Open Access Article
International Journal of Clinical Research. 2026; 10: (5) ; 61-64 ; DOI: 10.12208/j.ijcr.20260235.
Efficacy analysis of musculoskeletal ultrasound-guided extracorporeal shock wave therapy for non-specific low back pain
肌骨超声引导体外冲击波治疗非特异性下腰痛的疗效分析
作者：
金涛1,
仰艳1,
陈金瑞1,
方兴强1,
李蕾2 *
1安徽皖北康复医院康复治疗中心 安徽淮北
2淮北师范大学教育学院 安徽淮北
*通讯作者：
李蕾,单位：淮北师范大学教育学院 安徽淮北 ；
发布时间: 2026-05-23 总浏览量: 90
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摘要
目的 本研究旨在探讨肌骨超声引导下体外冲击波疗法对非特异性下腰痛疗效的影响。方法 本研究采用前瞻性研究设计，研究对象为2023年1月至2024年6月期间，在我院康复治疗中心收治的204例非特异性下腰痛患者，采用随机数字表法将患者分为对照组（n=102）和研究组（n=102）。对照组接受常规综合康复治疗，研究组在此基础上额外接受肌骨超声引导下体外冲击波疗法治疗，比较两组治疗后疗效及腰椎功能。结果 治疗2周后，研究组治愈、显效、有效的总人数占比为 97.06%，显著高于对照组的 89.22%（P=0.027）。结论 采用肌骨超声引导的体外冲击波疗法治疗可促进腰椎功能恢复，疗效显著且复发率低。
关键词： 非特异性下腰痛；肌骨超声；体外冲击波；腰椎功能；治疗效果
Abstract
Objective This study aims to explore the effect of extracorporeal shock wave therapy guided by musculoskeletal ultrasound on nonspecific low back pain. Methods This study employed a prospective research design, involving 204 patients with nonspecific low back pain admitted to the rehabilitation center of our hospital from January 2023 to June 2024. The patients were randomly divided into a control group (n=102) and a study group (n=102) using a random number table method. The control group received conventional comprehensive rehabilitation therapy, while the study group additionally underwent extracorporeal shock wave therapy under musculoskeletal ultrasound guidance. The therapeutic efficacy and lumbar function were then compared between the two groups post-treatment. Results After two weeks of treatment, the total proportion of patients in the study group who were cured, markedly improved, or improved was 97.06%, significantly higher than 89.22% in the control group (P = 0.027). Conclusion Extracorporeal shock wave therapy guided by musculoskeletal ultrasound can promote lumbar function recovery, with significant efficacy and low recurrence rates.
Key words： Non-specific low back pain; Musculoskeletal ultrasound; Extracorporeal shock wave therapy; Lumbar function; Therapeutic efficacy
参考文献 References
[1] 王晓慧，赵建新. 电针“腰突五穴”联合腰背肌核心稳定性训练治疗非特异性下腰痛的临床观察[J]. 中国中医急症, 2023, 32(10): 1820-1822.
[2] 冉清智，李傲霜，陈恒文, 等. 肌筋膜松解疗法干预慢性非特异性下腰痛疗效的随机对照研究[J]. 中国全科医学, 2024, 27(20): 2451-2457.
[3] 中国康复医学会脊柱脊髓专业委员会，中华医学会骨科学分会骨科康复学组. 中国非特异性腰背痛临床诊疗指南[J]. 中国脊柱脊髓杂志, 2022, 32(3): 258-268.
[4] 郝振民，郭振宁，邓宇光, 等. 肌骨超声、SMI联合SWE技术在观察NLBP患者相关肌肉特征变化中的应用[J]. 影像科学与光化学, 2023, 41(1): 79-83.
[5] 曲高伟，骆鹏，魏伟. 冲击波穴位疗法联合悬吊运动训练治疗慢性非特异性下背痛的疗效观察[J]. 中华物理医学与康复杂志, 2024, 46(5): 435-437.
[6] FAN Y, LIU F, LI M, et al. Observation of curative effect on meridian theory-based extracorporeal shock wave therapy for non-specific low back pain: study protocol for a randomized controlled trial[J]. J Orthop Surg Res, 2022, 17(1): 265.
[7] 王大刚，易文博，蔡飞, 等. 肌骨超声引导下针刀治疗膝关节内侧副韧带损伤的临床研究[J]. 中国中医急症, 2023, 32(10): 1744-1747.
[8] 韩雪，郭雪园，郭丞, 等. 肌骨超声介导冲击波联合悬吊治疗青少年特发性脊柱侧弯的效果评价[J]. 中华保健医学杂志, 2023, 25(2): 191-195.
引用本文
金涛, 仰艳, 陈金瑞, 方兴强, 李蕾, 肌骨超声引导体外冲击波治疗非特异性下腰痛的疗效分析[J]. 国际临床研究杂志, 2026; 10: (5) : 61-64.