[1]吴婷婷,杨京辉,汪亚群,等.针刺联合太极拳训练治疗慢性非特异性腰痛的临床研究[J].中医正骨,2017,29(06):32-34,38.
　WU Tingting,YANG Jinghui,WANG Yaqun,et al.Clinical study on acupuncture therapy combined with Taijiquan(太极拳)exercise for treatment of chronic nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(06):32-34,38.
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针刺联合太极拳训练治疗慢性非特异性腰痛的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年06期
页码:
32-34,38
栏目:
临床研究
出版日期:
2017-06-20

文章信息/Info

Title:
Clinical study on acupuncture therapy combined with Taijiquan(太极拳)exercise for treatment of chronic nonspecific low back pain
作者:
吴婷婷; 杨京辉; 汪亚群; 孙迪; 黄楚楚
浙江省立同德医院,浙江 杭州 310012
Author(s):
WU Tingting; YANG Jinghui; WANG Yaqun; SUN Di; HUANG Chuchu
Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang,China
关键词:
腰痛;  针刺疗法;  太极拳;  运动疗法;  临床试验
Keywords:
Key words low back pain;  acupuncture therapy;  taijiquan;  exercise therapy;  clinical trial
摘要:
目的:探讨针刺结合太极拳训练治疗慢性非特异性腰痛(nonspecific low back pain,NLBP)的临床疗效。方法:按照是否愿意进行太极拳训练将符合要求的41例患者分为联合治疗组(25例)和针刺治疗组(16例)。联合治疗组采用针刺联合太极拳训练治疗,针刺治疗组采用针刺治疗。针刺治疗和太极拳训练均每天1次,5次为1个疗程,间隔3 d后进入下一疗程,共治疗4个疗程。由1名不知道具体分组情况的研究人员分别于治疗前和治疗结束后采用疼痛视觉模拟量表(visual analogue scale,VAS)和Oswestry功能障碍指数(Oswestry disability index,ODI)问卷表评定患者的腰部疼痛情况和临床综合疗效,同时观察治疗结束后3个月内的复发情况。结果:治疗前2组患者的腰部疼痛VAS评分比较,差异无统计学意义[(5.95±1.04)分,(5.73±0.71)分,Z=-0.669,P=0.517]。治疗结束后2组患者的腰部疼痛VAS评分均降低(Z=-4.374,P=0.000; Z=-3.517,P=0.000),联合治疗组的评分低于针刺治疗组[(1.95±0.77)分,(2.46±0.70)分,Z=2.078,P=0.037]。治疗前2组患者的ODI评分比较,差异无统计学意义[(28.28±5.37)分,(29.12±5.99)分,Z=0.362,P=0.721]。治疗结束后2组患者的ODI评分均降低(Z=-4.378,P=0.000; Z=-3.522,P=0.000),联合治疗组的评分低于针刺治疗组[(10.84±3.88)分,(13.31±2.15)分,Z=2.442,P=0.014]。治疗结束后3个月内,联合治疗组1例失访、3例复发,针刺治疗组6例复发。2组患者治疗结束后3个月内的复发率比较,差异无统计学意义(χ2=2.157,P=0.142)。结论:针刺联合太极拳训练能有效改善慢性NLBP患者的腰部疼痛,短期疗效优于针刺治疗; 而复发率与针刺治疗相当,均较低。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of acupuncture therapy combined with Taijiquan(太极拳,TJQ)exercise for treatment of chronic nonspecific low back pain(CNLBP).Methods:Forty-one patients with CNLBP were enrolled in the study and were divided into combination therapy group(25 cases)and acupuncture therapy group(16 cases)according to whether they would like to receive TJQ exercise.The patients in combination therapy group were treated with acupuncture therapy combined with TJQ exercise,while the patients in acupuncture therapy group were treated with acupuncture therapy only,once a day for consecutive 4 course of treatment,5 times for each course with a 3-day rest-insertion between courses.The low back pain were evaluated using visual analogue scale(VAS)and the clinical comprehensive curative effects were evaluated using Oswestry disability index(ODI)questionnaires before and after the treatment respectively by a researcher who didn't know the grouping result.The recurrence rate of CNLBP was also observed within 3 months after the end of the treatment.Results:There was no statistical difference in low back pain VAS scores between the 2 groups before treatment(5.95+/-1.04 vs 5.73+/-0.71 points,Z=-0.669,P=0.517).The low back pain VAS scores decreased in both of the 2 groups after the end of the treatment(Z=-4.374,P=0.000; Z=-3.517,P=0.000).The low back pain VAS scores were lower in combination therapy group compared to acupuncture therapy group(1.95+/-0.77 vs 2.46+/-0.70 points,Z=2.078,P=0.037).There was no statistical difference in ODI scores between the 2 groups before treatment(28.28+/-5.37 vs 29.12+/-5.99 points,Z=0.362,P=0.721).The ODI scores decreased in both of the 2 groups after the end of the treatment(Z=-4.378,P=0.000; Z=-3.522,P=0.000).The ODI scores were lower in combination therapy group compared to acupuncture therapy group(10.84+/-3.88 vs 13.31+/-2.15 points,Z=2.442,P=0.014).One patient in combination therapy group lost to follow-up,and recrudescent CNLBP were found in combination therapy group(3)and acupuncture therapy group(6)within 3 months after the end of the treatment.There was no statisticaldifference in the recurrence rate of CNLBP between the 2 groups within 3 months after the end of the treatment(χ2=2.157,P=0.142).Conclusion:The combination therapy of acupuncture and TJQ exercise can effectively improve the low back pain in patients with CNLBP,and its short-term curative effect is better than that of acupuncture therapy.Moreover,the former is similar to the latter in low recurrence rate.

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备注/Memo

备注/Memo:
通讯作者:杨京辉 E-mail:jingh_yang@aliyun.com
更新日期/Last Update: 2017-06-20