[1]徐星星,韩璐,马琳,等.八段锦锻炼联合推拿对非急性期腰椎间盘突出症患者腰痛和生活质量的影响[J].中医正骨,2018,30(12):18-22.
　XU Xingxing,HAN Lu,MA Lin,et al.Effect of BADUANJIN(八段锦)exercises combined with TUINA on low back pain and life quality of patients with non-acute-phase lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(12):18-22.
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八段锦锻炼联合推拿对非急性期腰椎间盘突出症患者腰痛和生活质量的影响()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年12期
页码:
18-22
栏目:
临床研究
出版日期:
2018-12-20

文章信息/Info

Title:
Effect of BADUANJIN(八段锦)exercises combined with TUINA on low back pain and life quality of patients with non-acute-phase lumbar disc herniation
作者:
徐星星; 韩璐; 马琳; 张晶莹
(浙江省杭州市中医院,浙江 杭州 310007)
Author(s):
XU Xingxing; HAN Lu; MA Lin; ZHANG Jingying
Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,Zhejiang,China
关键词:
椎间盘移位;  腰椎;  八段锦;  推拿;  腰痛;  生活质量;  临床试验
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  BADUANJIN;  TUINA;  low back pain;  quality of life;  clinical trial
摘要:
目的:观察八段锦锻炼联合推拿对非急性期腰椎间盘突出症患者腰痛和生活质量的影响。方法:将符合要求的90例非急性期腰椎间盘突出症患者随机分为2组,每组45例。推拿组接受腰部推拿治疗,每天1次,每次30 min,10 d为1个疗程,休息2 d后开始下一疗程,共治疗2个疗程。八段锦组在腰部推拿治疗的基础上,进行八段锦锻炼。腰部推拿治疗方法及疗程同推拿组,八段锦锻炼每周5次,每次练习时间不少于30 min,共练习12周。分别于治疗前及治疗开始后4周、8周、12周评定患者的腰部疼痛视觉模拟量表(visual analogue scale,VAS)评分和简明健康状况调查表(short form 36 health survey questionnaire,SF-36)评分。结果:①一般情况。至观察结束时,八段锦组1例试验期间失去联系、1例不能按要求进行练习,均予以剔除; 推拿组1例因自觉疗效欠佳退出试验、1例因打篮球出现急性腰扭伤退出试验。②腰部疼痛VAS评分。时间因素与分组因素存在交互效应(F=9.044,P=0.000)。2组疼痛VAS评分总体比较,差异有统计学意义,即存在分组效应(F=24.915,P=0.000)。治疗前后不同时点之间疼痛VAS评分的差异有统计学意义,即存在时间效应(F=493.262,P=0.000)。2组疼痛VAS评分随时间变化均呈降低趋势,但2组的变化趋势不完全一致[(4.47±0.94)分,(2.60±0.49)分,(1.51±0.51)分,(0.87±0.34)分,F=250.382,P=0.000;(4.87±1.10)分,(2.82±0.75)分,(2.11±0.53)分,(1.60±0.49)分,F=198.245,P=0.000]; 治疗前和治疗开始后4周,2组的疼痛VAS评分比较,组间差异均无统计学意义(t=-1.852,P=0.067; t=-1.662,P=0.100); 治疗开始后8周、12周,八段锦组的疼痛VAS评分均低于推拿组(t=-5.485,P=0.000; t=-8.158,P=0.000)。③SF-36评分。时间因素与分组因素存在交互效应(F=47.838,P=0.000)。2组SF-36评分总体比较,差异有统计学意义,即存在分组效应(F=90.504,P=0.000)。干预后不同时点之间SF-36评分的差异有统计学意义,即存在时间效应(F=733.500,P=0.000)。2组SF-36评分随时间变化均呈升高趋势,但2组的变化趋势不完全一致[(52.22±2.84)分,(57.11±3.14)分,(68.22±3.12)分,(73.62±2.35)分,F=256.766,P=0.000;(51.33±1.61)分,(55.96±2.53)分,(63.18±3.09)分,(64.67±3.33)分,F=335.768,P=0.000]; 治疗前和治疗开始后4周,2组的SF-36评分比较,组间差异均无统计学意义(t=1.825,P=0.071; t=1.921,P=0.058); 治疗开始后8周、12周,八段锦组的SF-36评分均高于推拿组(t=7.697,P=0.000; t=14.763,P=0.000)。结论:在腰部推拿的基础上坚持进行八段锦练习,能有效减轻非急性期腰椎间盘突出症患者的腰部疼痛症状、改善患者的生活质量,其疗效优于单纯腰部推拿治疗。
Abstract:
Objective:To observe the effects of BADUANJIN(八段锦,BDJ)exercises combined with TUINA on low back pain and life quality of patients with non-acute-phase lumbar disc herniation(LDH).Methods:Ninety patients with non-acute-phase LDH enrolled in the study were randomly divided into BDJ group and TUINA group,45 cases in each group.All patients in both of the 2 groups were treated with TUINA at the low back,once a day,30 minutes at a time for two courses of treatment,10 days for each course with a 2-day rest-insertion between courses.Moreover,the patients in BDJ group were treated with BDJ exercises,five times a week,at least 30 minutes at a time for consecutive 12 weeks.The low