温针灸结合悬吊训练治疗产后腰痛的效果分析

Efficacy of warm needling combined with suspension training for postpartum low back pain

摘要:

目的 探究温针灸结合悬吊训练治疗产后腰痛的效果。方法 选取2020年4月—2023年4月扬州大学附属淮安市妇幼保健院收治的产后腰痛患者162例。采用随机数字表法分为研究组和对照组，每组81例。对照组予以温针灸治疗，研究组在对照组基础上联合悬吊训练治疗。治疗2周后，比较两组患者的中医证候、疼痛程度、腰脊椎功能、疗效及血清转化生长因子-β₁（TGF-β₁）、γ-干扰素（INF-γ）水平，记录不良反应发生情况。结果 研究组治疗前后主症评分、次症评分、视觉模拟量表评分及Oswestry功能障碍指数量表评分的差值均高于对照组（P <0.05）。研究组总有效率高于对照组（P <0.05）。研究组治疗前后血清TGF-β₁、INF-γ水平的差值均高于对照组（P <0.05）。两组不良反应总发生率比较，差异无统计学意义（P >0.05）。结论 温针灸联合悬吊训练应用于产后腰痛，有助于缓解患者腰痛症状，促进腰椎功能恢复，且安全性良好。

Abstract:

Objective To explore the efficacy of warm needling combined with suspension training for postpartum low back pain.Methods Between April 2020 and April 2023, 162 patients with postpartum low back pain admitted to Huai'an Maternal and Child Health Hospital Affiliated to Yangzhou University were selected and divided into a study group and a control group by random number table method, with 81 cases in each group. The control group was treated with warm needling, and the study group was treated with suspension training on the basis of the warm needling. After 2 weeks of treatment, the traditional Chinese medicine symptoms, degree of pain, lumbar vertebrae function, therapeutic efficacy, and levels of transforming growth factor-β₁ (TGF-β₁) and interferon-γ (INF-γ) were compared between the two groups of patients. The adverse reactions were recorded and analyzed.Results The differences of the primary symptom score, secondary symptom score, Visual Analogue Scale (VAS) score, and Oswestry Disability Index (ODI) score before and after treatment in the study group were higher than those in the control group (P < 0.05). The overall effective rate of the study group was higher than that of the control group (P < 0.05). The differences of serum levels of TGF-β₁ and INF-γ before and after treatment in the study group were higher than those in the control group (P < 0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P > 0.05).Conclusions Warm needling combined with suspension training could be established as a safe approach to treating postpartum low back pain, as it facilitates the alleviation of the low back pain and the recovery of the lumbar vertebrae function.