| 核心肌群训练联合经皮神经电刺激治疗产后非特异性下背痛的疗效观察 |
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| 引用本文： | 骆黎静,陈喜军,段爱红,张宇迪,杨洋,周洁,卢丹. 核心肌群训练联合经皮神经电刺激治疗产后非特异性下背痛的疗效观察[J]. 中国康复, 2024, 39(1): 22-26 |
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| 作者姓名： | 骆黎静 陈喜军 段爱红 张宇迪 杨洋 周洁 卢丹 |
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| 作者单位： | 首都医科大学附属北京妇产医院/北京妇幼保健院妇科,北京 100026;首都医科大学附属北京妇产医院/北京妇幼保健院女性盆底功能障碍诊治中心,北京 100026 |
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| 摘 要： | 目的：探讨核心肌群训练联合经皮神经电刺激(TENS)治疗产后非特异性下背痛（NLBP）的有效性。方法：选取2021年10月至2022年9月在首都医科大学附属北京妇产医院女性盆底功能障碍诊治中心就诊的产后NLBP患者共50例。采用随机数字表法分为观察组和对照组,各25例。对照组给予针对下背部肌筋膜触发点的TENS治疗,观察组在此基础上联合核心肌群训练。在治疗前、治疗后和随访4周后,分别采用视觉模拟评分法（VAS）、Oswestry功能障碍指数（ODI）以及爱丁堡产后抑郁量表 (EPDS)进行疗效评价。结果：治疗后2组VAS评分、ODI指数均明显低于治疗前（P＜0.05）,且观察组明显低于对照组（P＜0.05）。随访4周,对照组VAS评分、ODI指数明显高于治疗后（P＜0.05）,观察组VAS评分、ODI指数与治疗后比较无统计学差异。对照组治疗后EPDS评分与治疗前无统计学差异,而观察组治疗后及随访4周EPDS评分均显著低于治疗前（P＜0.05）。结论：核心肌群训练联合TNES可有效改善产后NLBP患者的疼痛、功能障碍以及抑郁情绪状态,减少NLBP的复发。
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| 关 键 词： | 产后 非特异性下背痛 核心肌群训练 经皮神经电刺激 |
Efficacy of core muscle training combined with TENS on postpartum nonspecific low back pain |
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| Abstract: | Objective: To investigate the efficacy of core muscle training combined with transcutaneous electrical nerve stimulation (TENS) in the treatment of postpartum non-specific low back pain (NLBP). Methods: A total of 50 patients with postpartum NLBP who visited the Female Pelvic Floor Dysfunction Diagnosis and Treatment Center of Beijing Obstetrics and Gynecology Hospital, Capital Medical University from October 2021 to September 2022 were selected and divided into an observation group and a control group by the random number table, with 25 cases in each group. The control group was treated with TENS for myofascial trigger points on the lower back, and the observation group was treated with TENS for myofascial trigger points on the lower back, combined with core muscle group training. Efficacy was evaluated by visual analogue scale (VAS), Oswestry disability index (ODI), and Edinburgh Postnatal Depression Scale (EPDS) before and after treatment, and after 4 weeks of follow-up. Results: After treatment, the VAS score and ODI index in the two groups were significantly lower than those before treatment (P<0.05), and those in the observation group were significantly lower than those in the control group (P<0.05). After 4 weeks of follow-up, the VAS score and ODI index in the control group were significantly higher than those after treatment, while the VAS score and ODI index in the observation group were not statistically different from those after treatment. In the control group, the EPDS score after treatment was not significantly different from that before treatment, while the EPDS scores of the observation group after treatment and after 4 weeks of follow-up were significantly lower than those before treatment (P<0.05). Conclusion: Core muscle training combined with TNES can effectively improve the pain, dysfunction and depressive state of postpartum NLBP patients and reduce the recurrence of NLBP. |
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| Keywords: | postpartum nonspecific lower back pain core muscle training transcutaneous electrical nerve stimulation |
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