体外冲击波治疗联合呼吸训练对慢性原发性腰痛的效果

doi:10.20047/j.issn1673-7210.2023.07.23

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摘要目的观察体外冲击波治疗联合呼吸训练对慢性原发性腰痛（CPLBP）的效果。方法选取2020年3月至2021年3月江苏省南通市第一人民医院收治的90例CPLBP患者，采用随机数字表法将其分为体外冲击波组、呼吸训练组和联合组，每组30例。所有患者均接受常规康复训练，体外冲击波组在此基础上增加体外冲击波治疗，呼吸训练组在此基础上增加呼吸训练，联合组则增加体外冲击波治疗和呼吸训练。三组分别于治疗前和治疗4周后采用视觉模拟评分法（VAS）、Oswestry功能障碍指数（ODI）和日本骨科协会（JOA）下背痛评分对患者进行效果评估，同时随访观察三组治疗结束6个月后腰痛的复发率。结果治疗后，三组VAS评分低于治疗前，且联合组低于体外冲击波组、呼吸训练组，差异有统计学意义（P＜0.05）。三组ODI低于治疗前，且联合组低于体外冲击波组、呼吸训练组，差异有统计学意义（P＜0.05）。三组JOA评分高于治疗前，且联合组高于体外冲击波组、呼吸训练组，差异有统计学意义（P＜0.05）。联合组复发率低于冲击波组和呼吸训练组，差异有统计学意义（P＜0.05）。结论体外冲击波治疗联合呼吸训练可有效缓解CPLBP患者的疼痛，改善腰椎功能受限，降低腰痛复发率，提高患者生存质量。

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	朱冬燕钱俊王梁徐倩韩珍真周三连卢红建黄志东

关键词 ：体外冲击波, 呼吸训练, 慢性原发性腰痛, 治疗效果

Abstract：Objective To observe the effect of extracorporeal shock wave therapy combined with respiratory training on chronic primary low back pain (CPLBP). Methods Ninety patients with CPLBP admitted to the First People’s Hospital of Nantong, Jiangsu Province, from March 2020 to March 2021 were selected and divided into extracorporeal shock wave group, respiratory training group and combined group by using random number table method, with 30 cases in each group. All patients received conventional rehabilitation training, to which extracorporeal shock wave therapy was added in the extracorporeal shock wave group, respiratory training was added in the respiratory training group, while extracorporeal shock wave therapy and respiratory training were added in the combined group. Patients in the three groups were evaluated for outcome using the visual analogue score (VAS), Oswestry dysfunction index (ODI), and the Japanese Orthopaedic Association (JOA) lower back pain score before and after four weeks of treatment, respectively, while the recurrence rate of low back pain in the three groups were also observed at follow-up six months after the end of treatment. Results After treatment, the VAS scores of the three groups were lower than before treatment, while that of the combined group was lower than those of the extracorporeal shock wave group and the respiratory training group, and the differences were statistically significant (P＜0.05). The ODI of the three groups was lower than before treatment, while that of the combined group was lower than those of the extracorporeal shock wave group and the respiratory training group, and the differences were statistically significant (P＜0.05). The JOA scores of the three groups were higher than before treatment, while that of the combined group was higher than those of the extracorporeal shock wave group and the respiratory training group, and the differences were statistically significant (P＜0.05). The recurrence rate in the combined group was lower than that in the shock wave and respiratory training groups, and the differences were statistically significant (P＜0.05). Conclusion Extracorporeal shock wave therapy combined with respiratory training can effectively relieve pain, improve functional limitation of the lumbar spine, reduce the recurrence rate of low back pain, and improve the quality of survival of patients with CPLBP.

Key words： Extracorporeal shock wave Respiratory training Chronic primary low back pain Curative effect

基金资助:江苏省科学技术协会调研课题（JSKXKT 2022048）；
江苏省南通市科技计划项目（JCZ20137）。

通讯作者: 黄志东（1968.12-），男，硕士，主任医师；研究方向：康复医学与理疗学。

作者简介: 朱冬燕（1990.1-），女，硕士；研究方向：神经及骨关节疾病的康复。

引用本文:

朱冬燕钱俊王梁徐倩韩珍真周三连卢红建黄志东. 体外冲击波治疗联合呼吸训练对慢性原发性腰痛的效果[J]. 中国医药导报, 2023, 20(7): 105-109.
ZHU Dongyan QIAN Jun WANG Liang XU Qian HAN Zhenzhen ZHOU Sanlian LU Hongjian HUANG Zhidong. Effect of extracorporeal shock wave therapy combined with respiratory training on chronic primary low back pain. 中国医药导报, 2023, 20(7): 105-109.

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