筋膜刀技术结合体外冲击波与综合康复训练对产后腰背痛的疗效研究

武广艳; 王璐; 于歌; 陈雪丽

doi:10.16766/j.cnki.issn.1674-4152.003974

筋膜刀技术结合体外冲击波与综合康复训练对产后腰背痛的疗效研究

doi: 10.16766/j.cnki.issn.1674-4152.003974

武广艳¹,
王璐²,
于歌²,
陈雪丽^1, ,

1.
首都医科大学附属北京世纪坛医院康复科，北京 100038
2.
首都医科大学附属北京同仁医院康复科，北京 100176

基金项目:

国家重点研发计划项目 2022YFC2009706

首都发展基金项目 2022-2-2191

详细信息

通讯作者:
陈雪丽，E-mail：33423922@qq.com

中图分类号: R681.55 R493
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出版历程
- 收稿日期: 2024-10-11
- 网络出版日期: 2025-06-30

The curative efficacy of fascial knife technique combined with extracorporeal shock wave and comprehensive rehabilitation training for postpartum low back pain

WU Guangyan¹,
WANG Lu²,
YU Ge²,
CHEN Xueli^{1
, ,}

1.
Department of Rehabilitation Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China

摘要

摘要: 目的探讨筋膜刀技术结合体外冲击波与综合康复训练对产后腰背痛的治疗效果，旨在为产后腰背痛的临床治疗提供参考。方法选取2022年3月—2024年3月首都医科大学附属北京同仁医院门诊收治的90例产后腰背痛患者，按随机数字表法分组，其中对照组(45例)行综合康复训练治疗，实验组(45例)在此基础上行筋膜刀技术结合体外冲击波治疗。治疗8周后，比较2组疗效; 分别于治疗前及治疗8周后比较2组疼痛[视觉模拟评分法(VAS)评分]、腰背功能[Oswestry腰痛功能障碍指数(ODI)]、腰椎活动度及生活质量。结果实验组治疗总有效率为91.11%(41/45)，高于对照组的73.33%(33/45，χ²=4.865，P＜0.05)。治疗后实验组VAS评分为(1.24±0.27)分，ODI评分为(9.18±2.14)分，低于对照组的(2.41±0.50)分、(13.35±3.16)分(F=1 093.908、580.535，P＜0.05)。治疗后实验组腰椎左旋、右旋、前屈、后伸活动度高于对照组(P＜0.05)。治疗后实验组生活质量各维度评分高于对照组(P＜0.05)。结论筋膜刀技术结合体外冲击波与综合康复训练对产后腰背痛患者的治疗效果确切，可明显减轻患者疼痛，改善其腰背功能，提升生活质量。
- 产后腰背痛 /
- 体外冲击波 /
- 筋膜刀技术 /
- 呼吸训练 /
- 核心肌群训练
Abstract: Objective To explore the curative effect of fascial knife technique combined with extracorporeal shock wave and comprehensive rehabilitation training on postpartum low back pain, aiming to provide a reference for its clinical treatment. Methods A total of 90 postpartum patients with low back pain admitted to the outpatient department of Beijing Tongren Hospital, Capital Medical University from March 2022 to March 2024 were chosen and separated into the control group (n=45, comprehensive rehabilitation training) and the study group (n=45, fascia knife technique + extracorporeal shock wave + comprehensive rehabilitation training) according to random number table method. After 8 weeks of treatment, the efficacy was compared; Pain [visual analogue scale (VAS) score], lumbar function [Oswestry disability index (ODI)], lumbar motion, and quality of life were compared between the two groups before and 8 weeks after treatment. Results The study group had a higher total effective rate [91.11% (41/45) vs. 73.33% (33/45), χ²=4.865, P < 0.05]. VAS scores and ODI scores in the study group were lower than the other group after treatment [(1.24±0.27) points and (9.18±2.14) points vs. (2.41±0.50) points and (13.35±3.16) points, F=1 093.908, 580.535, P < 0.05]. After treatment, the motion of left, right, forward, and posterior lumbar flexion in the study group was higher than that in the control group (P < 0.05), and the score of quality of life was also higher (P < 0.05). Conclusion The fascia knife technique combined with extracorporeal shock wave and comprehensive rehabilitation training has a definite curative effect in the treatment of postpartum low back pain, which can significantly reduce their pain, improve their low back function, and enhance their quality of life.
- Postpartum low back pain /
- Extracorporeal shock wave /
- Fascial knife technique /
- Breathing training /
- Core training

