摘要
目的:观察八段锦联合悬吊训练治疗慢性非特异性腰背痛(NSLBP)的临床疗效。方法:选取2023年5—10月在浙江中医药大学附属温州市中医院治疗的90例慢性NSLBP患者。采用随机数字表法分为悬吊组、八段锦组和联合组各30例,分别予以悬吊训练、八段锦、八段锦联合悬吊训练治疗。3组均治疗4周。比较3组临床疗效,视觉模拟评分法(VAS)、日本骨科协会腰痛评估量表(JOA)、Oswestry功能障碍指数问卷(ODI)评分,以及白细胞介素-6(IL-6)、基质金属蛋白酶-3(MMP-3)、白细胞介素-1β(IL-1β)、P物质(SP)水平。结果:治疗4周后,总有效率联合组93.33%(28/30),均高于悬吊组66.67%(20/30)和八段锦组70.00%(21/30)(P<0.05)。3组VAS、ODI评分均较治疗前降低(P<0.05),联合组VAS、ODI评分均低于悬吊组、八段锦组(P<0.05)。3组JOA评分均较治疗前升高(P<0.05),联合组JOA评分均高于悬吊组、八段锦组(P<0.05)。3组IL-6、MMP-3、IL-1β、SP水平均较治疗前降低(P<0.05),联合组IL-6、MMP-3、IL-1β、SP水平均低于悬吊组、八段锦组(P<0.05)。悬吊组与八段锦组总有效率,VAS、ODI、JOA评分,以及IL-6、MMP-3、IL-1β、SP水平比较,差异均无统计学意义(P>0.05)。结论:八段锦联合悬吊训练治疗慢性NSLBP的疗效优于单独使用八段锦或悬吊训练治疗,可有效缓解疼痛、改善腰部功能,作用机制可能与减轻炎症反应有关。
Objective:To observe the clinical effects of Ba Duan Jin combined with suspension exercise training in the treatment of chronic non-specific low back pain(NSLBP).Methods:A total of 90 patients with chronic NSLBP treated at Wenzhou Traditional Chinese Medicine Hospital of Zhejiang Chinese Medical University from May 2023 to October 2023 were selected.The patients were divided into the suspension group,the Ba Duan Jin group,and the combination group according to the random number table method,with 30 cases in each group.The suspension group received suspension exercise training,the Ba Duan Jin group practiced Ba Duan Jin,and the combination group underwent both treatments.All three groups were treated for four weeks.Clinical effects,scores of Visual Analogue Scale(VAS),Japanese Orthopaedic Association-Low Back Pain Assessment(JOA),and Oswestry Disability Index(ODI),as well as levels of interleukin-6(IL-6),matrix metalloproteinase-3(MMP-3),interleukin-1β(IL-1β),and substance P(SP)were compared among the three groups.Results:After four weeks of treatment,the total effective rate in the combination group was 93.33%(28/30),which was higher than the 66.67%(20/30)in the suspension group and the 70.00%(21/30)in the Ba Duan Jin group(P<0.05).The VAS and ODI scores in the three groups were decreased when compared with those before treatment(P<0.05),and the VAS and ODI scores in the combination group were lower than those in the suspension group and the Ba Duan Jin group(P<0.05).The JOA scores in all three groups were increased when compared with those before treatment(P<0.05),and the JOA scores in the combination group were higher than those of the suspension group and the Ba Duan Jin group(P<0.05).The levels of IL-6,MMP-3,IL-1β,and SP in all three groups were decreased when compared with those before treatment(P<0.05),and the levels of IL-6,MMP-3,IL-1β,and SP in the combination group were lower than those in the suspension group and the Ba Duan Jin group(P<0.05).There was no significant difference in the total effective rates,the scores of VAS,ODI,and JOA,as well as the levels of IL-6,MMP-3,IL-1β,and SP between the suspension group and the Ba Duan Jin group(P>0.05).Conclusion:The combination of Ba Duan Jin and suspension exercise training is more effective in treating chronic NSLBP than using Ba Duan Jin or with suspension exercise alone.It can effectively relieve pain and improve lumbar function,and the mechanism of action may be related to reducing inflammatory reactions.
作者
陈双钱
章国伟
林定艺
金永喜
CHEN Shuangqian;ZHANG Guowei;LIN Dingyi;JIN Yongxi(Wenzhou TCM Hospital of Zhejiang Chinese Medical University,Wenzhou Zhejiang 325000,China)
出处
《新中医》
2025年第2期75-80,共6页
New Chinese Medicine
基金
温州市科学技术局项目(Y20210686)。
关键词
慢性非特异性腰背痛
八段锦
悬吊训练
疼痛
腰部功能
炎症反应
Chronic non-specific lower back pain
Ba Duan Jin
Suspension exercise training
Pain
Lumbar function
Inflammatory reactions
作者简介
陈双钱(1986-),男,主管治疗师,E-mail:shuangqian1367585@163.com;通信作者:章国伟(1977-),男,副主任技师,E-mail:gray163@163.com。
