摘要
目的:采用超声波杨氏模量比较雷火灸联合振动训练与单纯振动训练治疗原发性骨质疏松症腰背痛的临床疗效,寻求客观的评估方法。方法:将60例患者随机分为观察组和对照组,每组30例。两组均采用全身律动治疗床行振动训练,观察组联合雷火灸,穴取腰阳关、命门、肝俞、肾俞、大肠俞。均隔日1次,每周3次,治疗4周。分别于治疗前、治疗4周及治疗后1个月随访时采用视觉模拟评分(VAS)、实时剪切波弹性成像(RTSWE)和生活质量评价量表(SF-36)进行疼痛强度、多裂肌紧张度(杨氏模量值)和生活质量的评估。结果:①两组患者治疗4周及随访与治疗前比较,VAS评分、多裂肌杨氏模量值以及SF-36中生理功能、身体疼痛、总体健康、社会功能、精神健康5个维度评分均显著改善(均P<0.05),观察组SF-36中的生理职能维度评分显著改善(P<0.05);②治疗4周及随访时,观察组VAS评分、多裂肌杨氏模量值以及SF-36中的生理职能、身体疼痛和总体健康3个维度评分均优于对照组(均P<0.05)。结论:雷火灸联合振动训练在缓解原发性骨质疏松症腰背痛强度、减轻多裂肌紧张度及提高生活质量方面疗效优于单纯振动训练,RTSWE技术可作为疼痛评价的客观检查方法。
Objective To compare the therapeutic effect of thunder-fire moxibustion combined with vibration training and simple vibration training on low back pain of primary osteoporosis by Young′s modulus of ultrasonic wave, and seek an objective evaluating method. Methods A total of 60 patients were randomized into an observation group and a control group, 30 cases in each one. The patients in the two groups were treated with vibration training using whole body vibration treatment bed. In the observation group, thunder-fire moxibustion was applied at Yaoyangguan(GV 3), Mingmen(GV 4), Ganshu(BL 18), Shenshu(BL 23) and Dachangshu(BL 25). The treatment was given once every other day, 3 times a week for 4 weeks. The visual analogue score(VAS), real-time shear wave elastography(RTSWE) and medical outcomes study 36-item short-form hearth survey(SF-36) were used to evaluate pain intensity, multifidus muscle tone(Young′s modulus) and quality of life before treatment, after 4-week treatment and 1 month after treatment. Results Compared before treatment, the VAS scores, Young′s modulus of multifidus muscle and 5 dimensions of SF-36(physical condition, body pain, general health, social function and mental health) after 4-week treatment and 1 month after treatment were significantly improved in the two groups(all P<0.05), the physiological role in the observation group after 4-week treatment and 1 month after treatment were improved(both P<0.05). In the observation group, the VAS scores, Young′s modulus of multifidus muscle and 3 dimensions of SF-36(physiological role, body pain and general health) after 4-week treatment and 1 month after treatment were superior to the control group(all P<0.05). Conclusion The therapeutic effect of thunder-fire moxibustion combined with vibration training is superior to simple vibration training in relieving low back pain intensity and multifidus muscle tone, and improving quality of life for primary osteoporosis. RTSWE technique can be an objective examination method to evaluate pain.
作者
朱璐
徐道明
吴文忠
许华宁
刘静
刘兰英
樊巧玲
郭海英
石雯
李邗峻
曹雅娜
ZHU Lul;XU Dao-ming;WU Wen-zhong;XU Hua-ning;LIU Jing;LIU Lan-ying;FAN Qiao-ling;GUO Hai-yingx;SHI Wen;LI Han-jun;CAO Ya-na(Affiliated Hospitalof Nanjing University of CM,Nanjing 210029,Jiang su Province,China;Qinhuai TCM Hospital of Nanjing)
出处
《中国针灸》
CAS
CSCD
北大核心
2020年第1期17-20,共4页
Chinese Acupuncture & Moxibustion
基金
国家自然科学基金项目：81573874、81873229
江苏省卫生计生委干部保健局项目：BJ16019
南京市科学技术委员会项目：201611008
省级中医康复示范（江苏）中心建设项目：K2017ykf18
关键词
原发性骨质疏松症
腰背痛
雷火灸
振动训练
杨氏模量值
primary osteoporosis
low back pain
thunder-fire moxibustion
vibration training
Young′s modulus
