PNF联合中医定向透药治疗对慢性非特异性下腰痛(寒湿型)患者康复效果的影响

Effect of PNF Combined with Traditional Chinese Medicine Directed Transdrug Therapy on Rehabilitation of Patients with Chronic Nonspecific Low Back Pain(Cold Dampness Type)

目的探讨本体感觉神经筋肉促进疗法(proprioceptive neuromuscular facilitation,PNF)联合中医定向透药治疗慢性非特异性下腰痛(chronic non-specific low back pain,CNLBP)的临床价值。方法方便选取2022年6月—2023年6月于江苏省苏州蓝十字脑科医院进行治疗的90例CNLBP(寒湿型)患者作为研究对象,采用随机数表法分为两组,每组45例。两组均接受常规治疗,对照组采用PNF治疗,观察组在对照组基础上应用中医定向透药治疗。比较两组临床疗效、疼痛视觉模拟评分(Visual Analogue Score,VAS)、Oswestry功能障碍指数(Oswestry Disability Index,ODI)、腰部活动度。结果观察组总有效率为95.56%,高于对照组的77.78%,差异有统计学意义(χ^(2)=6.154,P=0.013)。观察组VAS评分与ODI指数均低于对照组,差异有统计学意义(P<0.05)。观察组中医症状积分低于对照组,差异有统计学意义(P<0.05)。腰部活动度高于对照组,差异有统计学意义(P<0.05)。结论PNF联合中医定向透药治疗具有良好的疗效,可改善CNLBP患者的腰痛症状及腰部活动度。

Objective To investigate the clinical value of proprioceptive neuromuscular facilitation therapy(PNF)combined with traditional Chinese medicine(TCM)for chronic non-specific low back pain(CNLBP).Methods A total of 90 patients with CNLBP(cold-dampness type)who were treated in Blue Cross Brain Hospital of Suzhou,Jiangsu Province from June 2022 to June 2023 were conveniently selected as the study objects and divided into two groups with 45 cases in each group by random number table method.Both groups received conventional treatment,the control group was treated with PNF,and the observation group was treated with traditional Chinese medicine based on the control group.The clinical efficacy,Visual Analogue Score(VAS),Oswestry Disability Index(ODI)and lumbar motion were compared between the two groups.Results The total effective rate of the observation group was 95.56%,which was higher than that of the control group(77.78%),the difference was statistically significant(χ^(2)=6.154,P=0.013).VAS score and ODI index in observation group were lower than those in control group,and the differences were statistically significant (P<0.05). The scores of TCM symptoms in the observation group were lower than those in the control group,and the difference was statistically significant (P<0.05). Waist motion was higher than that of control group, the differencewas statistically significant (P<0.05).Conclusion PNF combined with traditional Chinese medicine directed transdrugtherapy has a good effect, can improve the symptoms of CNLBP patients with low back pain and lower back motion.