back pain visual analogue scale(VAS)scores and the short form 36 health survey questionnaire(SF-36)scores were recorded and evaluated before treatment and at 4,8 and 12 weeks after the beginning of the treatment respectively.Results:One patient lost to follow-up and one patient failed to do the exercises in BDJ group and they were excluded.Two patients in TUINA group dropped out of the trial for poor clinical effect and acute lumbar sprain due to playing basketball respectively.There was interaction between time factor and group factor in low back pain VAS scores(F=9.044,P=0.000).There was statistical difference in the low back pain VAS scores between the 2 groups in general,in other words,there was group effect(F=24.915,P=0.000).There was statistical difference in low back pain VAS scores between different timepoints before and after the treatment,in other words,there was time effect(F=493.262,P=0.000).The low back pain VAS scores presented a time-dependent decreasing trend in both of the 2 groups,while the 2 groups were inconsistent with each other in the decreasing trend of low back pain VAS scores(4.47+/-0.94,2.60+/-0.49,1.51+/-0.51,0.87+/-0.34 points,F=250.382,P=0.000; 4.87+/-1.10,2.82+/-0.75,2.11+/-0.53,1.60+/-0.49 points,F=198.245,P=0.000).There was no statistical difference in low back pain VAS scores between the 2 groups before the treatment and at 4 weeks after the beginning of the treatment(t=-1.852,P=0.067; t=-1.662,P=0.100).The low bcak pain VAS scores were lower in BDJ group compared to TUINA group at 8 and 12 weeks after the beginning of the treatment(t=-5.485,P=0.000; t=-8.158,P=0.000).There was interaction between time factor and group factor in SF-36 scores(F=47.838,P=0.000).There was statistical difference in SF-36 scores between the 2 groups in general,in other words,there was group effect(F=90.504,P=0.000).There was statistical difference in SF-36 scores between different timepoints after intervention,in other words,there was time effect(F=733.500,P=0.000).The SF-36 scores presented a time-dependent increasing trend in both of the 2 groups,while the 2 groups were inconsistent with each other in the increasing trend of SF-36 scores(52.22+/-2.84,57.11+/-3.14,68.22+/-3.12,73.62+/-2.35 points,F=256.766,P=0.000; 51.33+/-1.61,55.96+/-2.53,63.18+/-3.09,64.67+/-3.33 points,F=335.768,P=0.000).There was no statistical difference in SF-36 scores between the 2 groups before the treatment and at 4 weeks after the beginning of the treatment(t=1.825,P=0.071; t=1.921,P=0.058).The SF-36 scores were higher in BDJ group compared to TUINA group at 8 and 12 weeks after the beginning of the treatment(t=7.697,P=0.000; t=14.763,P=0.000).Conclusion:BDJ exercises combined with TUINA at the low back can effectively relieve the low back pain and improve the life quality of patients with non-acute-phase LDH,and it surpasses the monotherapy of TUINA at the low back in the clinical curative effect.

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备注/Memo

备注/Memo:
通讯作者:徐星星 E-mail:xxxytzy1981@163.com (收稿日期:2018-08-01 本文编辑:李晓乐)
更新日期/Last Update: 2019-05-30