利用综合康复治疗降低非特异性腰背痛复发率

Comprehensive Rehabilitation to Reduce Recurrence Rate of Nonspecific Lower Back Pain

目的:探讨综合康复治疗方法对慢性非特异性腰背痛患者临床治疗效果,以及对患者腰痛的缓解情况、核心肌群力量的改善情况及腰痛复发率的影响。方法:选取2022年9月—2023年3月在中国人民解放军联勤保障部队第九八九医院门诊治疗的非特异性腰背痛患者共60例,随机分为常规治疗组和综合康复组,常规治疗组采用辅具、服用非甾体类抗炎药物及贴敷膏药进行治疗。综合康复组在常规治疗组治疗方法的基础上通过运动疗法联合物理因子共同治疗。治疗2、4周后对两组患者进行疼痛评估和功能障碍指数评估,6个月后对患者进行回访,分析复发率情况。结果:治疗2周后,综合康复组的视觉模拟评分法(VAS)、腰部疼痛分级指数(PRI)及Oswestry功能障碍指数(ODI)均优于常规治疗组(P<0.05),两组腰痛的疼痛强度(PPI)差异无统计学意义(P>0.05)。治疗4周后,综合康复组观察指标(VAS、PRI、ODI、PPI)均优于常规治疗组,治疗6个月后随访,综合康复组复发率低于常规治疗组(P<0.05)。结论:综合康复治疗对缓解腰部疼痛症状,增强核心肌力,恢复腰椎功能,以及对降低复发率有明显作用。

Objective:To investigate the application of comprehensive rehabilitation treatment in the clinical recovery of patients with chronic nonspecific lower back pain,and explore its impact on the relief of lower back pain,improvement of core muscle strength,and recurrence rate of low back pain.Method:From September 2022 to March 2023,a total of 60 patients with nonspecific low back pain at 989th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army were randomly divided into conventional treatment group and comprehensive rehabilitation group.The conventional treatment group was treated with assistive devices,nonsteroidal anti-inflammatory drugs and plasters.The comprehensive rehabilitation group was treated by exercise therapy combined with physical factors on the basis of the conventional treatment group.After 2 and 4 weeks of treatment,the pain and dysfunction index of the two groups were evaluated,and the patients were visited again after 6 months to analyze the recurrence rate.Result:After 2 weeks of treatment,visual analogue scale(VAS),low back pain rating index(PRI)and Oswestry dysfunction index(ODI)in the comprehensive rehabilitation group were better than those in the conventional treatment group(P<0.05),but there was no significant difference in present pain intensity(PPI)of low back pain(P>0.05).After 4 weeks of treatment,the observation indexes(VAS,PRI,ODI,PPI)in the comprehensive rehabilitation group were better than those of routine treatment group,after 6 months of treatment,the recurrence rate in the comprehensive rehabilitation group was lower than that of routine treatment group(P<0.05).Conclusion:Comprehensive rehabilitation treatment has a significant effect on relieving lower back pain symptoms,enhancing core muscle strength,restoring lumbar function,and reducing the recurrence rate.