{"id":4698,"date":"2022-08-18T10:50:29","date_gmt":"2022-08-18T02:50:29","guid":{"rendered":"https:\/\/wilback.com\/?p=4698"},"modified":"2023-09-01T23:20:37","modified_gmt":"2023-09-01T15:20:37","slug":"guideline007","status":"publish","type":"post","link":"https:\/\/wilback.com\/guideline007\/","title":{"rendered":"\u7528\u65bc\u6cbb\u7642\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\u7684\u300e\u4ee5\u5bb6\u5ead\u70ba\u57fa\u790e\u7684\u935b\u934a\u7642\u6cd5\u300f\uff5cSciELO \u5df4\u897f\u7dda\u4e0a\u79d1\u5b78\u96fb\u5b50\u5716\u66f8\u9928"},"content":{"rendered":"\n<p class=\"is-style-icon_pen\">\u672c\u7bc7\u6587\u7ae0\u7531<strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u591c\u9ece<\/span><\/strong>\u6700\u5f8c\u4e00\u6b21\u66f4\u65b0\u65bc<strong><span class=\"swl-inline-color has-swl-deep-03-color\">2022\u5e7408\u670818\u65e5<\/span><\/strong><\/p>\n\n\n\n<ul>\n<li><strong>\u4e3b\u984c\uff1a<\/strong><a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.1590\/1806-9282.64.09.824\" data-type=\"URL\" data-id=\"https:\/\/doi.org\/10.1590\/1806-9282.64.09.824\" target=\"_blank\">Home-based exercise therapy for treating non-specific chronic low back pain<\/a><\/li>\n\n\n\n<li><strong>\u4f86\u6e90\uff1a<\/strong><a rel=\"noreferrer noopener\" href=\"https:\/\/www.scielo.br\/\" data-type=\"URL\" data-id=\"https:\/\/www.scielo.br\/\" target=\"_blank\">SciELO &#8211; Scientific Electronic Library Online<\/a><\/li>\n\n\n\n<li><strong>\u4f5c\u8005\uff1a<\/strong>Michel Kanas \u3001Ren\u00e9 Souza Faria \u3001Lucas Gabriel Salles \u3001Isabel Cristina Esposito Sorpreso\u3001D\u00e9lio Eul\u00e1lio Martins\u3001Ronaldo Alves da Cunha\u3001Marcelo Wajchenberg<\/li>\n\n\n\n<li><strong>\u6587\u7ae0\u985e\u578b\uff1a<\/strong>ORIGINAL ARTICLE<small class=\"mininote\">\uff08\u539f\u5275\u6587\u7ae0\uff09<\/small>\uff0f Open Access<small class=\"mininote\">\uff08\u958b\u653e\u5b58\u53d6\uff09<\/small><\/li>\n\n\n\n<li><strong>\u6700\u5f8c\u65e5\u671f\uff1a<\/strong>2018\/09<\/li>\n\n\n\n<li><strong>\u7ffb\u8b6f\u7de8\u8f2f\uff1a<\/strong>\u591c\u9ece<\/li>\n<\/ul>\n\n\n<div class=\"swell-block-balloon\"><div class=\"c-balloon -bln-left\" data-col=\"blue\"><div class=\"c-balloon__icon -circle\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u771f\u4eba\u85dd\u7d20\u7167-tiny.png\" alt=\"\" class=\"c-balloon__iconImg\" width=\"80px\" height=\"80px\"><span class=\"c-balloon__iconName\">\u591c\u9ece<\/span><\/div><div class=\"c-balloon__body -speaking -border-none\"><div class=\"c-balloon__text\">\n<p>\u672c\u6587\u6839\u64da<a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.1590\/1806-9282.64.09.824\" data-type=\"URL\" data-id=\"https:\/\/doi.org\/10.1590\/1806-9282.64.09.824\" target=\"_blank\">\u672c\u66f8\u9801\u5c3e<\/a>\u7684<a rel=\"noreferrer noopener\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/\" data-type=\"URL\" data-id=\"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/\" target=\"_blank\">\u5275\u7528 CC BY-NC 4.0 \u8072\u660e<\/a><\/p>\n<span class=\"c-balloon__shapes\"><span class=\"c-balloon__before\"><\/span><span class=\"c-balloon__after\"><\/span><\/span><\/div><\/div><\/div><\/div>\n\n\n<div class=\"wp-block-group is-style-big_icon_caution\"><div class=\"wp-block-group__inner-container\">\n<ul>\n<li>\u70ba\u4e86\u4f7f\u5167\u5bb9\u6613\u65bc\u7406\u89e3\uff0c\u4e2d\u6587\u6a19\u9ede\u7b26\u865f\u7528\u5bb9\u6613\u7406\u89e3\u7684\u65b9\u5f0f\u6a19\u8a3b\uff0c\u800c\u975e\u4e2d\u6587\u6a19\u6e96\u8a9e\u6cd5\u3002<\/li>\n\n\n\n<li>\u4e00\u90e8\u5206\u5197\u9577\u7684\u53e5\u5b50\u6216\u55ae\u8fad\u8a3b\u89e3\u7528\u3008\u3009\u4f5c\u70ba which, that \u7684\u88dc\u5145\u8aaa\u660e\u3002<\/li>\n\n\n\n<li>\u4e00\u4e9b\u591a\u9805\u76ee\u5217\u8209<small class=\"mininote\">\uff08\u2026, \u2026 and\/or \u2026\uff09<\/small>\u6216\u70ba\u4e86\u6613\u65bc\u7406\u89e3\uff0c\u6703\u52a0\u4e0a\u539f\u6587\u6c92\u6709\u7684\u300e\u300f\u6216\u662f\u7528<strong>\u5217\u8868<\/strong>\u8868\u793a\u3002<\/li>\n\n\n\n<li>\u500b\u4eba\u7368\u529b\u7de8\u8f2f\u96e3\u514d\u6709\u8aa4\uff0c\u5982\u679c\u6709\u767c\u73fe\u932f\u8aa4\u53ef\u4ee5\u5728\u8a55\u8ad6\u5340\u7559\u8a00\uff0c\u6211\u6703\u518d\u6b21\u6bd4\u5c0d\u3001\u4fee\u6b63\u3002\u611f\u6fc0\u4e0d\u76e1\uff01<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"swell-block-capbox cap_box\" data-colset=\"col2\"><div class=\"cap_box_ttl\"><span>\u591c\u9ece\u5c0d\u672c\u6587\u9032\u884c\u7684\u91cd\u9ede\u7bc0\u9304<\/span><\/div><div class=\"cap_box_content\">\n<ul>\n<li>\u672c\u7814\u7a76\u5c07 30 \u540d<strong>\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db<\/strong>\u60a3\u8005\u5206\u70ba A\u3001B \u7d44\u3002\n<ul>\n<li>A \u7d44\u63a1\u7528\u300e\u6c92\u6709\u6bcf\u9031\u76e3\u7763\u7684\u935b\u934a\u7642\u6cd5\u300f\uff0cB \u7d44\u63a1\u7528\u300e\u6bcf\u9031\u76e3\u7763\u7684\u935b\u934a\u7642\u6cd5\u300f\u3002<\/li>\n\n\n\n<li>\u5169\u7d44\u90fd\u6536\u5230\u4e86\u4e00\u672c\u5e36\u6709\u8aaa\u660e\u7684\u5c0f\u518a\u5b50\uff0c\u4ee5\u53ca\u8a55\u4f30\u75bc\u75db\u3001\u529f\u80fd\u80fd\u529b\u548c\u751f\u6d3b\u54c1\u8cea\u7684\u554f\u5377\uff08\u6700\u521d\u7684\u8a55\u4f30\u671f\u9593\u3001\u56db\u9031\u5f8c\u548c\u516b\u9031\u5f8c\u3002\uff09<\/li>\n\n\n\n<li>A \u7d44\u7684\u7d00\u5f8b\u6027\u8f03\u5dee\uff0cB \u7d44\u8f03\u70ba\u52e4\u596e\uff0c\u9019\u8868\u660e<span class=\"swl-marker mark_yellow\">\u300e\u7269\u7406\u6cbb\u7642\u5e2b\u7684\u6bcf\u9031\u5e6b\u52a9\u548c\u6307\u5c0e\u300f\u5c0d\u65bc\u63d0\u9ad8\u5c0d\u9805\u76ee\u7684\u4f9d\u5f9e\u6027\u5f88\u91cd\u8981<\/span>\u3002 \u7136\u800c\uff0c<span class=\"swl-marker mark_yellow\">\u5169\u7d44\u9593\u6bd4\u8f03\u6c92\u6709\u986f\u8457\u5dee\u7570\uff0c\u8868\u660e\u7121\u76e3\u7763\u935b\u934a\u7642\u6cd5\u7684\u6709\u6548\u6027\u3002<\/span><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db<\/strong>\uff08NSCLP\uff09\u7684\u5b9a\u7fa9\u662f\u300e<span class=\"swl-marker mark_yellow\">\u5f9e\u4e0b\u808b\u5f13<small>\u3014lower costal arches\u3015<\/small>\u5230\u81c0\u6e9d<small>\u3014gluteal sulcus\u3015<\/small>\u7684\u75bc\u75db\u6216\u4e0d\u9069\u75c7\u72c0\uff0c\u6301\u7e8c\u81f3\u5c11 12 \u9031\uff0c\u4e26\u4e14\u53ef\u80fd\u4f34\u6709\u5c0d\u4e0b\u80a2\u7684\u8f3b\u5c04<small>\u3014irradiation\u3015<\/small><\/span>\u300f\u3002<\/li>\n\n\n\n<li>\u300e<span class=\"swl-marker mark_yellow\">\u8ca0\u8cac\u7a69\u5b9a\u548c\u5354\u8abf\u7684\u80cc\u90e8<strong>\u808c\u8089\u529f\u80fd\u969c\u7919<\/strong><\/span>\u300f\u88ab\u8a8d\u70ba\u662f\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u7684\u4e3b\u8981\u539f\u56e0\u3002<\/li>\n\n\n\n<li>\u5efa\u8b70\u5c07\u300e<strong><span class=\"swl-marker mark_yellow\">\u6709\u76e3\u7763\u7684\u935b\u7149\u8655\u65b9<\/span><\/strong><small>\u3014prescription of supervised exercise\u3015<\/small>\u300f\u4f5c\u70ba\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u7684\u4e00\u7dda\u6cbb\u7642\u3002<\/li>\n\n\n\n<li>\u5728\u5c0f\u518a\u5b50\u7684\u5e6b\u52a9\u4e0b\uff0c\u901a\u904e<strong>\u5bb6\u5ead\u935b\u7149\u8a08\u5283<\/strong>\u9032\u884c\u70ba\u671f 8 \u9031\u7684\u6cbb\u7642\uff0c<span class=\"swl-marker mark_yellow\">\u53ef\u6709\u6548\u6539\u5584\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u60a3\u8005\u7684\u75bc\u75db\u6c34\u5e73\u3001\u529f\u80fd\u80fd\u529b\u548c\u751f\u6d3b\u54c1\u8cea\u3002<\/span><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">\u6982\u8981<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u76ee\u7684<\/h3>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u5728\u4e0d\u540c\u985e\u578b\u7684\u76e3\u7763\u4e0b\u9032\u884c<strong>\u5bb6\u5ead\u935b\u934a\u6cbb\u7642<\/strong><small class=\"mininote\">\u3014home-based exercise