五行健骨操对不同证型老年慢性腰背痛的干预效果.PDFVIP

国际中医中药杂志2015年10月第37卷第10期 Int J Trad Chin Med, October 2015, Vol.37, No.10 ·887 · ·论著 · 五行健骨操对不同证型老年 慢性腰背痛的干预效果 杨文宏 朱建凤 史晓 【摘要】 目的 评价五行健骨操对不同证型老年慢性腰背痛(chronic low back pain, CLBP)的干预效 果。方法 将符合纳入标准的 199 例患者按自愿、知情同意原则分为五行健骨操组(86 例)、对照组(85 例) 和健康宣教组(28 例)。五行健骨操组在健康宣教基础上配合五行健骨操，对照组在健康宣教基础上联合 温热式地周波治疗仪治疗，健康宣教组仅给予健康宣教。观察老年 CLBP 患者不同证型治疗前后的中医 量表评分变化。结果 治疗后 3 个月，五行健骨操组、对照组与健康宣教组的肾虚证、脾虚证型积分比 较，差异有统计学意义(H 值分别为 12.554、8.014，P 值分别为 0.002、0.018)；五行健骨操组肾虚证、 脾虚证积分较同组治疗前(Z 值分别为-5.975、-5.025)及治疗后 1 个月(Z 值分别为-5.976、-5.026)降低(P 值均＜0.01)。结论 五行健骨操可有效降低老年 CLBP 肾虚证、脾虚证积分，改善患者的临床症状。 【关键词】 五行健骨操；慢性腰背痛；证型 The intervention effect of Wuxing-Jiangu exercise for different syndrome types of elderly patients with chronic low back pain * * Yang Wenhong , Zhu Jianfeng, Shi Xiao. Third Community Health Service Center of Dachang Town, Baoshan District, Shanghai 200435, China Corresponding author: Yang Wenhong, Email: 1554768246@ 【Abstract 】 Objective To observe the intervention effect of Wuxing-Jiangu exercise for different syndrome types of elderly patients with chronic low back pain. Methods A total of 199 patients who met the criteria of chronic low back pain (CLBP) were divided into a Wuxing-Jiangu exercise group (86 cases), a control group (85 cases) and a health education group (28 cases). On the basis of health education, the Wuxing-Jiangu exercise group was given Wuxing-Jiangu exercise; the control group was treated with the warm type frequency therapeutic instrument; health education group was only given health education guide. The changes of the score of CLBP patients before and after treatment with different syndrome types were observed.