摘要
目的将腰背痛传统康复治疗方案与传统治疗中加入腰背部核心肌肉群力量练习这两种方案对比,观察腰背痛(LBP)的治疗效果。方法 46例腰背痛患者。方案一采用传统康复治疗方法综合辩证使用;方案二在方案一的基础上增加腰背部核心区肌肉力量锻炼。结果方案一25例患者,经临床治疗2个疗程,显效21例,占84%;有效3例,占12%;无效1例,占4%;对于显效、有效患者治疗后半年内复发率为66.7%。方案二21例患者,显效19例,占90.5%;有效2例,占9.5%;治疗后半年内复发率为14.3%。方案一与方案二组在治疗过程中疼痛明显缓解时间及治疗后半年内复发率存在显著差异(P<0.05),临床治疗效果差异无统计学意义(P>0.05)。结论传统的治疗方法对于腰背痛患者有着很好治疗效果,如在传统康复疗法的后续巩固期再加上腰背部的核心区力量练习会收到更好治疗效果。
Objective To investigate the therapeutic effects of two schemes （traditional rehabilitation treatment and rehabilitation in the traditional process of adding the lower back core muscles strength training） in the treatment of low back pain. Methods The clinical data of 46 cases of low back pain patients were collected and analyzed. Scheme I （25 cases, the traditional rehabilitation treatment） ： the patients were treated by using comprehensive dialectical method; Scheme II （21 cases）, the patients were treated by using the traditional rehabilitation method plus an increase in the core area of the lower back strength exercises. Results After 2 courses, in Scheme I, the obviously effective rate was 80.8% （21/25） ; the effective rate was 11.5% （3/25） ; the inefficiency rate was 7.7% （1/25） ; the relapse rate within six months was 66.7%. In Scheme II, the obviously effective rate was 90.5% （19/21） ; the effective rate was 9.5% （2/21） ; the relapse rate within six months was 14.3 %. There were significant differences between Scheme I and Scheme II groups in the pain relieving time and relapse rates （P 〈 0.05）. Conclusions The traditional therapy for low hack pain has a very good effect and the traditional rehabilitation method plus an increase in the core area of the lower back strength exercises has more effect.
出处
《中国校医》
2012年第2期130-132,共3页
Chinese Journal of School Doctor
关键词
腰痛/康复
临床方案
Low Back Pain/rehabilitation
Clinical Protocols
