摘要
目的:观察中药离子导入联合腰背部功能锻炼治疗非特异性腰痛的临床疗效。方法:将60例非特异性腰痛患者随机分为2组,每组30例,分别采用中药离子导入联合腰背部功能锻炼、单纯中药离子导入治疗。分别于治疗前、治疗1个疗程后、治疗7个疗程后记录并比较2组患者腰部疼痛视觉模拟量表(visual analogue scale,VAS)评分及Oswestry功能障碍指数(Oswestry disability index,ODI)。结果:1腰部疼痛VAS评分。治疗前后不同时间点腰部疼痛VAS评分比较,差异有统计学意义,存在时间效应(F=8.025,P=0.001);2组腰部疼痛VAS评分比较,组间差异有统计学意义,存在分组效应(F=5.201,P=0.023)。进一步比较显示,治疗前及治疗1个疗程后2组腰部疼痛VAS评分比较,组间差异均无统计学意义[(6.27±1.06)分,(6.00±1.03)分,t=0.969,P=0.753;(2.50±1.02)分,(2.53±0.81)分,t=-1.380,P=0.186];治疗7个疗程后,中药离子导入联合腰背部功能锻炼组腰部疼痛VAS评分低于单纯中药离子导入组[(1.20±0.75)分,(2.13±0.50)分,t=-5.588,P=0.021]。时间因素与分组因素存在交互效应(F=9.816,P=0.001)。2ODI。治疗前后不同时间点间ODI比较,差异有统计学意义,存在时间效应(F=15.299,P=0.000);2组ODI比较,组间差异有统计学意义,存在分组效应(F=-4.321,P=0.001)。进一步比较显示,治疗前2组ODI比较,差异无统计学意义[(47.40±9.70)%,(46.17±8.80)%,t=0.508,P=0.614];治疗1个疗程和7个疗程后,中药离子导入联合腰背部功能锻炼组ODI均低于单纯中药离子导入组[(22.07±3.24)%,(27.40±4.77)%,t=-4.982,P=0.000;(11.94±3.44)%,(20.07±3.81)%,t=-8.256,P=0.000]。时间因素与分组因素存在交互效应(F=9.835,P=0.001)。结论:中药离子导入联合腰背部功能锻炼可以缓解或消除非特异性腰痛,改善腰部功能,其疗效优于单纯中药离子导入,值得临床推广应用。
Objective：To observe the clinical curative effects of iontophoresis of traditional Chinese medicine （TCM） combined with lower back functional exercise in the treatment of non-specific low back pain （NLBP）. Methods：Sixty patients with NLBP were randomly divided into 2 groups ,30 cases in each group. The patients were treated with combination therapy of iontophoresis of TCM and lower back functional exercise（ combination therapy group）and monotherapy of iontophoresis of TCM（ monotherapy group）respectively. The lower back pain visual analogue scale（VAS） scores and Oswestry disability index （ODI）were recorded and compared between the 2 groups before treatment and after 1- and 7-course treatment respectively. Results：There was statistical difference in lower back pain VAS scores between different timepoints,in other words, there was time effect （ F = 8. 025, P = 0. 001 ）. There was statistical difference in lower back pain VAS scores between the 2 groups, in other words, there was group effect （ F = 5.201, P = 0. 023 ）. Further comparison indicated that there was no statistical difference in the lower back pain VAS scores between the 2 groups before treatment and after 1 - course treatment（6.27 ＋/- 1.06 vs 6.00 ＋/- 1.03 points,t =0. 969 ,P =0.753 ;2.50 ＋/- 1.02 vs 2.53 ＋/-0.81 points ,t = - 1.38 ,P =0. 186）. The lower back pain VAS scores were lower in combination therapy group compared to monotherapy group after 7 - course treatment（ 1.20 ＋/- 0.75 vs 2.13 ＋/- 0.50 points, t = - 5. 588, P = 0.021 ）. There was interaction between time factor and grouping factor （ F = 9.816, P = 0.001 ）. There was statisti- cal difference in ODI between different timepoints, in other words, there was time effect （ F = 15. 299, P = 0. 000 ）. There was statistical difference in ODI between the 2 groups, in other words, there was group effect（ F = -4. 321 ,P = 0. 001 ）. Further comparison indicated that there was no statistical difference in ODI between the 2 groups befo
出处
《中医正骨》
2016年第1期20-23,共4页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
腰痛
中药离子透入
功能锻炼
治疗
临床研究性
low back pain
iontophoresis （TCD）
functional exercise
therapies, investigational
