腰痛学校健康教育模式对慢性非特异性腰痛疗效维持的影响

Effect of low back pain school health education model on the curative effect maintenance of chronic non-specific low back pain

目的探讨腰痛学校健康教育模式对慢性非特异性腰痛(Chronic non specific low back pain,CNLBP)疗效维持的影响。方法纳入2015年4月~2017年6月收治的88例CNLBP患者,均经悬吊运动、核心肌力训练等综合治疗后症状稳定(VAS评分<3分,1个月内无复发)。随机均分为2组,观察组通过腰痛学校模式进行疾病知识、功能锻炼等健康教育,对照组进行常规健康宣教,再次随访6个月。比较随访1、3、6个月的VAS评分、ODI评分,评价远期疗效。结果两组随访期间VAS、ODI评分均逐渐升高,但随访1、3、6个月的观察组升高幅度均显著低于对照组,差异有统计学意义(P<0.05);观察组随访6个月时的总有效率为88.10%,显著高于对照组的76.19%,差异有统计学意义(P<0.05)。结论腰痛学校健康教育模式能够有效维持CNLBP患者临床疗效,延缓CNLBP复发,提升远期疗效。

Objective To study the effect of low back pain school health education model on the curative effect maintenance of chronic non-specific low back pain (CNLBP). Methods From April 2015 to June 2017, 88 patients with CNLBP were treated with suspension exercise and core muscle strength training. The symptoms were stable (VAS score <3, no recurrence within one month). They were randomly divided into two groups. The observation group received health education such as disease knowledge and functional exercises through the school model of low back pain, and the control group received routine health education. The patients were followed up for 6 months. The VAS score and ODI score of 1, 3 and 6 months follow-up were compared to evaluate the long-term efficacy. Results The VAS and ODI scores of the two groups increased gradually during the follow-up period, but the increase of the observation group was significantly lower than that of the control group (P<0.05). The total effective rate of the observation group was 88.10% at the follow-up period of 6 months, which was significantly higher than that of the control group (76.19%, P<0.05). Conclusion The low back pain school health education model can effectively maintain the clinical efficacy of CNLBP patients, reduce CNLBP recurrence, and improve long-term efficacy.