健康运动处方对腰椎间盘突出症患者术后康复的影响  

Influence of health exercise prescription on rehabilitation of lumbar disc herniation patients with ozone ablation

作　　者：曹程秀[1] 尹琴[1] 沈敏[1] 徐晓敏[1] 刘小青[1] 

机构地区：[1]上海市普陀区人民医院,上海200060

出　　处：《上海护理》2015年第3期13-15,共3页Shanghai Nursing

摘　　要：目的探讨健康运动处方对腰椎间盘突出症患者臭氧消融术后康复的影响。方法选取2013年1—11月收治于上海市普陀区人民医院行臭氧消融术的腰椎间盘突出症患者60例,随机分为观察组和对照组各30例,对照组接受介入科常规护理,观察组在介入科常规护理基础上予健康运动处方。于术后1年应用改良Macnab疗效评定标准评价患者的康复效果,改良日本骨科协会下腰痛评价表(M-JOA)对患者的疼痛情况进行评估。结果术后1年观察组与对照组腰背肌锻炼效果比较,差异有统计学意义(P<0.01);术后1年观察组疗效优良率为90%,对照组疗效优良率为73%,两组比较,差异有统计学意义(P<0.05);两组M-JOA评分均较干预前降低,观察组干预前后症状改善评分优于对照组,差异有统计学意义(P<0.01)。结论健康运动处方可减少患者疼痛,改善症状,提高患者康复效果。Objective To evaluate the influence of health exercise prescription on the rehabilitation of lumbar disc herniation （LDH） patients with ozone ablation. Methods A total of 60 LDH patients with ozone ablation in People＇ s Hospital of Putuo District, Shanghai were selected from January to November 2013. They were randomly divided into the experimental group and the control group （30 cases in each group）. The two groups were given traditional nursing. The experimental group received additional health exercise prescription. After 1 year the modified Macnab criteria was used to evaluate the therapeutic effect, and the modified Japanese Orthopedics Association low back pain scoring system （M-JOA） was used to assess the degree of pain. Results After 1 year, the excellent therapeutic rate was 90% in the experimental group and 73% in the control group, with significant difference （ P 〈 0.05 ）. The effect of low back muscle exercise was significantly different between the two groups （P 〈0.01 ）. The M-JOA scores in the two groups were decreased after intervention, but the degree of pain in the experimental group was relieved significantly compared with the control group （ P 〈 0.01 ）. Conclusion Health exercise prescription can relieve pain, improve symptoms and promote rehabilitation in LDH patients.

关 键 词：腰椎间盘突出症 臭氧消融术 健康运动处方 康复 

分 类 号：R473.6[医药卫生—护理学]