张力平衡针刺法联合核心肌群训练对慢性非特异性腰痛的临床疗效观察

Observation on the clinical efficacy of tension balance acupuncture combined with core muscle training on chronic non-specific low back pain

关键词:  慢性非特异性腰痛  张力平衡针刺  核心肌群训练  临床疗效

Key words:  nonspecific low back pain  tension balance acupuncture  core muscle training  clinical effect

摘要:

[目的] 探讨张力平衡针刺法联合核心肌群训练治疗慢性非特异性腰痛（CNLBP）的临床疗效。[方法] 选取2020年12月—2023年12月广州中医药大学东莞医院收治的102例CNLBP患者，按照随机数字表法将患者分为观察组（51例）和对照组（51例）。对照组接受核心肌群训练4周，每周训练5次，观察组接受张力平衡针刺法联合核心肌群训练4周，每周治疗5次。治疗前后评价患者腰腹肌表面肌电、腰部红外热像图、疼痛程度、腰椎功能、炎症因子和生活质量。[结果] 治疗后两组红外热成像温度，健康状况调查简表（SF-36）评分较治疗前升高（P＜0.05），神经肌肉反应时、肌电振幅达峰值时间、视觉模拟评分法（VAS）、Oswestry残疾指数（ODI），血清白细胞介素-6（IL-6），肿瘤坏死因子-α（TNF-α）水平较治疗前下降（P＜0.05），观察组治疗后红外热成像温度，SF-36评分高于对照组（P＜0.05），神经肌肉反应时、肌电振幅达峰值时间、VAS评分、ODI指数低于对照组（P＜0.05）。[结论] 张力平衡针刺法联合核心肌群训练更有助于抑制炎症因子释放，缓解CNLBP患者疼痛程度，增强腰椎功能，提高生活质量。

Abstract:

[Objective] To investigate the clinical effect of tension balance acupuncture combined with core muscle training on chronic non-specific low back pain（CNLBP）. [Methods] From December 2020 to December 2023，102 patients with CNLBP admitted to the Dongguan Hospital of Guangzhou University of Traditional Chinese Medicine were selected and divided into observation group（51 cases） and control group（51 cases） by random number table method. The control group received core muscle training for 4 weeks，5 times a week，and the observation group received tension balance acupuncture combined with core muscle training for 4 weeks，5 times a week. The surface electromyography of lumbar and abdominal muscles，infrared thermography of the waist，pain degree，lumbar function，inflammatory factors and quality of life were evaluated before and after treatment. [Results] AAfter treatment，infrared thermal imaging temperature，SF-36 scores of vertical spinal muscle in both groups were increased compared with those before treatment（P<0.05）. Neuromuscular response time and peak time of EMG amplitude，VAS score，Oswestry disability index（ODI），serum levels of interleukin-6（IL-6） and tumor necrosis factor-α（TNF-α） were decreased compared with those before treatment（P<0.05）. Infrared thermal imaging temperature，SF-36 score was higher than control group（P<0.05），neuromuscular response time and peak time of EMG amplitude，VAS score and ODI index were lower than control group（P<0.05）. [Conclusion] Core muscle training combined with tension balance acupuncture can inhibit the release of inflammatory factors，relieve pain，enhance lumbar function and improve quality of life in CNLBP patients.