Pilates运动操联合中医综合干预在腰椎间盘突出症保守治疗中的运用  

Application of Pilates exercise combined with comprehensive intervention of traditional Chinese medicine in the conservative treatment of lumbar disc herniation

作　　者：邹爱元[1] 李丽霞[1] 杨莲欢[1] ZOU Aiyuan;LI Lixia;YANG Lianhuan(Third Department of Orthopedics, Guangdong Province Traditional Chinese Medical Hospital Zhuhai Hospital,Zhuhai Guangdong 519000, China)

机构地区：[1]广东省中医院珠海医院骨三科,广东珠海519000

出　　处：《临床与病理杂志》2018年第12期2649-2654,共6页Journal of Clinical and Pathological Research

基　　金：广东省中医药局科研项目(20162128)~~

摘　　要：目的:探讨Pilates运动操联合中医综合干预在腰椎间盘突出保守治疗中的运用效果。方法:将2016年6月至2017年12月在广东省中医院珠海医院骨科接受保守治疗的364例腰椎间盘突出症(lumbardisc herniation,LDH)患者随机分为2组,其中观察组184例,对照组180例。对照组采用针灸、牵引、推拿、热疗等中医综合方案及出院后常规健康管理,观察组采用中医综合方案联合Pilates运动疗法,比较两组患者干预前、干预1周后、1个月后及3个月后的视觉模拟评分法(Visual Analogue Score,VAS)评分、日本骨科学会(Japanese Orthopaedic Association,JOA)评分、直腿抬高角度和Oswestry功能障碍指数(Oswestry Disability Index,ODI)变化情况。结果:干预前两组患者VAS评分、JOA评分、直腿抬高角度和ODI指数对比差异无统计学意义(P>0.05),观察组在干预1周、1个月及3个月后的VAS评分、JOA评分、直腿抬高角度和ODI指数均明显优于对照组同期,差异有统计学意义(P<0.05)。结论:Pilates运动操联合中医综合干预能有效改善腰椎间盘突出症保守治疗效果,促进脊柱功能的恢复,值得在临床中推广应用。Objective: To explore the effects of Pilates exercise combined with comprehensive intervention of traditional Chinese medicine in the conservative treatment of lumbar disc herniation (LDH). Methods: A total of 364 patients with lumbar intervertebral disc herniation treated conservatively from June 2016 to December 2017 were randomly divided into an observation group (n=184) and a control group (n=180). The control group was treated with acupuncture, traction, massage, hyperthermia and other comprehensive programs of traditional Chinese medicine and routine health management after discharge. The observation group was treated with comprehensive intervention of traditional Chinese medicine combined with Pilates exercise. The Visual Analogue Score (VAS) score, Japanese Orthopaedic Association (JOA) score, straight leg elevation angle and Oswestry Disability Index (ODI) were compared between the two groups before the intervention, 1 week after the intervention, 1 month after intervention and 3 months after the intervention. Results: There was no significant difference in VAS score, JOA score, straight leg elevation angle and ODI index between the two groups before the intervention (P>0.05). The VAS score, JOA score, straight leg elevation angle and ODI index of the observation group were significantly better than those of the control group at the same time after one week, one month and three months of the intervention (P<0.05). Conclusion: Pilates exercise combined with comprehensive intervention of traditional Chinese medicine can effectively improve the conservative treatment of LDH, promote the recovery of spinal function, and is worthy of clinical application.

关 键 词：Pilates运动疗法 腰椎间盘突出症 保守治疗 

分 类 号：R681.5[医药卫生—骨科学]