沈氏三步法结合五禽戏干预慢性腰痛临床研究

Clinical Study on SHEN’s Three-Step Method Combined with Five-Animal Exercises for Chronic Low Back Pain

目的:评价沈氏三步法结合传统功法五禽戏在慢性腰痛中的临床疗效及后期康复中的作用。方法:对77例确诊为慢性腰痛的患者进行分组,治疗组38例运用"沈氏三步法"配合后期五禽戏功能锻炼,对照组39例运用常规推拿方法配合后期五禽戏功能锻炼,治疗前后、6个月后运用McGill疼痛询问表(SF-MPQ)测量疼痛分级指数(PRI)总分、PRI感觉分、PRI情绪分、现有疼痛强度(PPI)评分及改良视觉模拟量表(VAS)的变化情况。结果:治疗前,2组McGill疼痛指数、VAS评分比较,差异无统计学意义(P>0.05)。治疗后、6个月后2组McGill疼痛指数、VAS评分较治疗前显著改善(P<0.05)。治疗组治疗后、6个月后McGill疼痛指数、VAS评分改善优于对照组(P<0.05)。结论:沈氏三步法结合传统功法五禽戏在慢性腰痛中,对其临床疗效及后期疗效维持均有一定的作用。

Objective:To evaluate the clinical effect of SHEN’s three-step method combined with five-animal exercises for chronic low back pain and its effect on rehabilitation in late stage. Methods:A total of 77 cases of patients diagnosed as chronic low back pain were divided into the treatment group and the control group, 38 and 39 cases in each group respectively. The treatment group was treated with SHEN’s three-step method combined with five-animal exercises in late stage, and the control group was treated with routine tuina method combined with five-animal exercises in late stage.Before and after treatment and after six-month treatment, the changes in the total pain rating index(PRI) scores, PRI sensation scores, PRI emotional scores as well as present pain intensity(PPI) evaluated by Short-Form McGill Pain Questionnaire(SF-MPQ), and modified Visual Analogue Scale(VAS) scores were observed. Results: Before treatment,there was no significant difference being found in the comparison of McGill pain scores and VAS scores between the two groups(P>0.05). After treatment and after six-month treatment,the McGill pain scores and VAS scores in the two groups were significantly improved when compared with those before treatment(P<0.05). After treatment, the improvement of McGill pain scores and VAS score in the treatment group was better than that in the control group(P<0.05). Conclusion:SHEN’s three-step method combined with five-animal exercises in the treatment of chronic low back pain has a certain role in the clinical effect and later efficacy maintenance.