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体外冲击波治疗慢性非特异性腰痛的临床效果 被引量:4

CLINICAL EFFECT OF EXTRACORPOREAL SHOCK WAVE THERAPY IN TREATMENT OF CHRONIC NONSPECIFIC LOW BACK PAIN
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摘要 目的观察体外冲击波疗法(ESWT)对慢性非特异性腰痛病人的临床疗效。方法将65例诊断为慢性非特异性腰痛病人随机分为ESWT组(n=33)和对照组(n=32),分别予以低能量冲击波和磁振热治疗。在治疗前、治疗后1周和4周,采用疼痛视觉模拟评分(VAS)、Roland-Morris功能障碍调查问卷(RMDQ)、指地距离(FFD)对两组病人进行腰部疼痛和功能评价。结果治疗后ESWT组和对照组VAS、RMDQ评分及FFD均进行性改善(F=291.91~668.19,P<0.01);治疗后1周两组间各指标比较差异均无显著意义(P>0.05),治疗后4周ESWT组各指标明显优于对照组(F=14.18~112.36,P<0.01)。结论ESWT治疗能够有效缓解慢性非特异性腰痛的临床症状,抑制疼痛,提高腰部柔韧性。 Objective To investigate the clinical effect of extracorporeal shock wave therapy(ESWT)in the treatment of chronic nonspecific low back pain.Methods A total of 65 patients with chronic nonspecific low back pain were randomly divided into ESWT group with 33 patients and control group with 32 patients.The patients in the ESWT group were treated with low-energy shock wave,and those in the control group were given magnetic vibration thermal therapy.Before treatment and at weeks 1 and 4 after treatment,Visual Analogue Scale(VAS),Roland Morris Disability Questionnaire(RMDQ),and finger-to-floor distance(FFD)were used to evaluate waist pain and function.Results Both groups had progressive improvements in VAS score,RMDQ score,and FFD after treatment(F=291.91-668.19,P<0.01).There were no significant differences in the above indices between the two groups at week 1 after treatment(P>0.05),while at week 4 after treatment,the ESWT group had significantly better indices than the control group(F=14.18-112.36,P<0.01).Conclusion ESWT can effectively relieve the clinical symptoms of chronic nonspecific low back pain,inhibit pain,and improve waist flexibility.
作者 徐建洪 唐虹 邹玥 刘建兴 XU Jianhong;TANG Hong;ZOU Yue;LIU Jianxing(Surgical Department of Navy Office Outpatient Department,Beijing 100841,China;不详)
出处 《青岛大学学报(医学版)》 CAS 2019年第6期718-721,共4页 Journal of Qingdao University(Medical Sciences)
基金 上海市卫计委科研课题计划任务(201640219)
关键词 腰痛 体外冲击波疗法 治疗结果 low back pain extracorporeal shockwave therapy treatment outcome
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