《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (03): 285-286.

• 临床研究 • 上一篇    下一篇

卧床休息对急性非特异性腰痛的影响

林建强; 龚艳菲; 吴立红; 余芳; 吴玉玲   

  1. 南京军区杭州疗养院军区理疗体疗专科中心,浙江杭州市 310007
  • 收稿日期:2006-10-23 出版日期:2007-03-01 发布日期:2007-03-01

Effects of Bed Rest on Acute Nonspecific Low Back Pain

LIN Jian-qiang, GONG Yan-fei, WU Li-hong, et al   

  1. Center of Physiotherapy and Exercise Therapy, Hangzhou Sanatorium of Nanjing Military Region, Hangzhou 310007, Zhejiang, China
  • Received:2006-10-23 Published:2007-03-01 Online:2007-03-01

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摘要： 目的探讨卧床休息对急性非特异性腰痛(ANLBP)恢复的影响。方法87例ANLBP患者随机分为卧床休息组(42例)与自由活动组(45例)。卧床组绝对卧床1周,1周后可适当室内活动,逐步过渡到室外自由活动,同时给予理疗、非甾体类消炎药(NSAIDs)口服;活动组嘱自由活动,其他同卧床组。于患者就诊当天、2周后分别进行视觉模拟评分(VAS)、Roland-Morris功能障碍调查表(RMDQ)评定;6周后进行RMDQ评分。结果两组患者就诊当天,VAS、RMDQ评分无显著性差异(P>0.05)。2周时VAS、RMDQ评分有显著性差异(P<0.05)。6周时RMDQ评分无显著性差异(P>0.05)。结论卧床休息对ANLBP早期恢复不仅无促进作用,而且阻碍ANLBP患者疼痛及功能障碍的改善,对ANLBP后期恢复也无帮助。

关键词: 急性非特异性腰痛, 卧床休息, 视觉模拟评分, Roland-Morris功能障碍调查表

Abstract: Objective To investigate the effect of bed rest on acute nonspecific low back pain(ANLBP).Methods87 cases were randomly divided into bed rest group (42 cases) and free activity group (45 cases).The bed rest group would be proper activity indoor and step up activity outdoor after absolute in bed for a week.The free activity group would be prescribed free activity.At the same time,all of them received physiotherapy and non-steroidal anti-inflammatory drugs (NSAIDs).The visual analogous scale (VAS) were measured before and 2 weeks after treatment.The Roland-Morris disability questionnaire (RMDQ) were measured before and 2,6 weeks after treatment.ResultsThe difference of VAS and RMDQ scores between these 2 groups were not significant before treatment (P>0.05),but were significant 2 weeks after treatment(P<0.05).Further more,the difference of RMDQ scores between these 2 groups were not significant 6 weeks after treatment (P>0.05).ConclusionThe bed rest about patients could not promote,but delay the improvement of the pain and disability in the early period or later period recovery of ANLBP.

Key words: acute nonspecific low back pain (ANLBP), bed rest, visual analogous scale (VAS), Roland-Morris Disability Questionnaire (RMDQ)