摘要
目的评价体外冲击波技术治疗急性、亚急性非特异性下腰痛的有效性及安全性。方法 54例诊断为急性、亚急性非特异性下腰痛患者随机分为体外冲击波疗法(extracorporeal shockwave therapy,ESWT)组(n=28)和对照组(n=26)。ESWT组予发散式冲击波干预,对照组将冲击波能流密度调整为0。在干预前和干预4周后,采用肢体活动疼痛视觉模拟评分(visual analogue scale,VAS)、Oswestry功能障碍指数问卷表(oswestry dability index,ODI)进行疼痛和功能的评定,并记录下治疗过程中不良事件。结果干预后4周ESWT组VAS评分及ODI均有改善,分别为(2.71±0.76)、(39.93±2.29),且改善均有统计学意义(t=13.02,P=0.00;t=27.09,P<0.001);对照组VAS评分及ODI也有改善,分别为(5.77±1.27)、(58.96±3.70),但VAS评分的改善无统计学意义(t=1.90,P=0.07),ODI指数的改善有统计学意义(t=8.51,P<0.001);两组VAS评分与ODI指数间的差异均有统计学意义(t=-10.78,P=0.04;t=-22.89,P=0.03)。试验期间ESWT组及对照组分别出现不良反应1例和4例,不良反应发生率分别是3.57%、15.38%。结论作为一种非手术治疗方法,发散式体外冲击波对急性亚急性非特异性下腰痛治疗可能是有效、安全的。
Objective To evaluate the effectiveness and safety of extracorporeal shock wave therapy （ESWT） on acute or subacute nonspecific low back pain. Methods 54 patients with acute or subacnte nonspecific low back pain were randomly assigned to ESWT group （n=28） or control group（n=26）. The treatment group were given radial shockwave, while the control group were given shock wave with energy density of O. They were assessed by Visual Analogue Scale （VAS） and Oswestry Disability Index （ODI） before and after 4 weeks of intervention. And recording adverse events during the trial. Results After 4 weeks of intervention, the scores of VAS and ODI improved in the ESWT group（P〈0.05）, were （2.71 ± 0.76） and （39.93 ± 2.29） respectively, and the improvements all had statistical significance （t=13.02, P=0.00; t=27.09, P〈0.001）; The scores of VAS and ODI improved in the control group as well, were （5.77 ± 1.27）and （58.96 ± 3.70） respectively, the change of VAS scores had no statistical significance （t=l.90, P=0.07）, however, the improvement of ODI in the control group had statistical significance （t=8.51, P〈0.001）. The difference in the scores of VAS and ODI between the two groups all had statistical significance （t=-10.78, P=0.04; t=-22.89, P=0.03）. During the trial, the ESWT group and control group both had adverse reactions, with 1 and 4 cases respectively. The incidence rate of adverse reactions were 3.57% and 15.38% respectively. Conclusions The radial shockwave therapy may be effective and safe on acute subacute nonspecific low back pain, as a non-surgical treatment.
出处
《中华灾害救援医学》
2016年第2期81-84,共4页
Chinese Journal of Disaster Medicine
基金
国家自然科学基金项目(31172169)
