治疗非特异性下腰痛疗效。方法:将200例确诊的非特异性下腰痛患者随机分为电针组(以下简称对照组)和电针结合腰腹肌训练组(以下简称治疗组),分别采用电针法和电针结合腰腹肌训练法治疗。治疗前后采用指地距离(FFD)、疼痛视觉类比评分(VAS)、改良JOA腰痛疗效问卷评分以及腹背肌耐力四项指标进行评定。结果:与治疗前比较,治疗后两组JOA问卷记分、FFD指标、腹背肌耐力均显著升高(P<0.05),疼痛视觉类比评分(VAS)显著降低(P<0.05);与对照组比较,治疗组JOA问卷记分、FFD指标显著升高(P<0.05),疼痛视觉类比评分(VAS)显著降低(P<0.05);治疗后治疗组临床治疗总有效率高于对照组(P<0.05)。结论:电针结合腰腹肌训练法治疗非特异性下腰痛疗效显著,其疗效优于单纯电针法。

Objective：To observe the effect of electric acupuncture and muscular training on nonspecific low back pain.Methods：One hundred patients with nonspecific low back pain were randomly divided into the group of electric acupuncture（control group） and the group of muscular training（therapy group）.FFD and VAS and JOA and muscle endurance of waist and belt regions were observed before and after the treatment.Results： The JOA score,muscle endurance and FFD were significantly improved（P〈0.05）,and the VAS score was significantly reduced（P〈0.05） in both groups after the treatment;The JOA score and muscle endurance and FFD were significantly improved（P〈0.05）,and the VAS score was significantly reduced（P〈0.05） in the therapy group,compared with that in the control group.The total effective rate in the therapy group was higher than that in the control group（P〈0.05）.Conclusions：Electric acupuncture with muscular training can effectively cure the nonspecific low back pain,which was better than pure electric acupuncture.