温泉水中悬吊运动疗法联合温泉泥疗、磁振热对腰肌筋膜综合征患者疗效的影响

Effect of suspension exercise in hot spring combined with pelotherapy and magnetic resonance therapy on patients with myofascial pain syndrome

目的探讨温泉水中悬吊运动疗法联合温泉泥疗、磁振热治疗腰肌筋膜综合征(MPS)的疗效。方法随机抽取疗养区2016年6月至2019年6月治疗的42例腰肌筋膜综合征患者,按照年龄排序,计算机随机分为治疗组和对照组,每组各21例,两组均连续治疗2周后出院,采用视觉模拟评分(VISUAL ANALOGUE SCALE,VAS)和下腰痛评估量表(LOW LUMBAR PAIN SCALESLLPS)以及生活质量量表(SF-36)比较两组患者入院时和出院时的疗效。结果两组患者入院时和出院时的腰部症状疗效比较结果显示,治疗组VAS评分从(6.32±1.51)分降至(1.65±0.73)分,差异有高度统计学意义(P<0.01),对照组VAS评分从(5.78±1.49)分降至(4.95±1.33)分,差异无统计学意义(P>0.05);治疗组LLPS评分从(16.23±3.49)分升至(24.36±5.71)分,差异有高度统计学意义(P<0.01),对照组LLPS评分从(17.04±5.82)分升至(19.94±3.39)分,差异无统计学意义(P>0.05);SF-36评分治疗组入院时为(38.22±16.47)分,出院时为(64.36±19.77)分,差异有高度统计学意义(P<0.01),对照组入院时为(40.49±15.96)分,出院时为(49.63±13.75)分,差异无统计学意义(P>0.05)。进行统计学分析结果显示治疗组患者疗效明显优于对照组,差异有统计学意义(P<0.05)。结论温泉水中悬吊运动疗法联合温泉泥疗、磁振热治疗腰肌筋膜综合征患者的效果理想,患者腰部疼痛症状以及活动度、生活质量均可达到较高水平。

OBJECTIVE To investigate the curative effect of suspension exercise in hot spring combined with pelotherapy and magnetic resonance therapy on patients with myofascial pain syndrome(MPS).METHODS A total of 42 patients with MPS treated in a sanitarium from June 2016 to June 2019 were randomly selected,sorted by age,and randomly divided into treatment group and control group by computer,with 21 patients in each group.Both groups were discharged after 2 weeks of continuous treatment.The curative effect of visual analogue scale(VAS),low lumbar pain scales(LLPS)and SF-36 scale(quality of life)were compared between the two groups at admission and discharge.RESULTS Comparison of the efficacy of lumbar symptoms between the two groups at admission and discharge showed that the VAS score in the treatment group decreased from(6.32±1.51)points to(1.65±0.73)points,with a highly statistically significant difference(P<0.01),while the VAS score in the control group decreased from(5.78±1.49)points to(4.95±1.33)points,with no statistically significant difference(P>0.05).LLPS score in the treatment group increased from(16.23±3.49)points to(24.36±5.71)points,with a highly significant difference(P<0.01);LLPS score in the control group increased from(17.04±5.82)points to(19.94±3.39)points,with no statistically significant difference(P>0.05).The SF-36 score was(38.22±16.47)points at admission and(64.36±19.77)points at discharge in the treatment group,and the difference was highly statistically significant(P<0.01),while that in the control group was(40.49±15.96)points at admission and(49.63±13.75)points at discharge,with no statistically significant difference(P>0.05).Statistical analysis of the results showed that the curative effect of the treatment group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).CONCLUSION The curative effect of suspension exercise therapy combined with hot spring mud therapy and magnetic resonance heat in the treatment of patients with myofascial pain syndrome is ideal,and the symptoms of lumbar pain,activity and quality of life of patients can reach a high level.