分级诊疗模式下重力肌群锻炼对非特异性腰痛患者生活质量影响的研究

Effect of gravity muscle group exercise on quality of life in patients with non-specific low back pain under graded diagnosis and treatment mode

目的分析分级诊疗模式下重力肌群锻炼对非特异性腰痛患者生活质量的影响。方法选取2017年3月至2018年11月首都医科大学附属北京潞河医院收治的68例非特异性腰痛初诊患者,分为观察组和对照组,每组34例。在分级诊疗模式下,观察组采用重力肌群锻炼进行治疗,对照组采用传统腰部康复训练进行治疗。对比分析两组治疗前与治疗后1个月、3个月、6个月的生活质量量表(the short-form 36 item health survey questionnaire,SF-36)评分、疼痛视觉模拟评分(visual analogue score,VAS)、Oswestry功能障碍指数(Oswestry dysfunction index,ODI)评分及腰部背伸肌肌力值。结果治疗后,两组SF-36评分均较治疗前显著升高(P<0.05),组间比较差异有统计学意义(P<0.05);两组VAS评分、ODI评分均较治疗前显著降低(P<0.05),组间比较差异有统计学意义(P<0.05);两组腰部背伸肌肌力值均较治疗前显著增大(P<0.05),且组间比较差异有统计学意义(P<0.05)。结论分级模式下重力肌群锻炼能够明显改善非特异性腰痛患者腰部运动功能障碍、生理职能及生理功能,缓解疼痛,提升腰部背伸肌肌力和生活活力,对患者生活质量有积极影响,值得临床推广。

Objective To analyze the effect of gravity muscle group exercise on the quality of life of patients with nonspecific low back pain under graded diagnosis and treatment mode.Methods Sixty-eight patients with non-specific low back pain diagnosed in Beijing Luhe Hospital from March 2017 to November 2018 were selected and divided into observation group and control group according to the patient’s wishes.Under graded diagnosis and treatment mode,muscle group exercises were used for treatment in observation group,and patients in the control group were treated with traditional lumbar rehabilitation training.The quality of life(the short-form 36 item health survey questionnaire,SF-36),pain visual analogue scale(VAS),Oswestry dysfunction index(ODI)and lumbar extensor muscle strength were recorded and compared before treatment and one month,three months and six months after treatment.Results After treatment,the SF-36 scores were significantly higher than those before treatment(P<0.05),and the SF-36 scores after treatment were significantly different between two groups(P<0.05).The pain VAS scores and ODI scores after treatment were significantly lower in both groups than those before treatment(P<0.05),and were significantly different between two groups(P<0.05).The lumbar extensor muscle strength was significantly increased after treatment in both groups(P<0.05),and was statistically different between the two groups(P<0.05).Conclusions Graded gravity muscle group exercise can significantly improve the lumbar motor dysfunction,and physiological function of patients with non-specific low back pain,alleviate the body pain,enhance the strength and vitality of patients’lumbar extensor muscles,promote patients’mental health,and has a positive impact on patients’quality of life,which is worthy of clinical promotion.