核心肌群训练联合温泉泥疗、手法推拿对慢性下腰痛患者疗效的影响

Effect of core muscle training combined with hot spring pelotherapy and hand massage on patients with chronic low back pain

目的探讨核心肌群训练联合温泉泥疗、手法推拿治疗慢性下腰痛(chronic low back pain)患者的疗效。方法随机抽取疗养区2018年1月至2019年9月治疗的38例慢性下腰痛患者,采用简单随机分组方法,以计算机随机数分为治疗组和对照组,每组各19例患者,两组均连续治疗20 d后出院,采用视觉模拟评分(visual analogue scale,VAS)和功能障碍指数量表(oswestry disability index,ODI)比较两组患者入院时和出院时评分。结果两组患者入院时和出院时的腰部症状比较结果显示,治疗组VAS评分从(6.43±2.76)分降至(2.57±1.47)分,差异有高度统计学意义(P<0.01),对照组VAS评分从(5.97±3.02)分降至(4.36±2.93)分,差异无统计学意义(P>0.05);治疗组ODI评分从(29.34±12.86)分降至(13.64±16.11)分,差异有高度统计学意义(P<0.01),对照组ODI评分从(32.96±15.83)分降至(23.94±10.39)分,差异有统计学意义(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)。结论核心肌群训练联合温泉泥疗、手法推拿治疗慢性下腰痛患者的效果理想,患者腰部疼痛症状明显缓解,关节活动度、日常生活质量均可恢复至较好水平。

Objective To investigate the curative effect of core muscle training combined with hot spring pelotherapy and hand massage on patients with chronic low back pain.Methods A total of 38 patients with chronic low back pain treated in sanatorium from January 2018 to September 2019 were randomly selected and divided into treatment group and control group by simple randomization method and computer random number,with 19 patients in each group.Both groups were discharged after continuous treatment for 20 days.The visual analogue scale(VAS)and the oswestry disability index(ODI)were used to compare the admission and discharge scores of patients in the two groups.Results The comparison of lumbar symptoms between the two groups at admission and discharge showed that the VAS score in the treatment group decreased from(6.43±2.76)points to(2.57±1.47)points,with a highly statistically significant difference(P<0.01),while the VAS score in the control group decreased from(5.97±3.02)points to(4.36±2.93)points,with no statistically significant difference(P>0.05).The ODI score of the treatment group decreased from(29.34±12.86)points to(13.64±16.11)points,with a highly significant difference(P<0.01),while the ODI score of the control group decreased from(32.96±15.83)points to(23.94±10.39)points with a significant difference(P<0.05).The results of statistical analysis showed that the curative effect of the treatment group was significantly better than that of the control group,with statistically significant difference(P<0.05).Conclusion The effect of core muscle training combined with hot spring pelotherapy and manipulation massage on patients with chronic low back pain is ideal.The symptoms of the patients'lower back pain are significantly relieved,and the range of motion of the joints and the quality of daily life can be restored to a better level.