常规训练联合麦肯基疗法治疗血瘀型非特异性腰痛的临床随机对照研究

Clinical randomized controlled study of comprehensive rehabilitation therapy in the treatment of blood stasis type nonspecific low back pain

目的观察综合康复疗法治疗血瘀型非特异性腰痛的临床疗效。方法收集在某院骨科2020年8月至2022年1月诊疗的120例血瘀型非特异性腰痛患者作为观察对象,按照患者就诊顺序编号,然后应用随机数字表将研究对象分为两组,分别为对照组、观察组,每组60例患者。对照组行单纯物理治疗,观察组则采用综合康复疗法方案(常规训练+麦肯基疗法),比较治疗前后两组研究对象的疼痛症状改善情况、功能障碍评分恢复情况、临床疗效、自我效能评分、生活质量评分改善情况。结果治疗后,观察组的疼痛评分下降幅度大于对照组(P<0.05);两组间进行比较,对照组治疗总有效率83.33%明显低于观察组治疗总有效率95.00%(P<0.05);两组间进行比较,观察组患者的功能障碍评分下降幅度大于对照组(P<0.05),同时观察组患者的自我效能评分明显高于对照组,差异具有统计学意义(P<0.05);治疗前,两组患者的生活质量评分比较差异无统计学意义(P>0.05),治疗后两组间进行比较,观察组生活质量评分明显高于对照组(P<0.05)。结论综合康复疗法方案治疗血瘀型非特异性腰痛可显著提高临床疗效,提高患者的治疗信心,在改善患者自我效能感评分及运动功能、减轻疼痛方面具有显著优势,明显改善患者的生活质量,整体治疗效果较为突出。

Objective To observe the clinical effect of comprehensive rehabilitation therapy on non-specific low back pain of blood stasis type.Methods 120 patients with blood stasis type non-specific low back pain diagnosed and treated in the orthopaedic department of a hospital from August 2020 to January 2022 were collected as the observation objects,numbered according to the order of patients'visits,and then the research objects were divided into two groups by the random number table,namely,the control group and the observation group,with 60 patients in each group.The control group received simple physical therapy for low back pain,while the observation group adopted a comprehensive rehabilitation therapy program(routine training+Mackenzie therapy)to compare the improvement of pain symptoms,dysfunction scores,clinical efficacy,self-efficacy scores,and quality of life scores of the two groups before and after treatment.Results After treatment,the pain score of the observation group decreased more than that of the control group(P<0.05).Compared between the two groups,the total effective rate of the control group was 83.33%,which was significantly lower than that of the observation group 95.00%(P<0.05).Compared between the two groups,the dysfunction score of the observation group decreased more than that of the control group(P<0.05),and the self-efficacy score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the quality of life score between the two groups(P>0.05).After treatment,the quality of life score of the observation group was significantly higher than that of the control grou(P<0.05).Conclusion The comprehensive rehabilitation therapy program can significantly improve the clinical efficacy of blood stasis type non-specific low back pain,improve the treatment confidence of patients,improve the self-efficacy score and motor function of patients,reduce pain,significantly improve the quality of life of patients,and the overall treatment effect is more prominent.