拔罐与热敷治疗骨科卧床患者腰背痛的比较研究

Comparative study on cupping therapy and hot compress therapy on low back pain in patients with orthopedic bedridden

目的观察拔罐疗法、热敷疗法治疗骨科卧床患者腰背痛的疗效差异。方法选取2015年1月~2017年1月间于我院就诊的230例符合纳入标准的骨科长期卧床患者随机分为干预组和对照组各115例,干预组予拔罐疗法治疗,两次治疗间隔1 d;对照组予热敷疗法治疗,两次治疗间隔1 d,两组疗程均为2周。研究结束后,干预组和对照组的合格病例分别为102和106例,采用两组疗效情况、VAS评分、SF-36评分以及安全性指标评估结果。结果干预组疗效明显优于对照组(P<0.001);两组VAS评分在干预前差异无统计学意义(P>0.05);干预后第2周及干预后第4周两组间VAS评分差异均具有统计学意义(P<0.001);两组组内干预前、干预后2周、干预后4周,两两比较差异均具有统计学意义(P<0.05);两组干预后SF-36评分除情感功能和社会职能差异无统计学意义外,其余各项差异均有统计学意义(P<0.05)。本次研究共纳入受试者230例,试验结束时共脱落22例,最终完成208例。在整个试验过程中,无任何重大不良事件的报告。结论拔罐治疗骨科长期卧床患者腰背痛的疗效显著,安全性较高,且中短期疗效明显优于热敷治疗,能有效缓解患者腰背部疼痛的症状,提高生活质量。

Objective To observe the curative effect of cupping therapy and hot compress therapy on low back pain in patients with orthopedic bedridden. Methods From January 2015 to January 2017, 230 cases of orthopedic long-term bedridden patients conforming to the inclusion criteria in our hospital were randomly divided into intervention group and control group, and each group in 115 patients, and the intervention group was treated with cupping therapy, and the treatment interval was 1 day. The control group was treated with hot therapy, and the treatment interval was 1 day.The two groups were treated for 2 weeks. After the study, the eligible cases in the intervention group and the control group were 102 and 106 cases respectively, the curative effects, VAS score, SF-36 score and safety indices of two groups were used to evaluate the results. Results The curative effect of the intervention group was better than that of the control group（P〈0.001）. There was no significant difference in VAS score between the two groups before intervention（P〉0.05）. There were significant differences in VAS scores between the two groups at the 2nd week and the fourth week after the intervention（P〈0.001）. There were significant differences with in the two groups before intervention, 2 weeks after the intervention and 4 weeks after the intervention（P〈0.05）. In addition to the emotional function and social function, the SF-36 scores of the two groups were statistically difference after intervention（P〈0.05）. In this study, a total of 230 subjects were included in the study, the test ended a total of 22 cases fell off, the final completion of 208 cases.Throughout the trial, there was not have any significant adverse events. Conclusion Cupping treatment for low back pain in patients with orthopedic bedridden has remarkable curative effect, high safety, and short-term curative effect is better than hot compress treatment, can effectively relieve the symptoms of lumbar back pain and improve the quality of life.