主动运动训练配合揿针治疗急性腰扭伤的临床观察

Clinical Effect of Active Exercises Cooperate with Press-needle for Treatment of Acute Lumbar Sprain

目的:观察主动运动训练配合揿针治疗急性腰扭伤的临床疗效。方法:将60例急性腰扭伤患者随机分为主动运动训练配合揿针组和常规治疗组进行治疗,每组30例,用Roland-Morris功能障碍调查表(RMQ)和VAS视觉模拟疼痛评分表分别对患者治疗前、治疗后和随访2 w的功能障碍和腰痛程度进行评估,并随访患者12个月内的复发率和转为慢性损伤的发生率。结果:主动运动配合揿针组既可明显降低患者的急性期RMQ和VAS评分(P<0.05),且显著优于常规治疗组(P<0.05),又可降低患者12个月内的本病复发率(16.7%vs 46.7%)和慢性腰痛发生率(6.7%vs 26.7%)。结论:主动运动训练早期干预对急性腰扭伤的短期疗效和远期预后均有显著积极意义。

Objective： To observe the clinical effect of active exercises cooperate with press-needle for the treatment of acute lumbar sprain. Methods： 60 acute lumbar sprain patients were randomly assigned to active exercises cooperate with press-needle and conventional treatment group. Roland-Morris Disability Questionnaire（ RMQ） and Visual Analogue Scale（ VAS） were assessed at the baseline,after treatment（ week 2） and follow-up（ week 4）. The recurrence rate of acute lumbar pain and occurrence rate of chronic low back pain within 12 months were also evaluated. Results： Active exercises cooperate with press-needle treatment significantly reduce the RMQ and VAS scores of patients in acute phase（ P〈0. 05） and is superior to conventional treatment group（ P〈0. 05）,as well as the obvious decrease on the recurrence rate of acute lumbar pain and occurrence rate of chronic low back pain within12 months（ P〈0. 05）. Conclusion： The early intervention of active exercises has a significant and benefit effect on the short-term efficacy and long-term prognosis of acute lumbar sprain.