therapy\u3015<\/small>\u5f8c\uff0c\u8a55\u4f30\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\u60a3\u8005\u7684\u75bc\u75db\u3001\u529f\u80fd\u80fd\u529b<small class=\"mininote\">\u3014functional capacity\u3015<\/small>\u548c\u751f\u6d3b\u54c1\u8cea\u3002<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u65b9\u6cd5<\/h3>\n\n\n\n<p>\u5e74\u9f61\u5728 18 \u81f3 65 \u6b72\u4e4b\u9593\u7684 30 \u540d\u7537\u5973\uff0c\u6bcf\u9031\u9032\u884c 3 \u6b21\u5efa\u8b70\u7684\u935b\u934a\uff0c\u6301\u7e8c 8 \u9031\u3002<\/p>\n\n\n\n<ul>\n<li>A \u7d44\uff08\u6a23\u672c\u6578 N = 17\uff09\u5728\u4e00\u6b21\u76e3\u7763\u8ab2\u7a0b<small class=\"mininote\">\u3014single<\/small> <small class=\"mininote\">supervised session\u3015<\/small>\u5f8c\uff0c\u9032\u884c\u4e86\u935b\u934a\u3002<\/li>\n\n\n\n<li>B \u7d44\uff08\u6a23\u672c\u6578 N = 13\uff09\u6bcf\u9031\u5728\u5eb7\u5fa9\u4e2d\u5fc3\u63a5\u53d7\u4e00\u6b21\u76e3\u7763\u935b\u934a\u3002<\/li>\n<\/ul>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u5169\u7d44\u90fd\u6536\u5230\u4e86\u4e00\u672c\u5e36\u6709\u8aaa\u660e\u7684\u5c0f\u518a\u5b50\uff0c\u4ee5\u53ca\u8a55\u4f30\u75bc\u75db\u3001\u529f\u80fd\u80fd\u529b\u548c\u751f\u6d3b\u54c1\u8cea\u7684\u554f\u5377<\/span>\uff08\u6700\u521d\u7684\u8a55\u4f30\u671f\u9593\u3001\u56db\u9031\u5f8c\u548c\u516b\u9031\u5f8c\u3002\uff09<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7d50\u679c<\/h3>\n\n\n\n<p>\u300e\u5728\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 4 \u9031\u4e4b\u9593\u300f\u4ee5\u53ca\u300e\u5728\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 8 \u9031\u4e4b\u9593\u300f\uff0c\u5169\u7d44\u7684\u75bc\u75db\u548c\u529f\u80fd\u80fd\u529b\u90fd\u6709\u6240\u6539\u5584\uff08p &lt;0.05\uff09\u3002 <\/p>\n\n\n\n<p>\u5728\u751f\u6d3b\u54c1\u8cea\u8a55\u4f30\u3001\u75bc\u75db\u7684\u6a19\u6e96\u3001\u529f\u80fd\u80fd\u529b\u548c\u8eab\u9ad4\u65b9\u9762\u4e2d\uff0c\u5728 8 \u9031\u5f8c\u6709\u986f\u8457\u6539\u5584\uff08p &lt;0.05\uff09\u3002 \u6bd4\u8f03 A \u7d44\u548c B \u7d44\u6642\u6c92\u6709\u5dee\u7570 (p &gt; 0,05)\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7d50\u8ad6<\/h3>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u7576\u4f7f\u7528\u9019\u672c\u5c0f\u518a\u5b50\u9032\u884c\u70ba\u671f\u516b\u9031\u7684\u300e\u4ee5\u5bb6\u5ead\u70ba\u57fa\u790e\u7684\u935b\u934a\u7642\u6cd5\u300f\uff0c\u53ef\u6709\u6548\u6539\u5584\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\u60a3\u8005\u7684\u75bc\u75db\u6c34\u5e73\u3001\u529f\u80fd\u80fd\u529b\u548c\u751f\u6d3b\u54c1\u8cea\u3002 \u6bcf\u9031\u76e3\u7763\u5c0d\u7d44\u9593\u7684\u6700\u7d42\u7d50\u679c\u6c92\u6709\u986f\u8457\u5f71\u97ff\u3002<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u95dc\u9375\u8a5e<\/h3>\n\n\n\n<p>\u8170\u75db<small class=\"mininote\">\u3014Low back pain\u3015<\/small>\u3001\u935b\u934a\u7642\u6cd5<small class=\"mininote\">\u3014Exercise therapy\u3015<\/small>\u3001\u690e\u65c1\u808c<small class=\"mininote\">\u3014Paraspinal muscles\u3015<\/small>\u3001\u8179\u808c<small class=\"mininote\">\u3014Abdominal muscles\u3015<\/small><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u4ecb\u7d39<\/h2>\n\n\n\n<p><strong>\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db<\/strong>\uff08NSCLP\uff09\u7684\u5b9a\u7fa9\u662f\u300e<span class=\"swl-marker mark_yellow\">\u5f9e\u4e0b\u808b\u5f13<small class=\"mininote\">\u3014lower costal arches\u3015<\/small>\u5230\u81c0\u6e9d<small class=\"mininote\">\u3014gluteal sulcus\u3015<\/small>\u7684\u75bc\u75db\u6216\u4e0d\u9069\u75c7\u72c0\uff0c\u6301\u7e8c\u81f3\u5c11 12 \u9031\uff0c\u4e26\u4e14\u53ef\u80fd\u4f34\u6709\u5c0d\u4e0b\u80a2\u7684\u8f3b\u5c04<small class=\"mininote\">\u3014irradiation\u3015<\/small><\/span>\u300f\u3002 <\/p>\n\n\n\n<p>\u75c7\u72c0\u7684\u975e\u7279\u7570\u6027\u8cea<small class=\"mininote\">\u3014unspecific nature\u3015<\/small>\u53ef\u80fd\u300e\u8207\u808c\u8089\u97cc\u5e36\u4f86\u6e90<small class=\"mininote\">\u3014muscle-ligament source\u3015<\/small>\u6709\u95dc\u300f\u3001\u300e\u8207\u751f\u6d3b\u8cea\u91cf\u3001\u5fc3\u7406\u6216\u8eab\u9ad4\u56e0\u7d20\u76f8\u95dc\u300f\u3002 \u7136\u800c\uff0c<span class=\"swl-marker mark_orange\">\u4e0d\u53ef\u80fd\u5b8c\u5168\u78ba\u5b9a\u5c0e\u81f4\u75c7\u72c0\u7684\u89e3\u5256\u7d50\u69cb<\/span><small class=\"mininote\"><sup>[1,2]<\/sup><\/small>\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>\u300e<span class=\"swl-marker mark_yellow\">\u8ca0\u8cac\u7a69\u5b9a<small class=\"mininote\">\u3014stabilization\u3015<\/small>\u548c\u5354\u8abf<small class=\"mininote\">\u3014coordination\u3015<\/small>\u7684\u80cc\u90e8<strong>\u808c\u8089\u529f\u80fd\u969c\u7919<\/strong><small class=\"mininote\">\u3014dysfunction\u3015<\/small><\/span>\u300f\u88ab\u8a8d\u70ba\u662f\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u7684\u4e3b\u8981\u539f\u56e0<small class=\"mininote\"><sup>[3,4]<\/sup><\/small>\u3002 <\/p>\n\n\n\n<p>\u300e\u808c\u8089\u963b\u6297\u6027\u5dee<small class=\"mininote\">\u3014poor muscle resistance\u3015<\/small>\u300f\u548c\u300e\u795e\u7d93\u808c\u8089\u63a7\u5236\u7684\u8b8a\u5316<small class=\"mininote\">\u3014changes in the neuromuscular control\u3015<\/small>\u300f\u6703\u5f71\u97ff\u8ec0\u5e79\u7684\u7a69\u5b9a\u6027\u3001\u904b\u52d5\u7684\u6548\u7387\u548c\u6574\u500b\u5c40\u90e8\u808c\u8089\u7d44\u7e54\u7684\u5e73\u8861\uff0c\u9019\u53ef\u80fd\u5c0e\u81f4\u5176\u4ed6\u7d50\u69cb\u7684\u6a5f\u68b0\u6027\u904e\u8f09<small class=\"mininote\">\u3014mechanical overload\u3015<\/small>\u2014\u2014\u4f8b\u5982\u690e\u9593\u76e4\u3001\u5c0f\u9762\u95dc\u7bc0\u3001\u690e\u9ad4\u3001\u76f8\u9130\u7684\u808c\u8089\u7fa4\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u5efa\u8b70\u5c07\u300e\u6709\u76e3\u7763\u7684\u935b\u7149\u8655\u65b9<small class=\"mininote\">\u3014prescription of supervised exercise\u3015<\/small>\u300f\u4f5c\u70ba\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u7684\u4e00\u7dda\u6cbb\u7642\u3002<\/span> \u7136\u800c\uff0c\u516c\u5171\u885b\u751f\u7cfb\u7d71\u4e2d\u4e8c\u7d1a\u5eb7\u5fa9\u4e2d\u5fc3\u7684\u53ef\u7528\u6027<small class=\"mininote\">\u3014availability\u3015<\/small>\u4e0d\u8db3\u4ee5\u6eff\u8db3\u9019\u4e9b\u60a3\u8005\u7684\u9700\u6c42<small class=\"mininote\"><sup>[6,7]<\/sup><\/small>\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>\u7531\u65bc\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u75c5\u4f8b\u4e0d\u5b58\u5728\u300e\u795e\u7d93\u529f\u80fd\u7f3a\u640d\u300f\u6216\u300e\u8868\u660e\u9aa8\u6298\u3001\u816b\u7624\u6216\u611f\u67d3\u7684\u81e8\u5e8a\u75c7\u72c0\u300f\uff0c\u56e0\u6b64\u5b83\u5011\u88ab\u8a8d\u70ba\u4e0d\u592a\u56b4\u91cd\uff0c\u4e26\u3008<span class=\"swl-marker mark_yellow\">\u901a\u904e\u4eba\u9ad4\u5de5\u7a0b\u5b78\u6307\u5c0e<small class=\"mininote\">\u3014ergonomics guidance\u3015<\/small>\u3001\u59ff\u52e2\u8a13\u7df4<small class=\"mininote\">\u3014posture training\u3015<\/small>\u3001\u5de5\u4f5c\u5834\u6240<small class=\"mininote\">\u3014workplace\u3015<\/small>\u548c\u5bb6\u5ead\u935b\u7149<small class=\"mininote\">\u3014home exercises\u3015<\/small>\u7684\u591a\u7a2e\u5c08\u696d\u65b9\u6cd5<\/span>\u3009\u51c6\u4e88\u5728\u57fa\u672c\u5065\u5eb7\u55ae\u4f4d<small class=\"mininote\">\u3014Basic Health Units\u3015<\/small>\u63a5\u53d7\u6cbb\u7642\u3002<\/p>\n\n\n\n<p>\u9019\u7a2e\u5e72\u9810\u7684\u4e3b\u8981\u6311\u6230\u662f\u300e\u5728\u6c92\u6709\u76e3\u7763\u7684\u60c5\u6cc1\u4e0b\uff0c\u60a3\u8005\u5805\u6301\u548c\u9075\u5b88\u5efa\u8b70\u7684\u6cbb\u7642\u65b9\u6cd5\u300f<small class=\"mininote\"><sup>[7,9]<\/sup><\/small>\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u672c\u7814\u7a76\u7684\u76ee\u7684\u662f\u300e\u8a55\u4f30\u5bb6\u5ead\u935b\u7149\u8a08\u5283\u5f8c\uff0c\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\u60a3\u8005\u7684\u75bc\u75db\u3001\u529f\u80fd\u80fd\u529b\u548c\u751f\u6d3b\u54c1\u8cea\u300f\u3002<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u65b9\u6cd5\u5b78<small