易筋经身心运动对慢性非特异性腰痛患者身体和心理功能的影响

Effect of Yijinjing psychosomatic exercise on physical and mental functions of patients with chronic non-specific low back pain

目的观察易筋经身心运动治疗慢性非特异性腰痛对其身体功能及心理功能的影响。方法选取2022年4月至2022年11月宁德市闽东医院收治的50例慢性非特异性腰痛患者作为研究对象,按照随机数字表法分为易筋经组(25例)和健康教育组(25例),比较两组患者的视觉模拟评分(VAS)、生活质量量表(SF-36),身体功能指标如腰椎前屈,后伸,左右旋转,左右侧屈等关节活动度,腰背肌力、腹压稳定值,剑突水平胸廓活动度及腋窝水平胸廓活动度。比较两组Oswestry功能障碍指数(ODI)及心理功能指标汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、白介素(IL)-6、TNF-α、神经递质5-HT等差异。结果易筋经组治疗12周后,VAS得分、ODI分值、腹压稳定值、IL-6、TNF-α、5-HT水平及HAMA及HAMD分数低于健康教育组,差异有统计学意义(P<0.05)。易筋经组经过12周干预后,身体功能方面前屈、后伸、左右旋转、左右侧屈、腰背肌力、剑突水平及腋窝水平的胸廓活动度变化及SF-36评分均高于健康教育组,差异有统计学意义(P<0.05)。结论易筋经身心运动可改善慢性非特异性腰痛身体和心理功能,值得推广。

Objective To observe the effect of physical and mental exercise of Yijinjing on the physical and psychological functions of patients with chronic nonspecific low back pain.Methods From April 2022 to November 2022,50 patients with chronic non-specific low back pain admitted to Mindong Hospital of Ningde City were selected as the research objects.The patients were divided into Yijinjing group(n=25)and health education group(n=25)by random number table method.The visual analogue scale(VAS)score,short form-36 questionnaire(SF-36),body function indexes such as lumbar flexion,extension,left and right rotation,left and right flexion,lumbar dorsal muscle strength,stable abdominal pressure,xiphoid process level and axillary level were compared between the two groups.The Oswestry dysfunction index(ODI),Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),inflammatory factor interleukin(IL)-6,TNF-αand neurotransmitter 5-HT were compared between the two groups.Results After 12 weeks of treatment,the scores of VAS,ODI score,stable abdominal pressure,IL-6,TNF-α,5-HT,HAMA and HAMD in Yijinjing group were lower than those in the health education group,the differences were statistically significant(P<0.05).After 12 weeks of intervention,the changes of thoracic range of motion and SF-36 scores of flexion,extension,rotation,left and right flexion,low back muscle strength,xiphoid process and axillary level in Yijinjing group were higher than those in the health education group,the differences were statistically significant(P<0.05).Conclusion Physical and mental exercise of Yijinjing can improve the physical and psychological functions of chronic nonspecific low back pain,which is worth promoting.