运动疗法结合关节松动术对腰痛患者治疗效果的分析

Effect of exercise therapy combined with arthrolysis in patients with lumbago

目的:探讨运动疗法结合关节松动术在腰痛患者中的治疗效果。方法:选取2018年7月至2019年3月广东药科大学附属第一医院正骨科收治的60例男性腰痛患者,年龄(50.60±1.34)岁,年龄范围为46~76岁,采用随机数表法将患者随机分为常规治疗组和联合治疗组,每组30例。常规治疗组予以腰部红外线照射治疗,联合治疗组实施运动疗法结合关节松动术治疗。比较两组患者的治疗效果,治疗前和治疗2个疗程后的日本矫形外科学会评分标准(M-JOA),视觉模拟评分(VAS)以及生理曲度。结果:治疗后联合治疗组的M-JOA[(13.03±2.17)分]低于常规治疗组[(14.72±3.05)分],差异有统计学意义(P<0.05)。治疗后联合治疗组的VAS[(3.08±0.79)分]低于常规治疗组[(5.24±1.06)分],差异有统计学意义(P<0.05)。治疗后两组的生理曲度均显著高于治疗前,且联合治疗组[(30.68±5.13)°]高于常规治疗组[(26.62±5.20)°],差异有统计学意义(P<0.05)。联合治疗组的有效率(96.7%)高于常规治疗组(76.7%),差异有统计学意义(P<0.05)。结论:运动疗法结合关节松动术对腰痛患者的治疗效果较好,还可有效改善其疼痛状态和生理曲度,值得在临床上推广应用。

Objective To investigate the therapeutic effect of exercise therapy combined with arthrolysis in patients with lumbago.Methods A retrospective study was performed on 60 cases of patients with lumbago who were admitted in the department of Bone Orthopedics,The First Affiliated Hospital of Clinical Medicine of Guangdong Pharmaceutical University from July 2018 to March 2019.Patients aged(50.60±1.34)years old,ranging from 46 to 76 years old,were randomly divided into the conventional treatment group and the combined treatment group,with 30 patients in each group.The conventional group of patients were performed infrared radiation therapy for the waist,and the combined treatment group of patients received exercise therapy combined with arthrolysis.The outcomes of the two groups were compared,including the modified Japanese orthopaedic association(M-JOA),visual analogue scale(VAS),and physiological curvature before and after 2 courses of treatment.Results After treatment,M-JOA[(13.03±2.17)points]in the combined treatment group was lower than that in the conventional treatment group[(14.72±3.05)points],and the difference was statistically significant(P<0.05).After treatment,the physiological curvature of both groups was significantly higher than that before treatment,and the combined treatment group[(30.68±5.13)°]was higher than that of the conventional treatment group[(26.62±5.20)°],and the difference was statistically significant(P<0.05).The effective rate of the combined treatment group(96.7%)was higher than that of the conventional treatment group(76.7%),and the difference was statistically significant(P<0.05).Conclusion Exercise therapy combined with arthrolysis is effective in the treatment of patients with lumbago,and can also effectively improve their pain state and physiological curvature,which is worthy of promotion.