早期中医综合干预对脊柱亚健康患者躯体酸痛及生活质量的改善研究

Study on Early Traditional Chinese Medicine Comprehensive Intervention for Relieving Physical Pain and Improvement of Life Quality in Patients with Sub-Health Spine

目的:观察早期中医综合干预对脊柱亚健康患者躯体酸痛及生活质量的影响。方法:将符合纳入标准的100例脊柱亚健康患者依据随机数字表格法分为两组,各50例,对照组采取常规心理辅导、生活方式指导、运动干预,观察组则行推拿、以宗健脊练功法等早期中医综合干预,6个月评价疗效,并比较两组干预前后疼痛评分、功能评分及生活质量情况。结果:观察组优良率88.00%显著高于对照组的70.00%(P<0.05)。与干预前比较,两组干预后脊柱疼痛评分、功能评分、疼痛及功能总分明显下降,总体健康、躯体疼痛、生理功能及精神健康评分显著上升,差异有统计学意义(P<0.05);观察组干预后上述指标评分均明显优于对照组,差异有统计学意义(P<0.05)。结论:推拿、以宗健脊练功法、情志疗法等早期中医综合干预能明显减轻脊柱亚健康患者躯体酸痛症状,显著提高患者生活质量。

Objective：To explore the effect of early traditional Chinese medicine（TCM） comprehensive intervention on physical pain and quality of life of patients with sub-health spine.Methods：100 patients with sub-health spine who met the inclusion criteria were divided into two groups according to the random number table method,50 cases in each.The controlled group received routine psychological counseling,lifestyle guidance and exercise intervention while the observation group received massage,exercise for spinal health and other early TCM comprehensive intervention.6 months later,the curative effect was evaluated.The pain score,function score and quality of life were compared between the two groups before and after the intervention.Results：The excellent and good rate in the observation group（88.00%） was significantly higher than that in the controlled group（70.00%）（P〈0.05）.After intervention,the spinal pain score,function score,pain and function scores of the two groups were significantly lower than those before intervention while the scores of overall health,physical pain,physical function and mental health were significantly higher than those before intervention（P〈0.05）;After intervention,the scores of indexes mentioned above in the observation group were significantly better than those in the controlled group（P〈0.05）.Conclusion：TCM comprehensive interventions such as massage,exercise for spinal health and emotional therapy can significantly reduce physical pain in patients with sub-health spine,and significantly improve the quality of life.