腰背肌锻炼对早期腰椎间盘突出症患者生活质量的影响  

The Effect of Back Muscle Exercise on the Patients with Early Lumbar Disc Herniation

作　　者：刁海静[1] 张建华[1] 郭耀斌[1] DIAO Haijing ZHANG Jianhua GUO Yaobin.(Traditional Chinese Medicine Hospital of Anhui,Anhui,Hefei 230001 ,China.)

机构地区：[1]安徽省中医院,安徽合肥230001

出　　处：《中国中医急症》2017年第3期512-514,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：安徽中医药大学青年科学研究项目计划(2015qn026)

摘　　要：目的观察腰背肌锻炼对早期腰椎间盘突出症患者生活质量的影响。方法将早期腰椎间盘突出症患者100例,随机分为治疗组与对照组,各50例。治疗组在推拿治疗的基础上进行腰背肌锻炼的患者,对照组单纯进行推拿治疗。结果治疗组与对照组治疗后疼痛指数评分分别为(2.41±0.65)、(2.44±0.76)分,低于治疗前的(8.32±2.33)、(8.21±2.19)分(P<0.05);两组比较,治疗组改善更明显(P<0.05);两组患者治疗前后临床症状体征评分比较,结果治疗组与对照组两组治疗后症状体征评分分值分别为(20.51±5.56)、(24.55±5.13)分,分别低于治疗前的(40.12±4.13)、(42.23±4.35)分(P<0.05)。两组比较,治疗组改善更加明显(P<0.05);两组患者治疗后症状体征量化评分随访比较。结果为两组治疗后在1个月后、2个月后、3个月后和6个月后进行随访发现两组组内症状体征评分分值均有不同程度的改善,其中6个月后效果最好,3个月后次之,2个月后再次,1个月后最差,两组组内相比较无统计学意义(P>0.05);但治疗组中1个月后、2个月后、3个月后和半年后的疗效明显好于对照组,并且两组每月随访所得的症状体征评分分值比较具有显著统计学意义(P<0.05)。结论腰背肌锻炼能够明显缓解腰腿疼痛,改善局部功能,其疗效优于单纯推拿治疗,并且腰背肌锻炼方法对于早期腰椎间盘突出症的远期疗效显著。Objective： To observe the effect of back muscle exercise on early lumbar disc herniation. Methods： 100 patients with early lumbar disc herniation were randomly divided into the treatment group and the control group,50 cases in each. The control group only received massage ,while the treatment group were added back muscle exercise, based on massage. Results： After treatment, pain index score of the treatment group was （2.41± 0.65 ）, the control group （2.44±0.76）, which was lower than （8.32±2.33） and （8.21 ±2.19） before treatment, and the difference was statistically significant （P〈 0.05 ）. Compared with the two groups ,the improvement of the treatment group was more obvious （P〈0.05）. After treatment,symptom and sign scores of the treatment group and the control group were （20.51±5.56） and （24.55±5.13）,respectively,lower than （40.12±4.13） and （42.23±4.35） before treatment, and difference was statistically significant （P〈 0.05 ）. Compared with the two groups, the improvement of the treatment group was more obvious （P〈 0.05 ）. In table 1 ,there was comparison of two groups in symptom and sign score after treatment. After treatment,the scores of symptoms and signs in two groups were improved to varying degrees in the follow-ups of one month, two months, three months and half year, among which, the effect of half year was the best,followed by 3rd and 2nd,and the first month was worst. There was no significant difference between the two groups （P〉 0.05 ）. However, the effect of the treatment group was obviously better than that of the control group. The difference was statistically significant in the scores of symptoms and signs of the two groups,which were obtained by monthly follow-up （P〈 0.05）. Conclusion： The exercise of back muscle can obviously alleviate the pain of the back and leg, and improve the local function, and its curative effect is superior to that of pure massage therapy,and the back muscle exercise method has a long-ter

关 键 词：早期腰椎间盘突出症 腰背肌锻炼 疼痛视觉模拟评分 症状体征量化评分 

分 类 号：R681.53[医药卫生—骨科学]