class=\"mininote\">\u3014METHODOLOGY\u3015<\/small><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u7814\u7a76\u8a2d\u8a08<small class=\"mininote\">\u3014Study design\u3015<\/small><\/h3>\n\n\n\n<p>2016 \u5e74 4 \u6708\u81f3 2017 \u5e74 4 \u6708\u5728\u5df4\u897f\u8056\u4fdd\u7f85\u806f\u90a6\u5927\u5b78<small class=\"mininote\">\u3014S\u00e3o Paulo Federal University\u3015<\/small>\u904b\u52d5\u640d\u50b7\u4e2d\u5fc3\u810a\u67f1\u8a3a\u6240\uff08Cete-Unifesp\uff09\u9032\u884c\u7684\u4f34\u6709\u975e\u76f2\u8a55\u4f30\u7684\u975e\u96a8\u6a5f\u81e8\u5e8a\u8a66\u9a57<small class=\"mininote\">\u3014non-randomized clinical trial with unblinded assessment\u3015<\/small>\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>\u8a72\u7814\u7a76\u5f97\u5230\u4e86\u7814\u7a76\u502b\u7406\u59d4\u54e1\u6703<small class=\"mininote\">\u3014research ethics committee\u3015<\/small>\u7684\u6279\u51c6\uff0cN\u00b0CEP\uff1a1527\/2015\uff0c\u5728\u901a\u7528\u8a66\u9a57\u865f\uff08UTN\uff09\u4e0b\u8a3b\u518a\uff1aU1111-1185-1871\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6a23\u672c\u91cf\u8a08\u7b97<small class=\"mininote\">\u3014Sample size calculation\u3015<\/small><\/h3>\n\n\n\n<p>\u6a23\u672c\u91cf\u8a08\u7b97\u662f\u57fa\u65bc\u300e\u5c0d 14 \u500b\u500b\u9ad4\u9032\u884c\u7684\u4e00\u9805\u5148\u5c0e\u6027\u7814\u7a76<small class=\"mininote\">\u3014pilot study\u3015<\/small>\u300f\uff0c\u5176\u4e2d 8 \u4eba\u5c6c\u65bc A \u7d44\uff08\u5bb6\u5ead\uff09\uff0c6 \u4eba\u5c6c\u65bc B \u7d44\uff08\u6bcf\u9031\u76e3\u7763\uff09\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>\u5728\u521d\u59cb\u8a55\u4f30\u548c\u516b\u9031\u5f8c\u8a55\u4f30\u4e4b\u9593\uff0c\u300e\u7f85\u862d-\u6469\u7406\u65af\u91cf\u8868<small class=\"mininote\">\u3014Roland Morris scale\u3015<\/small>\u7684\u986f\u8457\u6539\u5584\u300f\u88ab\u9078\u70ba\u6a23\u672c\u91cf\u8a08\u7b97\u7684\u4e3b\u8981\u53c3\u6578\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>\u4f7f\u7528\u6210\u5c0d\u5747\u503c<small class=\"mininote\">\u3014paired means\u3015<\/small>\u7684\u6a23\u672c\u91cf\u8a08\u7b97\u516c\u5f0f\uff08\u96d9\u908a\u986f\u8457\u6027\u95be\u503c<small class=\"mininote\">\u3014bilateral significance threshold\u3015<\/small>\u8a2d\u7f6e\u70ba 5%\uff0c\u529f\u6548<small class=\"mininote\">\u3014power\u3015<\/small> \u70ba 99%\uff09\uff0c\u6211\u5011\u767c\u73fe\u50c5\u5728 A \u7d44\u4e2d\u5b58\u5728\u986f\u8457\u5dee\u7570\uff0c\u800c B \u7d44\u4e2d\u5fc5\u9808\u81f3\u5c11\u6709 12 \u500b\u4eba\u624d\u80fd\u986f\u793a\u51fa\u986f\u8457\u5dee\u7570<small class=\"mininote\"><sup>[10]<\/sup><\/small>\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7fa4\u9ad4<small class=\"mininote\">\u3014Population\u3015<\/small><\/h3>\n\n\n\n<p>\u7d93\u904e\u91ab\u5b78\u8a55\u4f30\uff0c\u9078\u64c7\u4e86\u4f86\u81ea\u810a\u67f1\u8a3a\u6240\u7684 30 \u540d\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u60a3\u8005\u53c3\u8207\u7814\u7a76\u3002<\/p>\n\n\n\n<p class=\"is-style-big_icon_check\"><strong>\u7d0d\u5165\u6a19\u6e96<\/strong>\u70ba\uff1a\u300e\u5e74\u9f61\u5728 18 \u81f3 65 \u6b72\u4e4b\u9593\u300f\uff1b \u300e\u5169\u6027\u300f\uff1b \u300e\u6c92\u6709\u7279\u5b9a\u539f\u56e0\u7684\u8170\u75db\u8d85\u904e 12 \u9031\u300f\uff1b \u300e\u9032\u884c\u8170\u85a6(\u9ab6)\u90e8\u524d\u65b9\u548c\u5074\u65b9 X \u5c04\u7dda\u6aa2\u67e5\u300f\uff1b \u300e\u901a\u904e\u95b1\u8b80\u4e26\u7c3d\u7f72\u77e5\u60c5\u540c\u610f\u66f8<small class=\"mininote\">\u3014informed consent form\u3015<\/small> (ICF) \u540c\u610f\u53c3\u8207\u7814\u7a76\u300f\u3002<\/p>\n\n\n\n<p class=\"is-style-big_icon_batsu\"><strong>\u6392\u9664\u6a19\u6e96<\/strong>\u662f\uff1a\u300e\u61f7\u5b55\u300f\uff1b \u300e\u5f71\u50cf\u5b78\u8b8a\u5316\uff08\u9aa8\u6298\u3001\u8b8a\u5f62<small class=\"mininote\">\u3014deformities\u3015<\/small>\u3001\u810a\u690e\u6ed1\u812b<small class=\"mininote\">\u3014spondylolisthesis\u3015<\/small>\u548c\u816b\u7624\uff09\u300f\uff1b \u300e\u5148\u524d\u7684\u810a\u67f1\u5916\u79d1\u624b\u8853\u300f\uff1b \u300e\u795e\u7d93\u58d3\u8feb\u7684\u81e8\u5e8a\u75c7\u72c0\u300f\uff1b \u300e\u4efb\u4f55\u5176\u4ed6\u53ef\u80fd\u5c0e\u81f4\u80cc\u75db\u7684\u75be\u75c5\u300f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5e72\u9810\uff1b\u4ecb\u5165<small class=\"mininote\">\u3014Intervention\u3015<\/small><\/h3>\n\n\n\n<p>\u5728\u6700\u521d\u7684\u91ab\u5b78\u8a55\u4f30\u548c\u7d0d\u5165\u7814\u7a76\u5f8c\uff0c\u6839\u64da\u4ed6\u5011\u662f\u5426\u53ef\u4ee5\u5230\u9054\u5eb7\u5fa9\u4e2d\u5fc3\uff0c\u53c3\u8207\u8005\u88ab\u5b89\u6392\u5728\u5169\u500b\u975e\u76f2\u7d44<small class=\"mininote\">\u3014unblinded groups\u3015<\/small>\uff1a<\/p>\n\n\n\n<ul>\n<li>A \u7d44\uff08\u6a23\u672c\u6578 N=17\uff09\uff0c\u6c92\u6709\u6bcf\u9031\u76e3\u7763\u7684\u935b\u934a\u7642\u6cd5<\/li>\n\n\n\n<li>B \u7d44\uff08\u6a23\u672c\u6578 N=13\uff09\uff0c\u6bcf\u9031\u76e3\u7763\u7684\u935b\u934a\u7642\u6cd5<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u5169\u7d44\u60a3\u8005\u5747\u9032\u884c\u4e86\u516b\u9031\u7684\u935b\u934a\u7642\u6cd5\u3002 \u6bcf\u7bc0\u8ab2\u5305\u62ec 10 \u5206\u9418\u7684\u6709\u6c27\u6d3b\u52d5<small class=\"mininote\">\u3014aerobic activity\u3015<\/small>\uff08\u6b65\u884c\u6216\u56fa\u5b9a\u81ea\u884c\u8eca<small class=\"mininote\">\u3014stationary bicycle\u3015<\/small>\uff09\uff0c\u7136\u5f8c\u662f\u4e94\u7a2e\u808c\u8089\u4f38\u5c55\u548c\u516b\u7a2e\u5730\u9762\u935b\u934a\uff0c\u65e8\u5728\u52a0\u5f37\u8ca0\u8cac\u7a69\u5b9a\u7684\u8170\u90e8\u808c\u8089\uff08<strong>\u57161<\/strong>\uff09\u3002<\/span><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-align-center is-style-bg_stripe\">\u4ee5\u4e0b\u5167\u5bb9\u70ba <strong>\u57161<\/strong><\/p>\n\n\n\n<p class=\"u-mb-ctrl u-mb-10\">\u6709\u6c27\u904b\u52d5\uff1a\u6b65\u884c\u6216\u56fa\u5b9a\u81ea\u884c\u8eca10\u5206\u9418<\/p>\n\n\n\n<p class=\"is-style-section_ttl u-mb-ctrl u-mb-10 has-large-font-size\"><span class=\"swl-inline-color has-swl-deep-02-color\"><strong>\u4f38\u5c55<\/strong><\/span><span style=\"font-size: 0.6em; background-color: initial; color: inherit; letter-spacing: var(--swl-letter_spacing,0.2px); font-family: var(--swl-font_family); font-weight: var(--swl-font_weight);\">\u3014stretches\u3015<\/span><\/p>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-1-1-web.webp\" alt=\"\" class=\"wp-image-4741\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u8eba\u8457\u652f\u6490\u4f60\u7684\u80cc\u90e8\uff0c\u5c07\u4e00\u689d\u817f\u4ea4\u53c9\u5728\u53e6\u4e00\u689d\u817f\u4e0a\u3002<\/li>\n\n\n\n<li>\u7528\u96d9\u624b\u5f9e\u5f8c\u9762\u63e1\u4f4f\u5927\u817f\uff0c\u5c07\u96d9\u817f\u62c9\u5411\u80f8\u90e8\uff0c\u76f4\u5230\u4f60\u611f\u89ba\u4ea4\u53c9\u7684\u817f\u6b63\u5728\u88ab\u4f38\u5c55\u3002<\/li>\n\n\n\n<li>\u4fdd\u6301\u8a72\u4f4d\u7f6e 30 \u79d2\u3002 \u4f60\u7684\u611f\u89ba\u61c9\u8a72\u50cf\u4f60\u7684\u4f38\u5c55\uff0c\u6c92\u6709\u75db\u82e6\u3002<\/li>\n\n\n\n<li>\u4f38\u5c55\u6642\uff0c\u81ea\u7136\u5730\u547c\u5438\u3002 \u6bcf\u689d\u817f\u91cd\u8907\u6bcf\u500b\u52d5\u4f5c03 \u6b21\u3002<\/li>\n\n\n\n<li>\u4f60\u61c9\u8a72\u611f\u89ba\u5230\u4ea4\u53c9\u817f\u5f8c\u90e8\u808c\u8089\u7684\u4f38\u5c55\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-1-2-web.webp\" alt=\"\" class=\"wp-image-4747\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4ef0\u81e5\u5728\u5730\u4e0a\u6642\uff0c\u63e1\u4f4f\u4e00\u689d\u817f\uff0c\u5c07\u5176\u62c9\u5411\u80f8\u90e8\uff0c\u4e26\u4fdd\u6301 30 \u79d2\u3002 \u53e6\u4e00\u689d\u817f\u61c9\u4fdd\u6301\u4f38\u5c55\u3002<\/li>\n\n\n\n<li>\u4f60\u7684\u611f\u89ba\u61c9\u8a72\u50cf\u4f60\u7684\u4f38\u5c55\uff0c\u6c92\u6709\u75bc\u75db\u3002<\/li>\n\n\n\n<li>\u4f38\u5c55\u6642\uff0c\u81ea\u7136\u5730\u547c\u5438\u3002 \u6bcf\u689d\u817f\u91cd\u8907\u9019\u500b\u52d5\u4f5c 03 \u6b21\u3002<\/li>\n\n\n\n<li>\u4f60\u61c9\u8a72\u611f\u89ba\u5230\u5f4e\u66f2\u817f\u5f8c\u90e8\u808c\u8089\u7684\u4f38\u5c55\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-1-3-web.webp\" alt=\"\" class=\"wp-image-4750\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u5750\u5728\u5805\u56fa\u7684\u8868\u9762\u4e0a\uff0c\u5f4e\u66f2\u4e00\u689d\u817f\u4e26\u4e14\u4f38\u5c55\u53e6\u4e00\u689d\u817f\uff0c\u540c\u6642\u5c07\u624b\u5e36\u5411\u88ab\u4f38\u5c55\u817f\u7684\u8173\u3002\u5982\u679c\u4f60\u4e0d\u80fd\u78b0\u4f60\u7684\u8173\uff0c\u53ea\u8981\u628a\u624b\u4f38\u5411\u5b83\u3002<\/li>\n\n\n\n<li>\u5617\u8a66\u653e\u9b06\u80cc\u90e8\u548c\u9838\u90e8\u4e26\u4fdd\u6301 30 \u79d2\u3002<\/li>\n\n\n\n<li>\u4f60\u7684\u611f\u89ba\u61c9\u8a72\u50cf\u4f60\u7684\u4f38\u5c55\uff0c\u6c92\u6709\u75bc\u75db\u3002<\/li>\n\n\n\n<li>\u4f38\u5c55\u6642\uff0c\u81ea\u7136\u5730\u547c\u5438\u3002 \u6bcf\u689d\u817f\u91cd\u8907\u9019\u500b\u52d5\u4f5c 03 \u6b21\u3002<\/li>\n\n\n\n<li>\u4f60\u61c9\u8a72\u611f\u89ba\u5230\u88ab\u4f38\u5c55\u817f\u7684\u5f8c\u90e8\u808c\u8089\u7684\u4f38\u5c55\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-1-4-web.webp\" alt=\"\" class=\"wp-image-4755\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u5750\u5728\u8173\u5f8c\u8ddf\u4e0a\uff0c\u76e1\u53ef\u80fd\u5411\u524d\u4f38\u5c55\u96d9\u81c2\uff0c\u653e\u9b06\u4f60\u7684\u80cc\u90e8\u548c\u9838\u90e8\u4e26\u4fdd\u6301 30 \u79d2\u3002<\/li>\n\n\n\n<li>\u4f60\u7684\u611f\u89ba\u61c9\u8a72\u50cf\u4f60\u7684\u4f38\u5c55\uff0c\u6c92\u6709\u75bc\u75db\u3002<\/li>\n\n\n\n<li>\u4f38\u5c55\u6642\uff0c\u81ea\u7136\u5730\u547c\u5438\u3002 \u91cd\u8907\u4f38\u5c55 03 \u6b21\u3002<\/li>\n\n\n\n<li>\u4f60\u61c9\u8a72\u611f\u89ba\u5230\u80cc\u7684\u5f8c\u90e8\u808c\u8089\u7684\u4f38\u5c55\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-1-5-web.webp\" alt=\"\" class=\"wp-image-4758\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u7ad9\u8d77\u4f86\uff0c\u7528\u624b\u5c07\u4e00\u96bb\u8173\u62c9\u5411\u81c0\u90e8\u4e26\u4fdd\u6301 30 \u79d2\u3002<\/li>\n\n\n\n<li>\u8a18\u5f97\u7528\u4f60\u7a7a\u9592\u7684\u624b\u4f86\u652f\u6490\u81ea\u5df1\uff0c\u4e26\u5118\u53ef\u80fd\u4fdd\u6301\u80cc\u90e8\u76f4\u7acb\u3002<\/li>\n\n\n\n<li>\u4f60\u7684\u611f\u89ba\u61c9\u8a72\u50cf\u4f60\u7684\u4f38\u5c55\uff0c\u6c92\u6709\u75bc\u75db\u3002<\/li>\n\n\n\n<li>\u4f38\u5c55\u6642\uff0c\u81ea\u7136\u5730\u547c\u5438\u3002 \u6bcf\u689d\u817f\u91cd\u8907\u6bcf\u500b\u52d5\u4f5c 03 \u6b21\u3002<\/li>\n\n\n\n<li>\u4f60\u61c9\u8a72\u611f\u89ba\u5230\u5f4e\u66f2\u817f\u7684\u524d\u90e8\u808c\u8089\u7684\u4f38\u5c55\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<p class=\"is-style-section_ttl u-mb-ctrl u-mb-10 has-large-font-size\"><span class=\"swl-inline-color has-swl-deep-03-color\"><strong>\u808c\u8089\u5fb5\u53ec<\/strong><\/span><span style=\"font-size: 0.6em; background-color: initial; color: inherit; letter-spacing: var(--swl-letter_spacing,0.2px); font-family: var(--swl-font_family); font-weight: var(--swl-font_weight);\">\u3014muscle-recruitment\u3015<\/span><\/p>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-1-web.webp\" alt=\"\" class=\"wp-image-4763\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4f34\u96a8\u80cc\u90e8\u652f\u6490\u826f\u597d\u7684\u8eba\u4e0b\uff0c\u5f4e\u66f2\u819d\u84cb\uff0c\u4e26\u4e14\u4fdd\u6301\u80a9\u8180\u653e\u9b06\u3002<\/li>\n\n\n\n<li>\u7528\u4f60\u7684\u8179\u90e8\u808c\u8089\uff08\u4e0d\u8981\u592a\u7528\u529b\uff09\uff0c\u62c9\u4f60\u7684\u809a\u81cd\uff0c\u597d\u50cf\u8a66\u5716\u8b93\u5b83\u63a5\u89f8\u5730\u9762\u3002<\/li>\n\n\n\n<li>\u62c9\u5165\u5f8c\uff0c\u4fdd\u6301\u8a72\u59ff\u52e2 10 \u79d2\u9418\u3002<\/li>\n\n\n\n<li>\u6bcf\u5929\u91cd\u8907\u9019\u500b\u52d5\u4f5c 10 \u6b21\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-2-web.webp\" alt=\"\" class=\"wp-image-4765\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4fef\u81e5\uff0c\u524d\u81c2\u653e\u5728\u5730\u4e0a\uff0c\u8098\u90e8\u5728\u80a9\u8180\u4e0b\u65b9\u3002<\/li>\n\n\n\n<li>\u9032\u884c\u935b\u934a 01\uff08\u62c9\u809a\u81cd\uff09\u4e26\u4e14\u5c07\u819d\u84cb\u62ac\u96e2\u5730\u677f\u76f4\u5230\u4f38\u76f4\u3002\u4fdd\u6301\u80cc\u90e8\u76f4\u7acb\u4e26\u4fdd\u6301\u8a72\u59ff\u52e2 15-30 \u79d2\uff08\u76e1\u53ef\u80fd\u9577\u6642\u9593\uff09\u3002<\/li>\n\n\n\n<li>\u5982\u679c\u592a\u96e3\uff0c\u8acb\u4fdd\u6301\u819d\u84cb\u8457\u5730\uff0c\u62ac\u8d77\u81c0\u90e8\uff0c\u4fdd\u6301\u80cc\u90e8\u76f4\u7acb\u3002<\/li>\n\n\n\n<li>\u5728\u6574\u500b\u935b\u934a\u904e\u7a0b\u4e2d\uff0c\u4fdd\u6301\u8179\u90e8\u6536\u7e2e\u548c\u809a\u81cd\u5167\u6536\u662f\u5f88\u91cd\u8981\u7684\u3002<\/li>\n\n\n\n<li>\u91cd\u8907\u52d5\u4f5c 03 \u6b21\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-3-web.webp\" alt=\"\" class=\"wp-image-4768\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u5728\u819d\u84cb\u8212\u9069\u7684\u8868\u9762\u4e0a\uff0c\u5c07\u81ea\u5df1\u653e\u5728\u624b\u548c\u819d\u84cb\u4e0a\u7684\u4f4d\u7f6e\uff0c\u4fdd\u6301\u80cc\u90e8\u76f4\u7acb\u3002<\/li>\n\n\n\n<li>\u9032\u884c\u935b\u934a 01\uff08\u62c9\u809a\u81cd\uff09\uff0c\u7136\u5f8c\u5c07\u5de6\u819d\u4f38\u76f4\u81f3\u81c0\u90e8\uff0c\u5c07\u53f3\u81c2\u4f38\u76f4\u81f3\u80a9\u8180\u3002 \u4fdd\u6301\u8a72\u4f4d\u7f6e 15-30 \u79d2\uff08\u76e1\u53ef\u80fd\u9577\uff09\u3002<\/li>\n\n\n\n<li>\u56de\u5230\u521d\u59cb\u4f4d\u7f6e\u3002 \u4f38\u76f4\u53f3\u819d\u548c\u5de6\u81c2\uff0c\u518d\u4fdd\u6301 15-30 \u79d2\u3002<\/li>\n\n\n\n<li>\u5728\u6574\u500b\u935b\u934a\u904e\u7a0b\u4e2d\uff0c\u4fdd\u6301\u8179\u90e8\u6536\u7e2e\u548c\u809a\u81cd\u5167\u6536\u662f\u5f88\u91cd\u8981\u7684\u3002<\/li>\n\n\n\n<li>\u91cd\u8907\u52d5\u4f5c 03 \u6b21\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-4-web.webp\" alt=\"\" class=\"wp-image-4771\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4f34\u96a8\u652f\u6490\u826f\u597d\u7684\u4ef0\u81e5\u6642\uff0c\u5f4e\u66f2\u819d\u84cb\u3002<\/li>\n\n\n\n<li>\u5728\u96d9\u817f\u4e4b\u9593\u653e\u4e00\u500b\u67d4\u8edf\u7684\u7403\u6216\u6795\u982d\uff0c\u4e26\u6309\u58d3\u5b83\uff0c\u540c\u6642\u6536\u7dca\u9aa8\u76c6\u808c\u8089\uff0c\u597d\u50cf\u8981\u300c\u618b\u5c3f\u300d\u3002<\/li>\n\n\n\n<li>\u6bcf\u6b21\u5728\u819d\u84cb\u4e4b\u9593\u6309\u58d3\u7403\u6642\uff0c\u300c\u618b\u5c3f\u300d\u662f\u5f88\u91cd\u8981\u7684\u3002<\/li>\n\n\n\n<li>\u9032\u884c 03 \u7d44 15 \u6b21\u91cd\u8907\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-5-web.webp\" alt=\"\" class=\"wp-image-4775\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4f34\u96a8\u819d\u84cb\u5f4e\u66f2\u7684\u4ef0\u81e5\u3002<\/li>\n\n\n\n<li>\u9032\u884c\u935b\u934a 01\uff08\u62c9\u809a\u81cd\uff09\u4e26\u62ac\u8d77\u81c0\u90e8\uff0c\u76f4\u5230\u80cc\u90e8\u76f4\u7acb\uff0c\u5728\u819d\u84cb\u548c\u80a9\u8180\u4e4b\u9593\u5f62\u6210\u4e00\u689d\u7dda\u3002\u4fdd\u6301\u8a72\u4f4d\u7f6e I5-30 \u79d2\uff08\u76e1\u53ef\u80fd\u9577\u6642\u9593\uff09\u3002<\/li>\n\n\n\n<li>\u5728\u6574\u500b\u935b\u934a\u904e\u7a0b\u4e2d\uff0c\u4fdd\u6301\u8179\u90e8\u6536\u7e2e\u548c\u809a\u81cd\u5167\u6536\u662f\u5f88\u91cd\u8981\u7684\u3002<\/li>\n\n\n\n<li>\u91cd\u8907\u52d5\u4f5c 03 \u6b21\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-6-web.webp\" alt=\"\" class=\"wp-image-4774\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4f34\u96a8\u8098\u90e8\u8207\u80a9\u8180\u5c0d\u9f4a\u7684\u5074\u8eba\uff0c\u4e26\u4e14\u524d\u81c2\u9760\u5728\u5730\u4e0a\uff0c\u9032\u884c\u935b\u934a 