核心肌群训练配合疼痛护理干预对中年腰椎间盘突出症病人康复的影响  

Influence of core muscle training combined with pain nursing intervention on rehabilitation of middle-aged patients with lumbar disc herniation

作　　者：李林[1] 周富[1] 张弘[1] 江园[1] 

机构地区：[1]成都医学院第一附属医院

出　　处：《护理研究（下旬版）》2017年第10期3838-3841,共4页Chinese Nursing Researsh

摘　　要：[目的]探讨核心肌群训练(CMT)配合疼痛护理干预对中年腰椎间盘突出症(LDH)病人康复的影响。[方法]选取60例中年腰椎间盘突出症病人随机分为两组各30例,对照组给予腰椎牵引、推拿和中频治疗,观察组在其基础上给予核心肌群训练和疼痛护理干预。两组疗程均为3周。分别于治疗前后记录两组病人日本骨科协会(JOA)评分、视觉模拟疼痛评分(VAS)、Oswestry功能障碍指数问卷表(ODI)评分、疼痛缓解时间和康复时间,评定两组病人临床疗效。[结果]两组3周后JOA评分、VAS评分、ODI评分均较治疗前明显降低,治疗前后比较差异有统计学意义(均P<0.05),两组3周后JOA评分、VAS评分、ODI评分比较差异有统计学意义(均P<0.05);观察组疼痛缓解时间、康复时间(5.21 d±0.95 d、13.10 d±2.05 d)均低于对照组(7.04 d±2.06 d、17.34 d±3.82 d),两组比较差异有统计学意义(均P<0.01),临床总有效率(100.0%)高于对照组(93.3%)。[结论]核心肌群训练配合疼痛护理干预对中年腰椎间盘突出症病人的康复具有促进作用,可明显提高病人的治疗效果。Objective:To explore the influence of core muscle training( CMT) combined with pain nursing intervention on rehabilitation of middle-aged lumbar disc herniation( LDH) patients.Methods:A total of 60 cases of middle-aged patients with lumbar disc herniation were randomly divided into two groups. The control group was given lumbar traction,massage and intermediate frequency therapy,and the observation group was given core muscle training and pain nursing intervention on the basis of that.Both groups were treated for 3 weeks.The scores of the Japanese Orthopedic Association(JOA),Visual Simulated Pain Rating(VAS),Oswestry Dysfunction Index(ODI),pain relief time and rehabilitation time were recorded before and after treatment,to evaluate the clinical efficacy of two groups.Results:The scores of JOA,VAS and ODI were significantly lower than those before treatment,and the differences were statistically significant( P<0.05).There were significant differences in JOA score,VAS score and ODI score between the two groups after 3 weeks( all P<0.05).The pain relief time and recovery time(5.21 d±0.95 d,13.10 d±2.05 d) in the observation group were lower than those in the control group(7.04 d±2.06 d,17.34 d±3.82 d),the differences between the two groups were statistically significant( P < 0. 01),and the total effective rate( 100. 0%) was higher than that in the control group( 93. 3%). Conclusions:Core muscle training with pain nursing intervention in middle-aged patients with lumbar disc herniation had a role in promoting rehabilitation,could significantly improve the patient's treatment.

关 键 词：腰椎间盘突出症 核心肌群训练 疼痛护理 综合治疗 康复 

分 类 号：R473.6[医药卫生—护理学]