腰背肌练习对间盘镜术后康复的意义分析  

Analysis of the Significance of Erect Muscle Practice for Postoperative MED Patients

作　　者：戴艳艳[1] 李艳[2] 任红梅[2] 武汉[2] 王金成[2] 刘鹏[2] 

机构地区：[1]长春理工大学,吉林省长春市130022 [2]吉林大学中日联谊医院

出　　处：《中国全科医学》2012年第15期1770-1771,共2页Chinese General Practice

摘　　要：目的探讨腰背肌练习对间盘镜术后康复的意义,提高间盘镜下髓核摘除术(MED)患者的治疗效果。方法 85例腰椎间盘突出症行MED的患者,随机分为A、B两组。其中,35例患者进行系统的腰背肌练习指导(A组),另外50例患者未进行系统腰背肌练习指导(B组)。术后1个月、3个月、6个月门诊随访分析两组患者下腰痛视觉模拟(VAS)评分及腿部神经症状的恢复情况。结果两组手术时间和出血量比较,差异均无统计学意义(P>0.05)。两组入院时、术后1个月和3个月腰部、骶尾部及髋部疼痛的VAS评分比较差异均无统计学意义(P>0.05);术后6个月VAS评分比较差异有统计学意义(P<0.05)。结论系统的腰背肌练习可明显改善MED患者伴随的腰部不适症状,提高治疗效果。Objective To explore the clinical significance of erect muscle exercise for postoperative MED patients.Methods 85 patients underwent MED were randomized into group A and group B.Group A was given systematic guidance of erect muscle exercise,while group B was not.The VAS and lower extremity symptoms were analyzed one month,three months and six months after operation.Results There were no statistically significant differences in operative time and blood loss between the two groups（P0.05）.There were no statistically significant differences in low back pain,sacral pain,hip pain VAS scores between the two groups on admission,one month and 3 months after operation（P0.05）.There was statistically significant difference in VAS score between the two groups 6 months after operation（P0.05）.Conclusion Systematic erect muscle exercise can relieve low back discomfort and improve therapeutic effect for postoperative MED patients.

关 键 词：椎间盘突出 间盘镜下髓核摘除术 下腰痛 

分 类 号：R681.533.1[医药卫生—骨科学]