悬吊运动疗法辅助治疗脊柱关节炎性腰背痛的临床观察

李非　李丽　陈加新　李蔚林　许强强　张家鹏

【摘 要】目的：观察悬吊运动疗法辅助治疗脊柱关节炎性腰背痛的临床疗效。方法：将74例脊柱关节炎性腰背痛患者随机分为治疗组和对照组，每组37例。对照组口服柳氮磺吡啶、双氯芬酸钠治疗，治疗组在对照组治疗基础上给予悬吊运动疗法康复治疗。2组均以10 d为1个疗程，共治疗2个疗程。观察2组视觉模拟评分法（VAS）评分，Oswestry功能障碍指数（ODI）评分及Bath强直性脊柱炎活动性指数（BASDAI）评分的数值变化，并将治疗前后的数据进行对比分析。结果：治疗组总有效率为81.08%，对照组总有效率为70.27%，2组比较，差异有统计学意义（P < 0.05）。2组VAS、ODI、BASDAI评分均较治疗前降低，差异有统计学意义（P < 0.05），治疗组各项评分的降低程度显著大于对照组（P < 0.05）。结论：悬吊运动疗法辅助治疗脊柱关节炎性腰背痛有显著临床疗效，值得临床推广应用。

【关键词】 脊柱关节炎；腰背痛；悬吊运动疗法

Clinical Observation of the Adjuvant Treatment of Low Back Pain Caused by Spondyloarthritis with Suspension Therapy

LI Fei，LI Li，CHEN Jia-xin，LI Wei-lin，XU Qiang-qiang，ZHANG Jia-peng

【ABSTRACT】Objective：To observe the clinical effect of suspension therapy in the adjuvant treatment of low back pain caused by spondyloarthritis.Methods：Seventy four patients with spinal back pain caused by spondyloarthritis were randomly divided into a control group and a treatment group，37 cases in each group.The control group was treated with sulfasalazine and diclofenac sodium，and the treatment group was treated with suspension therapy on the basis of the treatment for the control group.The two groups were treated for two courses of treatment，with 10 days as a course.Chances of the VAS scores，ODI scores and BASDAI scores were observed and an analysis was made for the date got before and after treatment.Results：The total effective rate of the treatment group was 81.08%，and the total effective rate of the control group was 70.27%.The difference between the two groups was statistically significant（P < 0.05）.The scores of VAS，ODI and BASDAI in the two groups were lower than those before treatment，and the difference was statistically significant（P < 0.05）.The scores of the treatment group were obviously lower than those of the control group（P < 0.05）.Conclusion：Suspension exercise therapy has a significant clinical effect in the adjuvant treatment of spinal back pain caused by spondyloarthritis.It is worthy of clinical application.

【Keywords】 spondyloarthritis；low back pain；suspension therapy

脊柱關节炎（spondyloarthritis，SpA）是一种慢性炎症性疾病[1]，病因不明确，起病隐袭，病程发展缓慢，全身症状较轻。本病为多发系统性自身免疫性疾病，常累及中轴关节，表现为脊柱炎，骶髂关节炎。SpA患者常伴有腰背痛的临床表现，且腰背痛常出现在后半夜，伴有僵硬感，夜间卧位翻身困难，晨起腰部僵硬，病程长久患者伴有焦虑、抑郁等情绪障碍，严重者可影响生活及生存质量[2]。目前针对SpA的治疗主要以西药为主，但药物的副作用较明显，治疗效果往往不尽如人意。本研究采用康复疗法辅助治疗SpA腰背痛患者74例，现总结报告如下。

1 临床资料

1.1 一般资料 选取2015年9月至2016年12月在山东中医药大学第二附属医院住院及门诊就诊的SpA腰背痛患者74例。按照随机数字表法分为治疗组和对照组，每组37例。对照组男28例，女