针刺疗法联合运动处方治疗产后腰痛的随机对照研究

赵胜杰; 赵文娟; 罗桂华; 李秀芹; 侯珺

doi:10.16766/j.cnki.issn.1674-4152.002871

针刺疗法联合运动处方治疗产后腰痛的随机对照研究

doi: 10.16766/j.cnki.issn.1674-4152.002871

1.
陕西中医药大学附属医院健康管理中心，陕西咸阳 712000
2.
陕西中医药大学附属医院儿童诊疗中心
3.
陕西中医药大学人文管理学院，陕西咸阳 712000
4.
陕西省中医医院针灸二科，陕西西安 710003

基金项目:

陕西省教育厅重点科学研究计划项目 20JT015

陕西省教育厅重点科学研究计划项目 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

详细信息

通讯作者:
侯珺, E-mail: 274341300@qq.com

中图分类号: R244.1 R245.31 R714.69
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- 文章访问数: 375
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- PDF下载量: 11
- 被引次数: 0
出版历程
- 收稿日期: 2022-03-15
- 网络出版日期: 2023-04-20

Acupuncture combined with exercise prescription in the treatment of postpartum lumbago

1.
Health Management Center, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, Shaanxi 712000, China

摘要

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。
- 产后腰痛 /
- 针刺疗法 /
- 运动处方 /
- 推拿疗法 /
- 随机对照试验
Abstract: 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.
- Postpartum lumbago /
- Acupuncture /
- Exercise prescription /
- Massage /
- Randomised controlled trial

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表 1 2组产后腰痛患者一般情况比较

Table 1. Comparison of the general situation of postpartum lumbago patients between the two groups

组别	例数	年龄(x±s，岁)	病程[M(P₂₅, P₇₅)，月]
观察组	30	31.87±4.82	5.00(3.50，7.00)
治疗组	30	31.90±4.85	3.75(6.00，9.00)
统计量		-0.026^a	-0.909^b
P值		0.955	0.364
注：^a为t值，^b为Z值。

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表 2 2组产后腰痛患者治疗前后PRI评分比较(x±s，分)

Table 2. Comparison of PRI scores before and after treatment in two groups of postpartum lumbago patients (x±s, points)

组别	例数	治疗前	治疗后	t值	P值
观察组	30	17.67±1.56	7.17±1.39	32.737	＜0.001
治疗组	30	17.70±1.56	7.47±1.48	37.330	＜0.001
t值		-0.083	-0.809
P值		0.934	0.422

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表 3 2组产后腰痛患者治疗前后ODI评分比较(x±s，分)

Table 3. Comparison of ODI scores before and after treatment in two groups of postpartum lumbago patients (x±s, points)

组别	例数	治疗前	治疗后	t值	P值
观察组	30	37.17±2.44	15.73±2.75	37.689	＜0.001
治疗组	30	37.10±2.51	16.33±2.91	36.912	＜0.001
t值		-0.104	-0.821
P值		0.917	0.415

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