肌内效贴扎技术联合心理支持疗法治疗妊娠相关下腰痛的疗效观察

目的探讨肌内效贴扎技术联合心理支持疗法治疗妊娠相关下腰痛(PLBP)的临床疗效。方法选取广州市某医院2018年2-10月诊治的58例PLBP患者作为研究对象,采用随机数字表法将患者分为观察组和对照组,每组29例。对照组患者均予以心理支持疗法治疗,观察组患者在对照组治疗基础上辅以肌内效贴扎技术。比较2组患者治疗前及治疗4周时视觉模拟量表(VAS)评分、Roland-Morris功能障碍问卷表(RMDQ)评分、Zung焦虑自评量表(SAS)评分及Zung抑郁自评量表(SDS)评分。结果治疗前,2组患者VAS和RMDQ评分比较,差异均无统计学意义(P>0.05);治疗4周时,2组患者VAS和RMDQ评分均低于治疗前,且观察组患者均明显低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患者SAS和SDS评分比较,差异均无统计学意义(P>0.05);治疗4周时,2组患者SAS和SDS评分均低于治疗前,且观察组患者均明显低于对照组,差异均有统计学意义(P<0.05)。结论肌内效贴扎技术联合心理支持疗法可有效缓解PLBP患者的腰部疼痛及焦虑、抑郁情绪,疗效肯定,值得临床推广应用。

Clinical effect of Kinesio taping combined with psychological support therapy on pregcancy-related low-back pain

Objective To investigate the clinical effect of Kinesio taping combined with psychological support therapy in the treatment of pregnancy-related low-back pain(PLBP).Methods A total of 58 patients with PLBP diagnosed and treated in a hospital in Guangzhou were selected as the research subjects.The patients were divided into observation group and control group using a random number table,with 29 cases in each group.Both groups were treated with psychological support,while patients in observation group were given Kinesio taping in addition.The visual analogue scale(VAS)score,Roland-Morris dysfunction questionnaire(RMDQ)score,Zung Self-Rating Anxiety Scale(SAS)score,and Zung Self-Rating Depression Scale(SDS)score were compared between the two groups before and at week 4 of treatment.Results Before treatment,there was no significant difference in the VAS and RMDQ scores between the two groups(P>0.05).At week 4 of treatment,the VAS and RMDQ scores of the two groups were lower than before treatment,and those of the observation group were lower than the control group,and the differences were all statistically significant(P<0.05).Before treatment,there was no significant difference in the SAS and SDS scores between the two groups(P>0.05).At week 4 of treatment,the SAS and SDS scores of the two groups were lower than before treatment,and those of the observation group were lower than the control group,and the differences were all statistically significant(P<0.05).Conclusion Kinesio taping combined with psychological support therapy can effectively alleviate lumbar pain and anxiety and depression in patients with PLBP.The effect is evident and it is worthy of clinical promotion and application.