医疗体操路径对腰椎间盘突出症术后残留腰腿痛的影响  

Effect of Clinical Pathway of Medical Gymnastics on the Postoperative Residual Lumbar-Leg Pain After Lumbar Disc Herniation

作　　者：王玉[1] 周学荣[1] 姬玉芬[1] 解淑叶[1] 

机构地区：[1]滨州市人民医院骨外科,山东滨州256610

出　　处：《护理学杂志》2008年第14期9-11,共3页

基　　金：2007年滨州市科技进步三等奖(JB2007-3-052-21)

摘　　要：目的探讨医疗体操路径应用于腰椎间盘突出症术后患者康复训练的实施效果。方法将86例腰椎间盘突出症患者随机分为观察组和对照组各43例,观察组应用医疗体操路径指导康复训练,对照组应用常规康复训练方法。比较两组术后腰痛、腿痛残留率及直腿抬高试验阳性率和住院天数。结果观察组术后不同时段腰痛、腿痛残留率和直腿抬高试验阳性率显著低于对照组(均P<0.05),住院天数亦显著缩短(P<0.01)。结论应用医疗体操路径指导康复训练有利于提高患者康复训练掌握程度,能提高手术远期效果,减少腰腿痛的残留。Objective To examine the effect of the clinical pathway of medical gymnastics on the residual lumbar and leg pain after surgery of lumbar disc herniation （LDH）. Methods Eight-six cases of I.DH were divided into an observation group and a control group, with 43 subjects in each group. In ：the observation group, the clinical pathway of medical gymnastics was employed for rehabilitative training while in the control group, the routine rehabilitative trai-ning was used. Results The occurrence rate of postoperative residual lumbar-leg pain was significantly lower and the length of hospital stay was shortened in the observation group as compared with the control group （P〈0.05, P〈0.01）. The rate of positive findings in leg-lifting exercises was significantly lower in the observation group than that in the control group （P〈0.05）. Conclusion The clinical pathway of medical gymnastics can promote the mastery of training technique by patients and improve the long-term effect of surgery and reduce residual lumbar leg pain.

关 键 词：腰椎间盘突出症 外科手术 医疗体操路径 康复训练 腰腿痛 护理 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]