运动疗法联合音乐疗法对妊娠期下腰痛的疗效评价

The Effect of Exercise Therapy with Music Therapy on Low Back Pain in Patients during Pregnancy

目的:观察运动疗法联合音乐疗法治疗妊娠期LBP的疗效。方法:选取妊娠期LBP患者60例,采用随机数字表法分为试验组和对照组各30例,对照组进行日常生活基本活动,不予药物及其他干预治疗;试验组予运动治疗及音乐治疗8周,治疗前后均进行视觉模拟量表(VAS)和健康调查简表(SF-36量表)评定,计算SF-36量表中生理总分(PCS)和心理总分(MCS)。结果:治疗8周后,试验组VAS评分较对照组下降,差异有统计学意义(P <0. 05),试验组治疗后VAS评分较试验前显著下降,差异有统计学意义(P <0. 05);治疗8周后,试验组PCS评分、MCS评分、总分均比对照组提高,差异有统计学意义(P <0. 05),试验组治疗后PCS、MCS评分及总分较试验前均显著提高,差异有统计学意义(P <0. 05)。结论:运动疗法联合音乐疗法可有效缓解妊娠期LBP患者的症状,并可显著改善患者的生存质量。

Objective: To observe the efficacy of exercise therapy combined with music therapy in treatment of patients with LBP during pregnancy.Methods: 60 patients with LBP during pregnancy were selected. The participants were randomly divided into experimental group( 30 cases) and control group( 30 cases) by random number table. The control group w as allow ed to carry out basic activities of daily life w ithout medication and other interventions,w hile experimental group w as given exercise therapy and music therapy for 8 w eeks,and evaluated patient’s pain and quality of life by VAS and SF-36 before and after treatment. Results: After 8 w eeks of treatment,the VAS score of experimental group w as low er than that of control group,and the difference w as statistically significant( P < 0. 05). The VAS score of experimental group w as significantly low er than that before the experiment,and the difference w as statistically significant( P < 0. 05). After 8 w eeks of treatment,the PCS,M CS and total score of experimental group w ere higher than those of control group,and the difference w as statistically significant( P < 0. 05). The PCS,M CS and total score of experimental group w ere significantly higher than those before the experiment,the difference w as statistically significant( P < 0. 05). Conclusion: Exercise therapy combined w ith music therapy can effectively alleviate the pain of pregnant w omen w ith LBP and significantly improve their quality of life.