电针结合核心稳定性训练治疗腰椎不稳症的疗效观察

Clinical Observation on Lumbar Spine Instability by Electroacupuncture Combined with Core Stability Training

目的:观察电针结合核心稳定性训练治疗腰椎不稳症的临床疗效。方法:将78例腰椎不稳症患者随机分为治疗组和对照组,每组39例,两组患者均采取核心稳定性训练,治疗组同时予以电针治疗。两组患者分别于治疗前、治疗结束时和治疗结束后3个月观察腰痛评分、腰椎功能及复发情况。结果:治疗结束时两组患者VAS评分均较治疗前有所改善,差异均有统计学意义(P<0.05)。治疗结束后3个月,两组患者VAS评分均较治疗结束时增加,但与治疗前比较,差异均有统计学意义(P<0.05)。两组治疗结束时、治疗结束后3个月比较,治疗组患者VAS评分均低于对照组,差异均有统计学意义(P<0.05)。治疗结束时两组患者ODI评分均低于治疗前,差异均有统计学意义(P<0.05),且治疗组ODI评分低于对照组,差异有统计学意义(P<0.05)。治疗结束后3个月,两组患者ODI评分较治疗结束时升高,其中对照组与治疗结束时比较,差异有统计学意义(P<0.05),治疗组患者疗程结束后3个月时ODI评分与治疗结束时比较,差异无统计学意义(P>0.05)。治疗结束后3个月两组比较,治疗组ODI评分低于对照组,差异有统计学意义(P<0.05)。治疗结束后3个月治疗组中5例患者出现腰痛或腰腿痛症状,复发率为12.8%,对照组中13例患者在治疗结束1~3个月期间出现腰腿痛症状,复发率为33.3%,两组患者复发率比较,差异有统计学意义(P<0.05)。结论:电针结合核心稳定性训练干预能改善腰椎不稳症患者临床症状,提高患者日常生活能力,能预防患者短期内腰腿痛症状的复发。

Objective： To observe the clinical effect of electroacupuncture combined with core stability train- ing in the treatment of lumbar instability. Methods： A total of 78 patients with lumbar instability syndrome were randomly divided into treatment and control group, 39 cases in each group. The patients were taking core stabil- ity training in two groups, and treatment group was treated by electroacupuncture. The visual analogue scale （VAS） and Oswestry function scale and relapse were observed in the two groups before and at the end of the treatment and treatment after 3 months. Results： At the end of the course and course, VAS score in both groups was decreased,and the difference is statistically significant （P〈0.05）. And three months after the end of the course and course, VAS score in both groups was improved, and the difference is statistically significant （P〈 0.05）. At the end of treatment and three months after the end of treatment, the treatment group showed lower VAS score than the control group （P〈0.05）; At the end of treatment, the treatment group showed lower ODI score than before treatment （P〈0.05）, and the treatment group showed lower ODI score than the control group, with statistical difference （P〈0.05）; Three months after the end of treatment, the ODI score increased in two groups. The control group showed statistically significant difference ODI score compared with the end of treat- ment （P〈0.05）, while the treatment group showed no statistically significant difference on ODI score compared with the end of treatment （P〉0.05）. There were 5 cases of Low back pain or lumbago and leg pain symptoms in treatment group patients, with recurrence rate of 12.8%, three months after the end of treatment; There were 13 cases of lumbago and leg pain symptoms in control group patients, with recurrence rate of 33.3%. The compari-son of recurrence rate between the two acupuncture combined with core stability lumbar instability syndrome, improve the toms in the short term. groups showed statistical difference （P〈0.05）. Conclusions： Electric training can significantly improve clinical symptoms in patients with ability of daily life, and prevent recurrence of low back pain symp-toms in the short term.