走罐对非特异性下腰痛疗效的观察

关键词：非特异性下腰痛 走罐 VAS量表 SF-36量表

Keywords:nonspecific low back pain  moving cupping therapy  visual analog scale  SF-36

摘要：

      目的:评价走罐治疗非特异性下腰痛(NLBP)的疗效。方法:将符合诊断标准的70例NLBP门诊患者随机分成走罐、药物治疗两组。走罐组37例,采用隔日1次走罐治疗,6次为1疗程;药物组33例,采用右旋布洛芬0.15g口服,每日3次,若腰痛连续2日消失即停药,最长疗程为12d。使用VAS疼痛视觉模拟量尺和SF-36健康状况调查问卷评估疗效。结果:治疗前(后)VAS指数及SF-36得分,走罐组分别为6.11±2.08(1.29±1.62)及33.79±8.75(63.12±12.89);药物组分别为5.86±1.99(3.57±2.96)及34.51±9.43(53.81±13.33)。治疗前、后VAS指数差值及SF-36得分差值,走罐组分别为4.83±2.58、29.33±13.24;药物组分别为2.29±1.92、19.30±12.14。治疗前、后比较,两组VAS指数及SF-36得分差别均有统计学意义(P<0.01);两组间VAS指数及SF-36得分治疗前、后的差值差别有显著性意义(P<0.01)。结论:走罐疗法和右旋布洛芬均能明显改善NLBP,但走罐的疗效优于右旋布洛芬。

Abstract:

      Objective:To assess the treatment effect of moving cupping therapy on nonspecific low back pain(NLBP). Method:Randomly divided 70 outpatients of NLBP into two groups among which one group as study group of 37 cases was treated with moving cupping therapy and another 33 cases control group was given dexibuprofen (one kind of nonsteroidal anti-inflammatory drugs,NSAIDs). For study group, a period of moving cupping therapy included 6-times moving cupping therapy in all(one time with two days) interval; For control group, dexibuprofen was prescribed 0.15g per oral and 3 times per day, and 12 days were as a course of treatment. Before and after a course of treatment using visual analog scale(VAS) and 36-Item Short Form(SF-36) assessed the degree of low back pain,the capability of daily activity,and the total state of heath.Result:On the whole,in two groups the changes of VAS index and SF-36 scores were both significantly improved(P<0.01),which indicated both moving cupping therapy and dexibuprofen alleviated nonspecific low back pain, and improve their total state of heath. However,in comparison with control group, the changes of VAS in study group index and SF-36 scores were more significant(P<0.01),it demonstrated that the effect of moving cupping therapy on NLBP was better than that of dexibuprofen.Furthermore, the effective rate of study group was 91.9% that was much higher than 75.8% of control group,which also revealed that moving cupping therapy was more effective than dexibuprofen.Conclusion:Being a sort of economical and effective method,moving cupping therapy can alleviate or even cure NLBP,therefore it might be recommended to treat and prevent NLBP.