腰椎手法配合电针治疗急性非特异性下腰痛临床观察

Clinical Observation of Lumbar Manipulation Combined with Electroacupuncture in the Treatment of Acute Non-specific Lower Back Pain

目的评价基于“筋骨并举”思想指导的腰椎手法配合电针治疗急性非特异性下腰痛的疗效。方法68例患者随机分为两组各34例。观察组采用腰椎手法配合电针治疗,对照组单纯采用电针治疗。治疗前和治疗2周后评价疼痛视觉模拟量表(VAS)评分、日本骨科协会评分量表(JOABPEQ)、Oswestry功能障碍指数(ODI)评分、指地距离(FFD)、Schober试验距离。结果治疗后,两组患者VAS、JOABPEQ、ODI的评分及FFD、Schober试验距离均较治疗前改善(P<0.05),且观察组各项评分更优(P<0.05)。结论基于“筋骨并举”思想指导的腰椎手法配合电针治疗能更加有效地治疗急性非特异性下腰痛,值得推广。

Objective:To evaluate the efficacy of lumbar manipulation combined with electroacupuncture,guided by the principle of"simultaneous treatment of muscle and bone",in treating acute non-specific low back pain.Methods:A total of 68 patients were randomly divided into two groups,34 cases in each group.The observation group received lumbar manipulation combined with electroacupuncture,while the control group received electroacupuncture alone.Pain Visual Analogue Scale(VAS),Japanese Orthopaedic Association Back Pain Evaluation Questionnaire(JOABPEQ),Oswestry Disability Index(ODI),finger-to-floor distance(FFD),and Schober′s test distance were evaluated before and 2 weeks after treatment.Results:After treatment,the VAS,JOABPEQ,ODI scores,FFD,and Schober′s test distance improved in both groups compared with before treatment(P<0.05),with the observation group showing superior scores(P<0.05).Conclusion:Lumbar manipulation combined with electroacupuncture,guided by the principle of"simultaneous treatment of muscle and bone",is a more effective treatment for acute non-specific low back pain and deserves promotion.