多点按压与药物治疗急性非创伤性下腰痛的对比分析

Contrastive analysis of multipoint pressing and drug in the treatment of acute non-traumatic low back pain

目的通过对比多点按压法与药物法治疗急性非创伤性下腰痛的疼痛评分和腰椎活动度,探讨多点按压法的疗效。方法 160例急性非创伤性下腰痛的门诊患者,年龄20～50岁,分为多点按压组与药物组,各采用多点按压法与药物法治疗,对治疗前、治疗后1d、7d、14d的疼痛评分和腰椎活动度进行t检验法统计学处理。结果多点按压组与药物组治疗后1、7、14d疼痛评分比较(P均<0.01),差异具有统计学意义;多点按压组与药物组治疗后1、7d腰椎活动度比较(P均<0.01),差异具有统计学意义;治疗后14d腰椎活动度比较,两者比较差异无统计学意义。结论多点按压法治疗急性非创伤性下腰痛具有良好的疗效,且较药物治疗有明显的优势,减少药物用量和医疗费用。

Objective To discuss the effect of muhipoint pressing through comparing the VAS score and activity of lumbar spine of multipoint pressing and drug in the treatment of acute non-traumatic low back pain. Methods 160 out-patient patients of acute non-traumatic low back pain with 20 - 50 age,male or female were divided into muhipoint pressing group and drug treatment group,which were given muhipoint pressing and drug treatment respectively. The VAS score and activity of lumbar spine before treatment and l st,Tth,14th day after treatment were statistically analyzed with T-test. Results There were significant difference in the VAS score at lst,Tth,14th day after treatment between two groups（P 〈 0.01）.There were significant difference in activity of lumbar spine at lst,Tth day after treatment between two groups（P 〈 0.05）.There were not significant difference in activity of lumbar spine at 14th day after treatment between two groups. Conclusion Muhipoint pressing in the treatment of acute non-traumatic low back pain has good effect and is better than drug therapy in reducing drug consumption and hospitalization cost.