核心肌群训练在退行性腰椎滑脱病人脊柱内镜减压术后快速康复中的临床疗效观察  

Clinical efficacy of core muscle exercise for postoperative rehabilitation in patients with degenerative lumbar spondylolisthesis after lumbar endoscopic decompression

作　　者：荣雪芹 罗启鹏 邹海涛 郑庆玲[1] 赵利涛 林芳轲 刘洪升 马云龙[2] RONG Xueqin;LUO Qipeng;ZOU Haitao;ZHENG Qingling;ZHAO Litao;LIN Fangke;LIU Hongsheng;MA Yunlong(Department of Pain Spinal Minimally Invasive Center,the Third people's Hospital of Hainan Province,Sanya City,Sanya 572000,China;Department of Pain Medicine,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]三亚中心医院(海南省第三人民医院)疼痛脊柱微创中心,三亚572000 [2]北京大学第三医院疼痛医学中心,北京100191

出　　处：《中国疼痛医学杂志》2021年第7期510-515,共6页Chinese Journal of Pain Medicine

基　　金：海南省医药卫生科研项目(20A200176)。

摘　　要：目的:评估核心肌群训练在退行性腰椎滑脱病人脊柱内镜减压术后快速康复中的临床疗效。方法:回顾性分析2018年4月至2020年4月因退行性腰椎滑脱住院并接受脊柱内镜减压术病人的临床数据,观察组为术后严格执行核心肌群训练医嘱的病人20例,对照组为术后核心肌群训练医嘱依从性差的病人18例,对每组组内治疗前、治疗后1周、1月、3月和6月各时间点以及两组间的数字评分法(numerical rating scale,NRS)评分和Oswestry功能障碍指数(Oswestry Disability Index,ODI)评分进行比较。结果:共纳入38名病人,所有病人均成功进行脊柱内镜减压术,随访过程中未见严重并发症发生。组内术后各时间点NRS和ODI评分均较术前明显下降(P<0.05),且观察组在术后1月、3月、6月NRS和ODI评分的改善情况明显优于对照组,差异有统计学意义(P<0.05),两组间的NRS和ODI评分差异在术后6月时最显著。结论:核心肌群训练可加快退行性腰椎滑脱病人脊柱内镜减压术后的康复,并且随着术后居家核心肌群训练时间的延长,该训练对术后康复的效果更显著。Objective:To evaluate the clinical efficacy of core muscle exercise for postoperative rehabilitation in patients with degenerative lumbar spondylolisthesis after lumbar endoscopic decompression.Methods:The clinical data in patients who were diagnosed with degenerative lumbar spondylolisthesis and underwent lumbar endoscopic decompression from April 2018 to April 2020 was retrospectively analyzed.The patients in observation group(n=20)have strictly followed the doctor’s advice for core muscle exercise after the operation,while the patients in control group(n=18)had poor compliance to the doctor’s advice for core muscle exercise.Numerical rating scale(NRS)and Oswestry disability index(ODI)between two groups or within each group at different follow-up points were compared.Results:A total of 38 patients were enrolled,All patients successfully underwent lumbar endoscopic decompression,and no serious complications occurred during follow-ups.Postoperative NRS and ODI at each time point in either observation or control group were significantly lower than those before operation(P<0.05).NRS and ODI scores at postoperative 1,3 and 6 months in the observation group were significantly improved compared with those in control group(P<0.05).The difference in NRS and ODI scores between two groups was most significant at postoperative 6 months.Conclusion:Core muscle exercise can speed up the recovery of patients with degenerative lumbar spondylolisthesis after lumbar endoscopic decompression,and long-term adherence to the doctor’s advice on core muscle exercise has a more significant effect on postoperative rehabilitation.

关 键 词：退行性腰椎滑脱 脊柱内镜减压术 核心肌群训练 术后康复训练 

分 类 号：R687.3[医药卫生—骨科学]