01\uff08\u62c9\u809a\u81cd\uff09\u4e26\u62ac\u8d77\u81c0\u90e8\uff0c\u76f4\u5230\u8eab\u9ad4\u5145\u5206\u4f38\u5c55\uff0c\u5f9e\u8173\u5230\u80a9\u5f62\u6210\u4e00\u689d\u7dda\u3002 \u4fdd\u6301\u8a72\u59ff\u52e2 15-30 \u79d2\uff08\u76e1\u53ef\u80fd\u9577\uff09\u3002<\/li>\n\n\n\n<li>\u5728\u6574\u500b\u935b\u934a\u904e\u7a0b\u4e2d\uff0c\u4fdd\u6301\u8179\u90e8\u6536\u7e2e\u548c\u809a\u81cd\u5167\u6536\u662f\u5f88\u91cd\u8981\u7684\u3002<\/li>\n\n\n\n<li>\u6bcf\u908a\u91cd\u8907\u9019\u500b\u52d5\u4f5c 03 \u6b21\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-7-web.webp\" alt=\"\" class=\"wp-image-4780\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4ef0\u81e5\u3001\u5f4e\u66f2\u819d\u84cb\uff0c\u4e26\u4e14\u96d9\u624b\u653e\u5728\u8166\u5f8c\uff0c\u62ac\u8d77\u8ec0\u5e79\u76f4\u5230\u80a9\u8180\u96e2\u958b\u5730\u9762\u3002<\/li>\n\n\n\n<li>\u505a\u9019\u500b\u935b\u934a\u6642\u76e1\u91cf\u4fdd\u6301\u80cc\u90e8\u8457\u5730\u3002<\/li>\n\n\n\n<li>\u57f7\u884c 03 \u7d44 10-15 \u91cd\u8907\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\">\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/\u5de5\u4f5c\u5340\u57df-2-8-web.webp\" alt=\"\" class=\"wp-image-4782\" style=\"width:338px;height:338px\" width=\"338\" height=\"338\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center\">\n<ul>\n<li>\u4f34\u96a8\u5c48\u819d\u7684\u5074\u81e5\uff0c\u901a\u904e\u65cb\u8f49\u6216\u958b\u5408\u96d9\u817f\u4f7f\u96d9\u819d\u9060\u96e2\u5f7c\u6b64\u3002<\/li>\n\n\n\n<li>\u5728\u935b\u7149\u904e\u7a0b\u4e2d\u4fdd\u6301\u96d9\u8173\u4f75\u650f\u5f88\u91cd\u8981\u3002<\/li>\n\n\n\n<li>\u5169\u5074\u91cd\u8907\u7df4\u7fd2\uff0c03 \u7d44 5 \u6b21\u91cd\u8907\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<p class=\"has-text-align-center\"><strong>\u57161<\/strong>\u3001\u5bb6\u5ead\u935b\u7149\u8a08\u5283\u624b\u518a\uff08\u6b63\u9762\uff09\uff0c\u4f38\u5c55\u904b\u52d5\u548c\u808c\u8089\u5fb5\u53ec\u7684\u63cf\u8ff0\u3002<\/p>\n\n\n\n<p class=\"has-text-align-center is-style-bg_stripe\">\u4ee5\u4e0a\u5167\u5bb9\u70ba <strong>\u57161<\/strong><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u5728\u521d\u6b65\u6307\u5c0e\u4e4b\u5f8c\uff0cA \u7d44\u7684\u500b\u4eba\u6bcf\u9031\u9032\u884c\u4e86 3 \u6b21\u7121\u4eba\u76e3\u7763\u7684\u5bb6\u5ead\u57f9\u8a13\u8ab2\u7a0b\u3002 B \u7d44\u7684\u500b\u4eba\u4e5f\u6bcf\u9031\u9032\u884c 3 \u6b21\u8ab2\u7a0b\u2014\u20142 \u6b21\u5728\u5bb6\uff0c1 \u6b21\u7531\u5eb7\u5fa9\u4e2d\u5fc3\u7684\u7269\u7406\u6cbb\u7642\u5e2b\u76e3\u7763\u3002 \u5169\u7d44\u90fd\u6536\u5230\u4e86\u4e00\u672c\u5e36\u6709\u8aaa\u660e\u7684\u5c0f\u518a\u5b50\u3002<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u6578\u64da\u6536\u96c6\u5de5\u5177<\/h4>\n\n\n\n<p>\u7814\u7a76\u7684\u53c3\u8207\u8005\u586b\u5beb\u4e86<strong>\u75bc\u75db\u6578\u5b57\u8a55\u5b9a\u91cf\u8868<\/strong><small class=\"mininote\">\u3014Pain Numerical Rating Scale\u3015<\/small>&#8211; PNRS\u3001<strong>\u7f85\u862d-\u6469\u7406\u65af\u554f\u5377<\/strong><small class=\"mininote\">\u3014Roland Morris\u3015 <\/small>(RM)<small class=\"mininote\"><sup>[11]<\/sup><\/small> \u548c<strong>\u751f\u6d3b\u54c1\u8cea\u554f\u5377<\/strong><small class=\"mininote\">\u3014Short Form-36\u3015<\/small> (SF-36)<small class=\"mininote\"><sup>[12]<\/sup><\/small> \uff0c\u5728\u521d\u59cb\u8a55\u4f30\u6642\u4ee5\u53ca 4 \u5468\u548c 8 \u9031\u5f8c\u7ffb\u8b6f\u4e26\u9a57\u8b49\u70ba\u8461\u8404\u7259\u8a9e\u3002<\/p>\n\n\n\n<p>\u70ba\u4e86\u63a7\u5236\u9075\u5f9e\u6027<small class=\"mininote\">\u3014adhesion\u3015<\/small>\uff0c\u53c3\u8207\u8005\u88ab\u8981\u6c42\u5728\u5c0f\u518a\u5b50\u4e0a\u8a18\u4e0b\u8ab2\u7a0b\u9032\u884c\u7684\u65e5\u671f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7d71\u8a08\u5206\u6790<small class=\"mininote\">\u3014Statistical analysis\u3015<\/small><\/h3>\n\n\n\n<p>\u8003\u616e\u5230\u540c\u4e00\u60a3\u8005\u7684\u4e0d\u540c\u8a55\u4f30\u4e4b\u9593\u7684\u95dc\u4fc2\uff0c\u4f7f\u7528<strong>\u5ee3\u7fa9\u4f30\u8a08\u65b9\u7a0b\u5f0f<\/strong><small class=\"mininote\">\u3014generalized estimating equation\u3015 <\/small>\uff08GEE\uff09<small class=\"mininote\"><sup>[13]<\/sup><\/small> \u6a21\u578b\u5206\u6790\u554f\u5377\u7684\u5206\u6578\u3002 \u6211\u5011\u5728\u9019\u4e9b\u6a21\u578b\u4e2d\u5305\u62ec\u4e86\u300e\u7d44\u4e2d\u935b\u934a\u7684\u6548\u679c\uff08A \u6216 B\uff09\u300f\u3001\u300e\u8a55\u4f30\u6642\u9593\uff08\u521d\u59cb\u3001\u7b2c 4 \u5468\u548c\u7b2c 8 \u9031\uff09\u300f\u4ee5\u53ca\u300e\u7d44\/\u6642\u9593\u4e4b\u9593\u7684\u76f8\u4e92\u4f5c\u7528\u300f\u3002<\/p>\n\n\n\n<p>\u7d50\u679c\u901a\u904e\u300e\u4fe1\u8cf4\u5340\u9593<small class=\"mininote\">\u3014confidence intervals\u3015<\/small>\u70ba 95% (CI95%) \u7684\u4f30\u8a08\u5747\u503c<small class=\"mininote\">\u3014estimated means\u3015<\/small>\u300f\u5448\u73fe\u3002 \u7d44\u9593\u6bd4\u8f03\u548c\u8a55\u4f30\u6b21\u6578\u901a\u904e\u300e\u4f30\u8a08\u7684\u5e73\u5747\u5dee\u548c\u5176\u5404\u81ea\u7684 CI95%\uff0c\u4ee5\u53ca\u4f7f\u7528 Bonferroni \u6821\u6b63\u7684 p \u503c\u300f\u5448\u73fe\u3002<\/p>\n\n\n\n<p>\u4f7f\u7528\u6b63\u614b<small class=\"mininote\">\u3014Normal\u3015<\/small>\u3001\u4f3d\u746a<small class=\"mininote\">\u3014Gamma\u3015<\/small>\u6216\u6cca\u677e\u5206\u4f48<small class=\"mininote\">\u3014Poisson distribution\u3015<\/small>\u5c0d\u6a21\u578b\u9032\u884c\u4e86\u8abf\u6574\uff0c\u4ee5\u5c0b\u627e\u63d0\u4f9b\u8f03\u4f4e\u6b98\u5dee<small class=\"mininote\">\u3014lower residuals\u3015<\/small>\u7684\u6a21\u578b\u3002 \u4f7f\u7528 SPSS\u00ae \u8edf\u9ad4\u7b2c 18 \u7248\u9032\u884c\u5206\u6790\uff0c\u986f\u8457\u6027\u6c34\u5e73\u8a2d\u7f6e\u70ba 5%\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7d50\u679c<\/h2>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">B \u7d44\u7684\u500b\u4eba\u5c0d\u898f\u5b9a\u7684\u5bb6\u5ead\u935b\u7149\u8ab2\u7a0b\u66f4\u52a0\u52e4\u596e<\/span>\u2014\u2014\u4ed6\u5011\u5e73\u5747\u9032\u884c\u4e86 16 \u6b21\u8ab2\u7a0b\u4e2d\u7684 13.6 \u6b21\uff1b B \u7d44\u7684\u53c3\u8207\u8005\u5728 24 \u4eba\u4e2d\u5e73\u5747\u57f7\u884c\u70ba 13.9 \u4eba\u3002\u8207 B \u7d44 (6 \u7537 : 7 \u5973) \u76f8\u6bd4\uff0cA \u7d44 (12 \u7537 : 5\u5973) \u7684\u7537\u6027\u6bd4\u4f8b\u66f4\u9ad8\u3002<\/p>\n\n\n\n<p>\u5728\u5206\u6790\u75bc\u75db<strong><span class=\"swl-inline-color has-swl-deep-01-color\">\u6578\u5b57\u8a55\u5b9a\u91cf\u8868<\/span><\/strong><small class=\"mininote\">\u3014Pain Numerical Rating Scale\u3015<\/small> (PNRS) \u7684\u5206\u6578\u5f8c\uff0c\u6211\u5011\u767c\u73fe\u300e A \u7d44 (p=0.036) \u548c B (p=0.025) \u7d44\u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 4 \u9031\u4e4b\u9593\u300f\u4ee5\u53ca\u300e A \u7d44 (p=0.036) \u548c B \u7d44(p&lt;0.001) \u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 8 \u9031\u4e4b\u9593\u300f\u5206\u6578\u964d\u4f4e\u7684\u8b49\u64da\uff08\u8868 1\uff09\u3002<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-align-center is-style-bg_stripe\">\u4ee5\u4e0b\u5167\u5bb9\u70ba <strong>\u88681<\/strong><\/p>\n\n\n\n<figure data-theadfix=\"both\" class=\"wp-block-table is-style-regular\"><table><thead><tr><th><span class=\"swl-inline-color has-black-color\">\u8b8a\u91cf<\/span><\/th><th><span class=\"swl-inline-color has-black-color\">A \u7d4417\u4eba<\/span><\/th><th><span class=\"swl-inline-color has-black-color\">p\u503c<\/span><\/th><th><span class=\"swl-inline-color has-black-color\">B \u7d4413\u4eba<\/span><\/th><th><span class=\"swl-inline-color has-black-color\">p\u503c<\/span><\/th><\/tr><\/thead><tbody><tr><td><span class=\"swl-inline-color has-swl-deep-01-color\"><strong>PNRS<\/strong><\/span><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>0.9 (0.3;1.5)<\/td><td>p=0.036<\/td><td>1.7 (0.5;2.8)<\/td><td>p=0.025<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>1.5 (0.5;2.4)<\/td><td>p=0.011<\/td><td>2.0 (1.2;2.8)<\/td><td>p&lt;0.001<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>0.6 (-0.1;1.3)<\/td><td>p=0.521<\/td><td>0.3 (-0.4;1.0)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-01-color\">Roland Morris<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>2.5 (1.4;3.5)<\/td><td>p&lt;0.001<\/td><td>1.6 (0.8;2.4)<\/td><td>p=0.001<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>3.6 (1.9; 5.4)<\/td><td>p&lt;0.001<\/td><td>2.8 (1.5;4.0)<\/td><td>p&lt;0.001<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>1.2 (0.1; 2.3)<\/td><td>p=0.225<\/td><td>1.2 (0.5; 1.9)<\/td><td>p=0.008<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-01-color\">SF-36<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td><span class=\"swl-inline-color has-swl-deep-02-color\"><strong>\u529f\u80fd\u80fd\u529b<\/strong><\/span><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-5.6 (-10.0; -1.1)<\/td><td>p=0.084<\/td><td>-6.2 (-9.6; -2.8)<\/td><td>p=0.002<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-9.7 (-15.6; -3.9)<\/td><td>p=0.007<\/td><td>-9.2 (-12.4; -6.1)<\/td><td>p&lt;0.001<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-4.1 (-7.0; -1.3)<\/td><td>p=0.028<\/td><td>-3.1 (-6.4; 0.2)<\/td><td>p=0.402<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u8eab\u9ad4\u65b9\u9762<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-7.4 (-18.7; 4.0)<\/td><td>p&gt;0.999<\/td><td>-38.5 (-57.4 -19.5)<\/td><td>p&lt;0.001<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-25.0 (-40.8; -9.2)<\/td><td>p=0.011<\/td><td>-42.3 (-61.8; -22.8)<\/td><td>p&lt;0.001<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-17.6 (-29.0; -6.3)<\/td><td>p=0.014<\/td><td>-3.8 (-16.7; 9.0)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u75bc\u75db<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-12.9 (-20.2; -5.6)<\/td><td>p=0.003<\/td><td>-15.2 (-23.1; -7.4)<\/td><td>p=0.001<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-20.5 (-28.9; -12.0)<\/td><td>p&lt;0.001<\/td><td>-20.0 (-30.7; -9.3)<\/td><td>p=0.001<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-7.6 (-12.2; -2.9)<\/td><td>p=0.009<\/td><td>-4.8 (-12.7; 3.2)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u6574\u9ad4\u5065\u5eb7\u72c0\u6cc1<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-2.5 (-6.3; 1.3)<\/td><td>p&gt;0.999<\/td><td>6.5 (-11.9; -1.2)<\/td><td>p=0.101<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-4.2 (-8.8; 0.5)<\/td><td>p=0.479<\/td><td>-5.0 (-12.5; 2.5)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-1.7 (-4.4; 0.9)<\/td><td>p&gt;0.999<\/td><td>1.5 (-13.8; 10.8)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u6d3b\u529b<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-6.8 (-15.4; 1.9)<\/td><td>p=0.746<\/td><td>-3.8 (-10.2; 2.5)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-8.5 (-18.0; 0.9)<\/td><td>p=0.457<\/td><td>-6.9 (-13.6; -0.2)<\/td><td>p=0.258<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-1.8 (-5.0; 1.5)<\/td><td>p&gt;0.999<\/td><td>-3.1 (-6.9; 0.7)<\/td><td>p=0.661<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u793e\u6703\u65b9\u9762<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-2.3 (-7.3; 2.8)<\/td><td>p&gt;0.999<\/td><td>3.0 (-7.1; 13.0)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-7.4 (-15.5; 0.7)<\/td><td>p=0.441<\/td><td>0.1 (-10.9; 11.1)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-5.1 (-9.7; -0.6)<\/td><td>p=0.159<\/td><td>-2.9 (-12.9; 7.2)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u60c5\u611f\u65b9\u9762<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-7.8 (-23.7; 8.1)<\/td><td>p&gt;0.999<\/td><td>-5.2 (-23.8; 13.3)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-19.5 (-35.9; -3.2)<\/td><td>p=0.117<\/td><td>-18.0 (-38.9; 2.8)<\/td><td>p=0.540<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-11.7 (-19.3; -4.2)<\/td><td>p=0.014<\/td><td>-12.8 (-26.2; 0.5)<\/td><td>p=0.359<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u7cbe\u795e\u5065\u5eb7<\/span><\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda\u548c 4 \u9031<\/td><td>-2.8 (-7.9; 2.2)<\/td><td>p&gt;0.999<\/td><td>-1.9 (-6.9; 3.1)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>\u57fa\u7dda\u548c 8 \u9031<\/td><td>-5.9 (-9.5; -2.2)<\/td><td>p=0.009<\/td><td>-3.8 (-9.1; 1.6)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u5468\u548c 8 \u9031<\/td><td>-3.1 (-7.4; 1.3)<\/td><td>p&gt;0.999<\/td><td>-1.8 (-3.9; 0.2)<\/td><td>p=0.440<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><strong>\u88681<\/strong>\u3001<br>\u7d44\u9593\u5206\u6790\uff1a\u521d\u59cb\u3001\u7b2c 4 \u5468\u548c\u7b2c 8 \u9031\u8a55\u4f30\u7d50\u679c\u7684\u4f30\u8a08\u5747\u503c\u548c\u4fe1\u8cf4\u5340\u9593\u70ba 95%<\/p>\n\n\n\n<p class=\"has-text-align-center is-style-bg_stripe\">\u4ee5\u4e0a\u5167\u5bb9\u70ba <strong>\u88681<\/strong><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u81f3\u65bc\u4f86\u81ea<strong><span class=\"swl-inline-color has-swl-deep-01-color\">\u7f85\u862d\uff0d\u6469\u7406\u65af\u91cf\u8868<\/span><\/strong><small class=\"mininote\">\u3014Roland Morris Scale\u3015<\/small> (RM) \u7684\u529f\u80fd\u80fd\u529b\u5f97\u5206\uff0c\u6211\u5011\u767c\u73fe\u300e  A \u7d44 (p&lt;0.001) \u548c B (p=0.001) \u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 4 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\u3001\u300e A \u7d44 (p&lt;0.001) \u548c B (p&lt; 0.001) \u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\uff0c\u4ee5\u53ca\u300e B \u7d44 (p=0.008) \u7684\u7b2c 4 \u9031\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\u5206\u6578\u964d\u4f4e\u7684\u8b49\u64da\uff08\u8868 1\uff09\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong><span class=\"swl-inline-color has-swl-deep-01-color\">SF-36 \u8a55\u5206<\/span><\/strong>\u9032\u5c55\u7684\u5206\u6790\u5206\u5225\u91dd\u5c0d\u516b\u500b\u9818\u57df\u9032\u884c\u4e86\u63cf\u8ff0\u3002 \uff08\u8868 1\uff09<\/p>\n\n\n\n<ul>\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u529f\u80fd\u80fd\u529b<\/span><\/strong>\uff1a\u6211\u5011\u767c\u73fe\u300e B \u7d44 (p=0.002) \u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 4 \u9031\u8a55\u4f30\u4e4b\u9593\u300f\u3001\u300e A \u7d44 (p=0.007) \u548c B (p&lt;0.001) \u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\uff0c\u4ee5\u53ca\u300e A \u7d44\uff08p=0.028\uff09\u7684\u7b2c 4 \u5468\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593\u300f\u5206\u6578\u589e\u52a0\u7684\u8b49\u64da\u3002<\/li>\n\n\n\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u8eab\u9ad4\u65b9\u9762<\/span><\/strong>\uff1a\u6211\u5011\u767c\u73fe\u300e B \u7d44\uff08p&lt;0.001\uff09\u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 4 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\u3001\u300e A \u7d44\uff08p=0.011\uff09\u548c B \u7d44\uff08p&lt;0.001\uff09\u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593\u300f\u3001\u4ee5\u53ca\u300eA \u7d44\uff08p=0.014\uff09\u7b2c 4 \u5468\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593\u300f\u5206\u6578\u589e\u52a0\u7684\u8b49\u64da\u3002<\/li>\n\n\n\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u75bc\u75db<\/span><\/strong>\uff1a\u6211\u5011\u767c\u73fe\u300e A \u7d44 (p=0.003) \u548c B (p=0.001) \u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 4 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\u3001\u300e  A \u7d44 (p&lt;0.001) \u548c B \u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\uff0c\u4ee5\u53ca\u300e A \u7d44 (p=0.009) \u7b2c 4 \u9031\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\u5206\u6578\u589e\u52a0\u7684\u8b49\u64da\u3002<\/li>\n\n\n\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u6574\u9ad4\u5065\u5eb7\u72c0\u6cc1<\/span><\/strong>\uff1a\u6211\u5011\u767c\u73fe\u300e A \u7d44\uff08\u6240\u6709\u6bd4\u8f03\u4e2d p &gt; 0.05\uff09\u548c B \u7d44\uff08\u6240\u6709\u6bd4\u8f03\u4e2d p &gt; 0.05\uff09\u7684\u8a55\u4f30\u4e4b\u9593 \u300f\u6c92\u6709\u5206\u6578\u8b8a\u5316\u7684\u8b49\u64da\u3002 <\/li>\n\n\n\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u6d3b\u529b<\/span><\/strong>\uff1a\u6211\u5011\u767c\u73fe\u300e A \u7d44\uff08\u6240\u6709\u6bd4\u8f03\u4e2d p&gt;0.05\uff09\u548c B \u7d44\uff08\u6240\u6709\u6bd4\u8f03\u4e2d p&gt;0.05\uff09\u7684\u8a55\u4f30\u4e4b\u9593 \u300f\u6c92\u6709\u5206\u6578\u8b8a\u5316\u7684\u8b49\u64da\u3002<\/li>\n\n\n\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u793e\u6703\u65b9\u9762<\/span>\uff1a<\/strong>\u6211\u5011\u767c\u73fe\u300e A \u7d44\uff08\u6240\u6709\u6bd4\u8f03\u4e2d p&gt;0.05\uff09\u548c B \u7d44\uff08\u6240\u6709\u6bd4\u8f03\u4e2d p&gt;0.05\uff09\u7684\u8a55\u4f30\u4e4b\u9593\u300f\u6c92\u6709\u5206\u6578\u8b8a\u5316\u7684\u8b49\u64da\u3002<\/li>\n\n\n\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u60c5\u611f\u65b9\u9762<\/span><\/strong>\uff1a\u6211\u5011\u767c\u73fe\u300e A \u7d44\uff08p=0.014\uff09\u7b2c 4 \u9031\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593 \u300f\u5206\u6578\u589e\u52a0\u7684\u8b49\u64da\u3002 <\/li>\n\n\n\n<li><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u7cbe\u795e\u5065\u5eb7<\/span><\/strong>\uff1a\u6211\u5011\u767c\u73fe\u300e A \u7d44\uff08p=0.009\uff09\u7684\u521d\u59cb\u8a55\u4f30\u548c\u7b2c 8 \u9031\u8a55\u4f30\u4e4b\u9593\u300f\u5206\u6578\u589e\u52a0\u7684\u8b49\u64da\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u5728\u6240\u6709\u4e09\u500b\u8a55\u4f30\u4e2d\u6bd4\u8f03\u5404\u7d44\u6642\uff0c\u6211\u5011\u767c\u73fe\u300e\u6c92\u6709\u5dee\u7570\u300f\u7684\u8b49\u64da\uff08p&gt;0.05\uff09\uff08\u8868 2\uff09\u3002<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-align-center is-style-bg_stripe\">\u4ee5\u4e0b\u5167\u5bb9\u70ba <strong>\u88682<\/strong><\/p>\n\n\n\n<figure data-theadfix=\"both\" class=\"wp-block-table\"><table><thead><tr><th><span class=\"swl-inline-color has-black-color\">\u8b8a\u91cf<\/span><\/th><th><span class=\"swl-inline-color has-black-color\">A \u7d44\u5c0d\u6bd4 B \u7d44<\/span><\/th><th><span class=\"swl-inline-color has-black-color\">p\u503c<\/span><\/th><\/tr><\/thead><tbody><tr><td><strong><span class=\"swl-inline-color has-swl-deep-01-color\">PNRS<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>0.4 (-1.9; 1.2)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>-1.2 (-2.7; 0.4)<\/td><td>p=0.408<\/td><\/tr><tr><td>8 \u9031<\/td><td>-0.9 (-2.3; 0.5)<\/td><td>p=0.655<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-01-color\">Roland Morris<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>-1.1 (-5.0; 2.8)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>-0.3 (-3.9; 3.4)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>-0.2 (-3.8; 3.3)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-01-color\">SF-36<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u529f\u80fd\u80fd\u529b<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>3.3 (-10.5; 17.1)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>3.9 (-8.5; 16.3)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>2.9 (-9.4; 15.1)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u8eab\u9ad4\u65b9\u9762<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>-18.2 (-45.1; 8.7)<\/td><td>p=0.554<\/td><\/tr><tr><td>4 \u9031<\/td><td>12.9 (-13.6; 39.4)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>-0.9 (-24.6; 22.8)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><span class=\"swl-inline-color has-swl-deep-02-color\"><strong>\u75bc\u75db<\/strong><\/span><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>9.8 (-6.5; 26.0)<\/td><td>p=0.714<\/td><\/tr><tr><td>4 \u9031<\/td><td>12.1 (-3.1; 27.3)<\/td><td>p=0.355<\/td><\/tr><tr><td>8 \u9031<\/td><td>9.3 (-5.8; 24.4)<\/td><td>p=0.682<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u6574\u9ad4\u5065\u5eb7\u72c0\u6cc1<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>-2.3 (-13.0; 8.4)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>1.8 (-9.0; 12.5)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>-1.5 (-13.8; 10.8)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u6d3b\u529b<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>0.5 (-14.3; 13.4)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>-3.4 (-15.6; 8.8)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>-2.1 (-14.3; 10.2)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u793e\u6703\u65b9\u9762<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>3.2 (-11.2; 17.7)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>-2.0 (-17.6; 13.6)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>-4.3 (-18.2; 9.7)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u60c5\u611f\u65b9\u9762<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>0.6 (-23.7; 24.9)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>-2.0 (-25.8; 21.8)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>-0.9 (-20.9; 19.1)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td><strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u7cbe\u795e\u5065\u5eb7<\/span><\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>\u57fa\u7dda<\/td><td>0.4 (-9.3; 10.1)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>4 \u9031<\/td><td>-0.5 (-12.2; 11.2)<\/td><td>p&gt;0.999<\/td><\/tr><tr><td>8 \u9031<\/td><td>-1.7 (-12.6; 9.2)<\/td><td>p&gt;0.999<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">\u4f30\u8a08\u7684\u5e73\u5747\u5dee\u7570\u548c\u4fe1\u8cf4\u5340\u9593\u70ba 95%\u3002 PNRS\uff1a\u75bc\u75db\u6578\u5b57\u8a55\u5b9a\u91cf\u8868<\/figcaption><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><strong>\u8868 2<\/strong><br>\u7d44\u5167\u5206\u6790\uff1a\u521d\u59cb\u3001\u7b2c 4 \u9031\u548c\u7b2c 8 \u9031\u4f34\u96a8\u7d44\u9593\u6bd4\u8f03\u7684\u8a55\u4f30\u7d50\u679c\uff0c\u4f30\u8a08\u5747\u503c\u548c\u7f6e\u4fe1\u5340\u9593\u70ba 95% \u3002<\/p>\n\n\n\n<p class=\"has-text-align-center is-style-bg_stripe\">\u4ee5\u4e0b\u5167\u5bb9\u70ba <strong>\u88682<\/strong><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">\u8a0e\u8ad6<\/h2>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u6587\u737b\u4e2d\u5145\u5206\u8b49\u5be6\uff0c\u57fa\u65bc\u935b\u934a\u7684\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u6cbb\u7642\u662f\u6709\u6548\u7684\u3002 \u4f46\u662f\uff0c\u5c0d\u65bc\u6700\u4f73\u6a21\u578b\u6c92\u6709\u9054\u6210\u5171\u8b58<\/span><small class=\"mininote\"><sup>[6,14]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p>Chang \u7b49\u4eba\u7684\u7814\u7a76<small class=\"mininote\"><sup>[15]<\/sup><\/small> \u8868\u660e\uff0c\u8207\u5176\u4ed6\u935b\u934a\u76f8\u6bd4\uff0c\u5c08\u6ce8\u65bc\u5f37\u5316\u548c\u6fc0\u6d3b\u6df1\u90e8\u8ec0\u5e79\u808c\u8089\u7684\u935b\u934a\u6548\u679c\u66f4\u597d\u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u672c\u7814\u7a76\u7684<strong>\u935b\u934a\u9078\u64c7<\/strong>\u9084\u8003\u616e\u5230\u4e86\u5b83\u5011\u5728\u5bb6\u5ead\u74b0\u5883\u4e2d\u7684\u9069\u7528\u6027\u3001\u7c21\u55ae\u6027\u4ee5\u53ca\u5c08\u6ce8\u65bc\u6fc0\u6d3b\u6df1\u5c64\u8ec0\u5e79\u808c\u8089<\/span>\u2014\u2014\u5982 Okubo \u7b49\u4eba\u57fa\u65bc\u808c\u96fb\u5716\u7684\u7814\u7a76\u6240\u793a<small class=\"mininote\"><sup>[16]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p>\u76ee\u6a19\u808c\u8089\u2014\u2014\u300e\u76f4\u63a5\u9023\u63a5\u5230\u6bcf\u500b\u690e\u9aa8\u7bc0\u6bb5\u7684\u8ff4\u65cb\u808c<small