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表 1 2组产后腰背痛患者疗效比较[例(%)]

Table 1. Comparison of treatment efficacy between two groups of postpartum patients with low back pain[case (%)]

组别	例数	显效	有效	无效	总有效
实验组	45	26(57.78)	15(33.33)	4(8.89)	41(91.11)
对照组	45	16(35.56)	17(37.78)	12(26.67)	33(73.33)
注：2组总有效率比较，χ²=4.865，P=0.027。

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表 2 2组产后腰背痛患者VAS评分、ODI评分比较(x±s，分)

Table 2. Comparison of VAS and ODI scores between two groups of postpartum patients with low back pain (x±s, points)

组别	例数	VAS评分		t值	P值	ODI评分		t值	P值
组别	例数	治疗前	治疗后	t值	P值	治疗前	治疗后	t值	P值
实验组	45	4.96±1.15	1.24±0.27	33.852	＜0.001	20.75±4.83	9.18±2.14	18.868	＜0.001
对照组	45	5.08±1.20	2.41±0.50	17.889	＜0.001	20.47±5.01	13.35±3.16	12.563	＜0.001
统计量		0.479^a	1 093.908^b			0.267^a	580.535^b
P值		0.630	＜0.001			0.789	＜0.001
注：^a为t值，^b为F值。

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表 3 2组产后腰背痛患者腰椎活动度比较(x±s，°)

Table 3. Comparison of lumbar motion between two groups of postpartum patients with low back pain (x±s, °)

组别	例数	左旋		t值	P值	右旋		t值	P值
组别	例数	治疗前	治疗后	t值	P值	治疗前	治疗后	t值	P值
实验组	45	26.92±3.15	37.69±6.58	7.204	＜0.001	28.06±3.35	36.82±5.47	7.839	＜0.001
对照组	45	27.43±3.09	32.96±5.11	8.578	＜0.001	27.74±3.21	32.45±4.71	8.856	＜0.001
统计量		0.766^a	301.672^b			0.458^a	321.631^b
P值		0.441	＜0.001			0.646	＜0.001

组别	例数	前屈		t值	P值	后伸		t值	P值
组别	例数	治疗前	治疗后	t值	P值	治疗前	治疗后	t值	P值
实验组	45	53.37±7.01	68.85±9.29	7.960	＜0.001	26.68±3.13	36.59±5.82	7.450	＜0.001
对照组	45	52.81±7.14	63.29±8.01	8.594	＜0.001	27.14±3.25	32.44±4.19	8.750	＜0.001
统计量		0.371^a	240.847^b			0.676^a	307.454^b
P值		0.709	＜0.001			0.497	＜0.001
注：^a为t值，^b为F值。

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表 4 2组产后腰背痛患者生活质量比较(x±s，分)

Table 4. Comparison of quality of life between two groups of postpartum patients with low back pain (x±s, points)

组别	例数	社会功能		t值	P值	心理功能		t值	P值
组别	例数	治疗前	治疗后	t值	P值	治疗前	治疗后	t值	P值
实验组	45	58.25±6.39	70.38±8.71	8.797	＜0.001	52.85±6.63	68.91±8.62	7.998	＜0.001
对照组	45	57.73±6.12	65.31±8.01	9.444	＜0.001	52.36±6.79	61.35±7.19	8.920	＜0.001
统计量		0.390^a	227.620^b			0.342^a	357.825^b
P值		0.695	＜0.001			0.731	＜0.001

组别	例数	躯体功能		t值	P值	物质生活状态		t值	P值
组别	例数	治疗前	治疗后	t值	P值	治疗前	治疗后	t值	P值
实验组	45	51.88±6.30	71.49±8.96	7.601	＜0.001	40.36±5.08	60.22±7.39	7.001	＜0.001
对照组	45	52.27±6.03	64.05±7.31	8.694	＜0.001	39.82±5.27	54.17±6.01	7.703	＜0.001
统计量		0.297^a	341.827^b			0.489^a	337.471^b
P值		0.766	＜0.001			0.623	＜0.001
注：^a为t值，^b为F值。

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