摘要
目的 观察针刺联合运动处方治疗产后腰痛的临床疗效。方法 选取2020年3月-2021年6月在陕西中医药大学附属医院健康管理中心接受治疗的60例产后腰痛患者,按照随机数字表法随机分成观察组和治疗组,每组30例。观察组行针刺和运动处方,治疗组行针刺和推拿疗法,2组患者均治疗2周。治疗前后采用疼痛分级指数(PRI)评价患者疼痛情况,Oswestry功能障碍指数(ODI)评价功能障碍程度,并观察治疗前后各项指标的变化。结果 观察组治疗后PRI[(7.17±1.39)分]较治疗前[(17.67±1.56)分]显著改善(t=32.737,P<0.001),治疗组治疗后PRI[(7.47±1.48)分]较治疗前[(17.70±1.56)分]显著改善(t=37.330,P<0.001);治疗后,观察组ODI评分较治疗前明显改善[(15.73±2.75)分vs.(37.17±2.44)分,P<0.001],治疗组ODI评分较治疗前明显改善[(16.33±2.91)分vs.(37.10±2.51)分,P<0.001];2组疗效比较差异无统计学意义(P>0.05)。结论 针刺联合运动处方或推拿治疗均可有效改善产后腰痛患者的疼痛及功能障碍,临床疗效无显著差异。
Objective This study aimed to observe the clinical effect of acupuncture combined with exercise prescription on postpartum lumbago. Methods From March 2020 to June 2021, a total of 60 patients with postpartum lumbago treated in the Health Management Center of the Affiliated Hospital of Shaanxi University of Chinese Medicine were randomly divided into the observation group and treatment group, with 30 cases in each group. The observation group received acupuncture and exercise prescription. The treatment group was treated with acupuncture and massage for 2 weeks. The pain rating index(PRI) was used to evaluate the pain before and after treatment;the Oswestry dysfunction index(ODI) was used to evaluate the degree of dysfunction, and the changes in various indexes before and after treatment were observed. Results The median PRI [(7.17±1.39) points] in the observation group was significantly improved compared with that [(17.67±1.56) points] before treatment(t=32.737, P<0.001), and the median PRI [(7.47±1.48) points] in the treatment group was significantly improved compared with that [(17.70±1.56) points] before treatment(t=37.330, P<0.001). The ODI score of the observation group was(15.73±2.75) points after treatment, which was significantly improved compared with that before treatment [(37.17±2.44) points, P<0.001]. The ODI score of the treatment group was(16.33±2.91) points after treatment, which was significantly improved compared with that before treatment [(37.10±2.51) points, P<0.001]. No significant difference was observed between the two groups(P>0.05). Conclusion Acupuncture combined with exercise prescription and massage can effectively relieve the pain and dysfun ction of patients with postpartum lumbago, there was no significant difference in clinical efficacy.
作者
赵胜杰
赵文娟
罗桂华
李秀芹
侯珺
ZHAO Sheng-jie;ZHAO Wen-juan;LUO Gui-hua;LI Xiu-qin;HOU Jun(Health Management Center,Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712000,China;不详)
出处
《中华全科医学》
2023年第2期313-315,共3页
Chinese Journal of General Practice
基金
陕西省教育厅重点科学研究计划项目(20JT015,21JT011)
陕西省体育局常规科研项目(2020257)
陕西中医药大学附属医院科研项目(2020ZWBKF002)。
关键词
产后腰痛
针刺疗法
运动处方
推拿疗法
随机对照试验
Postpartum lumbago
Acupuncture
Exercise prescription
Massage
Randomised controlled trial
