针灸配合康复训练治疗下背痛对患者疼痛程度及康复优良率的影响

文章信息/Info

• Title:针灸配合康复训练治疗下背痛对患者疼痛程度及康复优良率的影响

• 卷期:2024年22卷15期

• 作者:张珍珍 胡微

• 南昌市洪都中医院康复科，江西南昌， 330000

• Author(s):Zhangzhenzhen huwei

• Department of Rehabilitation, Nanchang Hongdu Hospital of Traditional Chinese Medicine 330000

• 关键词下背痛；针灸；康复训练；简化McGill疼痛量表；康复优良率

• Keywords:lower back pain; Acupuncture; Rehabilitation training; Simplified McGill Pain Scale; Excellent rate of rehabilitation

• 摘要:目的 探析针灸联合康复训练对下背痛（LBP）的疗效及对患者疼程度、康复优良率的影响。方法 选择2020年5月-2022年5月在本院康复科接受治疗的66例LBP患者作为研究对象，根据随机数字表分组原则将其分别纳入对照组与观察组，两组各抽选33例研究对象。对照组仅开展康复训练，观察组在对照组基础上联合针灸治疗。采用简化McGill疼痛量表来评估患者治疗前后腰背部疼痛程度，并依据其腰部日本骨科协会评估治疗分数（JOA）改善率来计算其康复优良率。结果 治疗后，两组McGill疼痛量表中疼痛分级指数（PRI）、视觉模拟类比定级（VAS）、现阶段疼痛程度（PPI）评分均低于治疗前，观察组PRI、VAS以及PPI评分均低于对照组同一阶段监测所得数据（P＜0.05）。持续治疗10d评估康复优良率发现，观察组为93.94%，高于对照组的72.73%，（P＜0.05）。结论 在LBP治疗中应用针灸联合康复训练，可减轻腰背局部疼痛症状，促进背部功能改善且减轻相关症状对个体活动、生活的影响。                                                                                                                                                                                

• AbstractTo explore the curative effect of acupuncture and moxibustion combined with rehabilitation training on lower back pain (LBP) and the influence on the pain degree and recovery rate of patients. Methods A total of 66 LBP patients who received treatment in the rehabilitation department of our hospital from May 2020 to May 2022 were selected as research objects. According to the grouping principle of random number table, they were respectively included in the control group and the observation group, and 33 subjects were selected from each group. The control group only carried out rehabilitation training, and the observation group was combined with acupuncture treatment on the basis of the control group. The reduced McGill Pain Scale was used to evaluate the degree of low back pain before and after treatment, and the rate of good recovery was calculated according to the rate of improvement of the Japanese Orthopaedic Association lower back Evaluation Treatment Score (JOA). Results After treatment, the pain grading index (PRI), visual analogue analogue scale (VAS) and current pain degree (PPI) scores of McGill pain scale in both groups were lower than before treatment, and the PRI, VAS and PPI scores of observation group were lower than those of control group at the same stage (P < 0.05). The excellent and good recovery rate of the observation group was 93.94%, which was higher than that of the control group (72.73%, P < 0.05). Conclusion The application of acupuncture and moxibustion combined with rehabilitation training in the treatment of LBP can alleviate the symptoms of local lumbago pain, promote the improvement of back function and reduce the influence of related symptoms on individual activities and life.

  下背痛（Lower back pain，LBP）是一种以典型症状命名的骨科常见疾病，其中部分患者除背痛以外，痛症还会累及腰骶、臀部，常于搬重物时加剧，若LBP症状持续发展则会加剧腰椎生物力学失衡，导致躯干原本的形态发生改变[1]。常规康复训练能够针对LBP所致腰椎力学改变、肌肉疼痛等症状进行缓解，根据腰椎生物力学改变类型，采取屈曲、伸展等多种训练对病变进行干预。此疗法虽能够防止肌群功能退化，但治疗周期偏长，易受到训练强度、患者体能等多种因素影响。为了进一步加快LBP病情转归，临床倾向于结合其他疗法缓解腰背疼痛、改善腰椎功能。