class=\"mininote\">\u3014rotatores\u3015<\/small>\u300f\u3001\u300e\u8179\u6a6b\u808c<small class=\"mininote\">\u3014transverse abdominal muscle\u3015<\/small>\u300f\u4ee5\u53ca\u300e\u6536\u7e2e\u671f\u9593\u70ba\u810a\u67f1\u63d0\u4f9b\u7bc0\u6bb5\u7a69\u5b9a\u6027\u7684\u8179\u5167\u659c\u808c<small class=\"mininote\">\u3014internal oblique\u3015<\/small>\u300f\u2014\u2014\u88ab\u8a8d\u70ba\u662f\u4e3b\u8981\u7a69\u5b9a\u808c<small class=\"mininote\">\u3014stabilizers\u3015<\/small>\u3002 \u9019\u4e9b\u808c\u8089\u5354\u540c\u4f5c\u7528\uff0c\u5f62\u6210\u5171\u540c\u6536\u7e2e\u6a5f\u5236<small class=\"mininote\">\u3014co-contraction mechanism\u3015<\/small>\uff1b \u56e0\u6b64\uff0c\u5176\u5141\u8a31\u500b\u4eba\u5728\u529f\u80fd\u6d3b\u52d5\u671f\u9593\u6e96\u5099\u597d\u61c9\u5c0d\u6c96\u64ca\uff0c\u800c\u4e0d\u6703\u4f7f\u76f8\u9130\u7d50\u69cb\u8d85\u8f09<small class=\"mininote\"><sup>[17,18]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p>\u53c3\u8207\u8005\uff0818-65 \u6b72\uff09\u5e74\u9f61\u7bc4\u570d\u7684\u9078\u64c7\uff08\u4ee5\u53ca\u5c0d\u6027\u5225\u7684\u7121\u5dee\u7570\uff09\u662f\u57fa\u65bc\u985e\u4f3c\u7684\u5148\u524d\u7814\u7a76\uff0c\u4e26\u4e14\u5c0d\u898f\u5b9a\u7684\u6cbb\u7642\u6c92\u6709\u5f71\u97ff<small class=\"mininote\"><sup>[19-21]<\/sup><\/small> \u3002 \u4e00\u4e9b\u53c3\u8207\u8005\uff0c\u5c24\u5176\u662f\u5e74\u9f61\u8f03\u5927\u7684\u53c3\u8207\u8005\uff0c\u767c\u73fe\u5f88\u96e3\u9032\u884c\u4e00\u4e9b\u935b\u934a\u3002 \u5728\u9019\u4e9b\u60c5\u6cc1\u4e0b\uff0c\u4ed6\u5011\u88ab\u6307\u793a\u9075\u5faa\u935b\u934a\u7684\u6539\u7de8\u7248\u672c\u3002<\/p>\n\n\n\n<p>\u78ba\u8a8d\u5148\u524d\u5728\u5bb6\u5ead\u935b\u7149\u8a08\u5283\u4e2d\u63cf\u8ff0\u7684\u767c\u73fe\uff0c<span class=\"swl-marker mark_yellow\">\u5c0f\u518a\u5b50\u548c\u4f4e\u8907\u96dc\u6027\u7684\u935b\u7149\u4f3c\u4e4e\u6709\u52a9\u65bc\u5728\u6574\u500b\u516b\u9031\u5167\u5be6\u73fe\u96f6\u653e\u68c4<\/span><small class=\"mininote\"><sup>[8,9,22]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">A \u7d44\u4e2d\u7684\u500b\u4eba\u5c0d\u6240\u57f7\u884c\u8ab2\u7a0b\u6578\u91cf\u7684\u7d00\u5f8b\u6027\u8f03\u5dee\uff0c\u9019\u8868\u660e\u300e\u7269\u7406\u6cbb\u7642\u5e2b\u7684\u6bcf\u9031\u5e6b\u52a9\u548c\u6307\u5c0e\u300f\u5c0d\u65bc\u63d0\u9ad8\u5c0d\u9805\u76ee\u7684\u4f9d\u5f9e\u6027\u5f88\u91cd\u8981\u3002 \u7136\u800c\uff0c\u7d44\u9593\u6bd4\u8f03\u6c92\u6709\u986f\u8457\u5dee\u7570\uff0c\u8868\u660e\u7121\u76e3\u7763\u935b\u934a\u7642\u6cd5\u7684\u6709\u6548\u6027\u3002<\/span><\/p>\n\n\n\n<p>\u6c92\u6709\u95dc\u65bc\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u6cbb\u7642\u935b\u934a\u8a08\u5283\u7684\u7406\u60f3\u6301\u7e8c\u6642\u9593\u7684\u5efa\u8b70<small class=\"mininote\"><sup>[6,14]<\/sup><\/small> \u3002 \u5c07\u5927\u591a\u6578\u521d\u59cb\u53c3\u6578\u8207\u7b2c 4 \u5468\u548c\u7b2c 8 \u9031\u7684\u53c3\u6578\u9032\u884c\u6bd4\u8f03\u6642\uff0c\u6211\u5011\u7684\u7814\u7a76\u767c\u73fe\u6709\u986f\u8457\u6539\u5584\uff1b \u7136\u800c\uff0c\u5728\u7b2c 4 \u5468\u548c\u7b2c 8 \u9031\u7684\u6bd4\u8f03\u4e2d\u60c5\u6cc1\u4e26\u975e\u5982\u6b64\uff0c\u9019\u8868\u660e\u4e86\u53c3\u6578\u7684\u7a69\u5b9a\u3002 \u9664\u4e86\u9a57\u8b49\u53c3\u8207\u8005\u662f\u5426\u6703\u7e7c\u7e8c\u81ea\u5df1\u9032\u884c\u935b\u934a\u5916\uff0c\u5c0d\u9019\u4e9b\u60a3\u8005\u7684\u4e2d\u9577\u671f\u96a8\u8a2a\u5c07\u6709\u52a9\u65bc\u78ba\u5b9a\u6539\u5584\u7684\u6301\u7e8c\u6642\u9593\u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u672c\u7814\u7a76\u8a55\u4f30\u4e86\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u4e2d\u5bb6\u5ead\u935b\u7149\u8a08\u5283\u7684\u6548\u679c\uff0c\u5c07\u521d\u59cb\u53c3\u6578\u8207\u7b2c 4 \u5468\u548c\u7b2c 8 \u9031\u7684\u53c3\u6578\u9032\u884c\u6bd4\u8f03\u3002<\/span> \u5176\u4ed6\u7814\u7a76\u8868\u660e\uff0c\u8207\u5176\u4ed6\u985e\u578b\u7684\u6cbb\u7642\u2014\u2014\u4f8b\u5982\u4f7f\u7528\u6297\u767c\u708e\u85e5<small class=\"mininote\">\u3014anti-inflammatory drugs\u3015<\/small>\u2014\u2014\u76f8\u6bd4\uff0c\u5bb6\u5ead\u935b\u7149\u8a08\u5283\u7684\u512a\u52e2<small class=\"mininote\"><sup>[14,23]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p>\u7528\u65bc\u5206\u6790\u75c7\u72c0\u6539\u5584\u7684\u65b9\u6cd5\u662f\u57fa\u65bc\u81ea\u6211\u7ba1\u7406\u554f\u5377<small class=\"mininote\">\u3014self-administered questionnaires\u3015<\/small>\u3002 \u4f7f\u7528\u8d85\u8072\u548c\u808c\u96fb\u5716\u4f86\u8a55\u4f30\u935b\u934a\u5f8c\u8ec0\u5e79\u808c\u8089\u80a5\u5927\u548c\u6fc0\u6d3b\u7684\u7814\u7a76\u4e5f\u767c\u73fe\u4e86\u6b63\u9762\u7684\u7d50\u679c<small class=\"mininote\"><sup>[24]<\/sup><\/small> \u3002 <\/p>\n\n\n\n<p>\u8170\u75db\u662f\u4e00\u500b\u6975\u5176\u5e38\u898b\u7684\u554f\u984c\uff0c\u5176\u5f71\u97ff\u4e86\u5927\u7d04 70% \u7684\u6210\u5e74\u4eba\uff0c\u4e26\u4e14\u662f\u5c0b\u6c42\u91ab\u7642\u5e6b\u52a9\u7684\u7b2c\u4e8c\u5927\u5e38\u898b\u539f\u56e0\u3002 \u5b83\u9700\u8981\u88ab\u8996\u70ba\u4e00\u500b\u516c\u5171\u885b\u751f\u554f\u984c\uff0c\u4e26\u4e14\u5c0d\u65bc\u5168\u79d1\u91ab\u751f\u6216\u5c08\u79d1\u91ab\u751f\u4f86\u8aaa\u81f3\u95dc\u91cd\u8981\u7684\u662f\u300e\u4e86\u89e3\u5982\u4f55\u5145\u5206\u6cbb\u7642\u548c\u6307\u5c0e\u9019\u4e9b\u60a3\u8005\u300f<small class=\"mininote\"><sup>[25] <\/sup><\/small>\u3002 <\/p>\n\n\n\n<p>\u5f9e\u5bb6\u5ead\u935b\u7149\u8a08\u5283\u4e2d\u7372\u5f97\u7684\u300e\u75bc\u75db\u6c34\u5e73\u300f\u3001\u300e\u529f\u80fd\u80fd\u529b\u300f\u548c\u300e\u751f\u6d3b\u54c1\u8cea\u300f\u7684\u6539\u5584\u8b49\u5be6\u4e86\u9019\u6a23\u4e00\u500b\u7406\u8ad6\uff0c\u8907\u96dc\u6027\u8f03\u4f4e\u7684\u975e\u7279\u7570\u6027\u6162\u6027\u8170\u75db\uff08NSCLP\uff09\u75c5\u4f8b\u53ef\u4ee5\u5728\u57fa\u672c\u885b\u751f\u55ae\u4f4d<small class=\"mininote\">\u3014Basic Health Units\u3015<\/small>\u9032\u884c\u6cbb\u7642\u548c\u9810\u9632\u3002 \u5b83\u5011\u4e0d\u9700\u8981\u5fa9\u96dc\u7684\u8a2d\u65bd\u6216\u7269\u7406\u6cbb\u7642\u5e2b\u7684\u6301\u7e8c\u76e3\u7763\uff0c\u56e0\u6b64\u5176\u4ed6\u7d93\u904e\u5145\u5206\u57f9\u8a13\u7684\u885b\u751f\u5c08\u696d\u4eba\u54e1\u53ef\u4ee5\u61c9\u7528\u935b\u934a\u7642\u6cd5\uff0c\u964d\u4f4e\u6210\u672c\u4e26\u9632\u6b62\u4e8c\u7d1a\u5eb7\u5fa9\u4e2d\u5fc3\u8d85\u8ca0\u8377\uff0c\u7136\u5f8c\u80fd\u5920\u5c08\u6ce8\u65bc\u66f4\u56b4\u91cd\u7684\u60c5\u6cc1\u2014\u2014\u5982\u795e\u7d93\u529f\u80fd\u7f3a\u640d\u60a3\u8005\u548c\u8853\u5f8c\u60a3\u8005<small class=\"mininote\"><sup>[7]<\/sup><\/small> \u3002 <\/p>\n\n\n\n<p>\u300e\u53d7\u6642\u9593\u9650\u5236\u6216\u96e3\u4ee5\u524d\u5f80\u7269\u7406\u6cbb\u7642\u4e2d\u5fc3\u7684\u500b\u4eba\u300f\u4e5f\u53ef\u4ee5\u5f9e\u90e8\u5206\u76e3\u7763\u7684<small class=\"mininote\">\u3014partially-supervised\u3015<\/small>\u5eb7\u5fa9\u8a08\u5283\u4e2d\u53d7\u76ca\uff0c\u524d\u63d0\u662f\u4ed6\u5011\u6709\u4e00\u4e9b\u5de5\u5177\u53ef\u4ee5\u5728\u6cbb\u7642\u671f\u9593\u6307\u5c0e\u4ed6\u5011\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7814\u7a76\u5c40\u9650\u6027<\/h3>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u7531\u65bc\u5e72\u9810\u7684\u6027\u8cea\u548c\u53c3\u8207\u8005\u7684\u53ef\u7528\u6027<small class=\"mininote\">\u3014availability\u3015<\/small>\uff0c\u4e0d\u53ef\u80fd\u4f7f\u76e3\u7763 B \u7d44\u8ab2\u7a0b\u7684\u7269\u7406\u6cbb\u7642\u5e2b\u81f4\u76f2\uff0c\u4e5f\u4e0d\u53ef\u80fd\u96a8\u6a5f\u7684\u500b\u9ad4\u5206\u7d44\u3002 \u6b64\u5916\uff0c\u53c3\u8207\u8005\u8ca0\u8cac\u63a7\u5236\u8ab2\u7a0b\u7684\u983b\u7387\uff0c\u9019\u6703\u7522\u751f\u504f\u898b\u7684\u98a8\u96aa\u3002<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7d50\u8ad6<\/h2>\n\n\n\n<p><span class=\"swl-marker 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