银质针导热联合针刀对慢性下腰痛的疗效及对患者生命质量的影响

Effect of Silver Needle Heat Conduction Combined with Needle-Knife on Chronic Low Back Pain and Its Effect on Quality of Life

目的:探讨银质针导热联合针刀对慢性下腰痛(LBP)的疗效及对患者腰椎功能、腰屈曲范围及生命质量的影响。方法:选取2014年6月—2016年10月来我院就诊的LBP患者76例,依据电脑产生的随机数字表分为对照组(n=38)和观察组(n=38),对照组采用银质针导热疗法,观察组采用银质针导热联合针刀治疗。比较2组患者临床疗效、治疗前后疼痛情况、腰椎功能、腰屈曲范围及生命质量。结果:治疗后观察组总有效率为94.74%,明显高于对照组的78.95%,差异有统计学意义(P<0.05);治疗后及治疗后6个月2组VAS评分及ODI指数均逐渐降低并明显低于治疗前(P<0.05或P<0.01),且观察组明显低于对照组(P<0.05或P<0.01),2组腰屈曲范围均逐渐增加并明显高于治疗前(P<0.01),且观察组明显高于对照组(P<0.01);治疗后2组疼痛程度、抬重物、坐、行走、站、生活自理能力、社会生活、睡眠、疼痛变化和旅行评分均明显降低(P<0.05或P<0.01),且观察组明显低于对照组(P<0.05或P<0.01)。结论:银质针导热联合小针刀治疗慢性LBP可以明显减轻患者疼痛反应,显著扩大腰屈曲范围,改善患者腰椎功能,提高患者生命质量,值得临床推广使用。

Objective：To investigate the effect of silver needle heat conduction combined with needle-knife on chronic lower back pain （LBP） and its effect on lumbar function, lumbar flexion range and quality of life. Methods： In total of 76 patients with LBP who came to the hospital from June 2014 to October 2016 were randomly divided into a control group （n =38） and an observation group （ n = 38 ） according to the random number table generated by computer. The control group was treated with silver needle heat conduction therapy, and the observation group was treated with silver needle heat conduction combined with needle-knife. Clinical efficacy, pain, lumbar function, lumbar flexion range and quality of life in 2 groups were compared. Results ： The total effective rate of the observation group was 94. 74%, which was significantly higher than that of the control group （78.95%）, and the difference was statistically significant （P 〈 0. 05 ）. After treatment and 6 months after treatment, VAS score and ODI index of 2 groups gradually decreased and were significantly lower than those before treatment （P 〈 0. 05 or P 〈 0.01 ）, and the observation group was significantly lower than the control group （ P 〈 0. 05 or P 〈 0. 01 ）. The lumbar flexion range of 2 groups increased grad- ually and was significantly higher than that before treatment （ P 〈 0. 01 ）, and the observation group was significantly higher than the control group （P 〈0.01 ）; after treatment, the level of pain, elevation, sitting, walking, standing, self-care, social life, sleep, pain changes and travel scores of 2 groups were significantly lower （P 〈0. 05 or P 〈0. 01 ）, and the observation group was significantly lower than the control group （P 〈 0. 05 or P 〈 0. 01 ）. Conclusion： Silver needle heat conduction combined with nee- dle-knife on chronic LBP can significantly reduce the pain response, increase the lumbar flexion range, improve the lumbar func- tion and the quality of life of patients, and is worthy of clinical use.