八段錦聯(lián)合懸吊訓(xùn)練治療慢性非特異性腰背痛臨床研究

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[關(guān)鍵詞］慢性非特異性腰背痛；八段錦；懸吊訓(xùn)練；疼痛；腰部功能；炎癥反應(yīng) [中圖分類(lèi)號(hào)］R259 ［文獻(xiàn)標(biāo)志碼］A [文章編號(hào)]0256-7415（2025）02-0075-06 DOI:10.13457/j.cnki.jncm.2025.02.014

Clinical Study on Ba Duan Jin Combined with Suspension Exercise Training for Chronic Non-Specific Lower Back Pain

CHEN Shuangqian，ZHANG Guowei，LIN Dingyi，JIN Yongxi Wenzhou TCMHospitalof Zhejiang Chinese Medical University，Wenzhou Zhejiang 325Ooo，China

Abstract:Objective:To observe the clinical effcts of Ba Duan Jin combined with suspension exercise training inthetreatment of chronic non-specific low back pain(NSLBP).Methods:A totalof 90 patients with chronic NSLBP treatedat Wenzhou Traditional Chinese Medicine Hospitalof Zhejiang Chinese Medical University fromMay2023 to October 2O23 were selected.The patients were divided into the suspension group，the Ba Duan Jin group，and the combination group according to the random number table method，with 3O cases in each group.The suspension group received suspension exercise training，the Ba Duan Jin group practiced Ba Duan Jin，and the combination group underwentboth treatments.All three groups were treated for four weeks.Clinical efects，scoresof Visual Analogue Scale（VAS），Japanese Orthopaedic Association-Low Back Pain Assessment（JOA），and Oswestry Disability Index(ODI)，as wellaslevelsofinterleukin-6(IL-6)，matrix metaloproteinase-3(MMP-3)，interleukin-1β(IL-1β）, and substance P(SP）were compared among the three groups.Results:After four weeks of treatment，the total effective rate in the combination group was 93.33% (28/30），which was higher than the 66.67%（20/30）in the suspension group and the 70.00% (21/30）in the Ba Duan Jin group( P3 ，IL- 1β ，and SP in all three groups were decreased when compared with those before treatment ( P0.05 ). Conclusion： The combination of Ba Duan Jin and suspension exercise training is more effective in treating chronic NSLBP than using Ba Duan Jinor with suspension exercise alone.It can efectively relieve pain and improve lumbar function，and the mechanism of action may be related to reducing inflammatory reactions.

Keywords：Chronic non-specific lower back pain；Ba Duan Jin； Suspension exercise training；Pain；Lumbar function；Inflammatoryreactions

非特異性腰背痛(NSLBP)是指病因不明，排除脊柱特異性疾病及神經(jīng)疼痛引起的腰背部、腰骶部疼痛，多數(shù)患者同時(shí)伴有腰部無(wú)力、僵硬、活動(dòng)受限或協(xié)調(diào)性下降等癥狀，影響患者的日常生活。（剩余10219字）