早期个性化腰背肌功能锻炼对经皮椎间孔镜术后患者的康复观察  

Observation on Rehabilitation of Patients after Percutaneous Foraminal Endoscopic Surgery by Early Personalized Lumbar and Dorsal Muscle Functional Exercise

作　　者：韦健玲 洪波 黎文霞 莫艳[1] 周健红[1] 韦元清 王丹 

机构地区：[1]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《大众科技》2021年第11期71-74,共4页Popular Science & Technology

基　　金：广西中医药大学自然科学研究项目“患者个性化腰背肌锻炼对椎间孔镜下髓核摘除术后康复的探讨”(2017MS03)。

摘　　要：目的:探讨早期个性化腰背肌功能锻炼对椎间孔镜下髓核摘除术术后患者康复疗效。方法:运用随机数字表法将90例椎间孔镜下髓核摘除术术后患者分为实验组和对照组各45例。对照组采用常规康复护理治疗,实验组在常规康复护理基础上予早期个性化腰背肌锻炼方案。分别于术后1天、3天和2周,记录两组腰痛视觉模拟评分法(VAS)评分、下肢视觉模拟评分法(VAS)评分、术后直腿抬高锻炼角度、术后住院时间和1个月恢复优良率。结果:实验组2周后腰痛和下肢痛VAS评分以及直腿抬高抬腿角度情况明显低于对照组,差异有统计学意义(P<0.05)。实验组在缩短住院时间方面明显优于对照组,且术后1月恢复优良率实验组为93.3%(42/45)明显高于对照组86.7%(33/45)差异均有统计学意义(P<0.05)。结论:早期个性化腰背肌锻炼方案能有效减轻患者椎间孔镜下髓核摘除术后的疼痛,改善患者下肢活动状况,缩短住院时间,提高患者的康复优良率和生活质量。Objective:To investigate the effect of early personalized lumbar and dorsal muscle functional exercise on the rehabilitation of patients after inervertebral foraminal endoscopic nucleus pulposus reaction.Methods:Using random number table method,90 patients after intervertebral foraminal endoscopic nucleus pulposus resection were divided into experimental group and control group,with 45 cases in each group.The control group was treated with routine rehabilitation nursing,and the experimental group was given early personalized low back muscle exercise program on the basis of routine rehabilitation nursing.The visual analogue scale(VAS)score of low back pain,the visual analogue scale(VAS)score of lower limbs,the angle of postoperative straight leg lifting exercise,the length ofhospital stay and the excellent and good rate of recovery in one month were recorded in the two groups 1 day,3 days and 2 weeks after operation.Results:After 2 weeks,the VAS score of low back pain and lower limb pain and the angle of straight leg lifting in the experimental group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The experimental group was significantly better than the control group in shortening the hospital stay,and the excellent and good recovery rate in one month after operation was 93.3%(42/45)in the experimental group,which was significantly higher than 86.7%(33/45)in the control group,the differences were statistically significant(P<0.05).Conclusions:Early personalized lumbar and dorsal muscle exercise program can effectively relieve the pain of patients after intervertebral foraminal endoscopic nucleus pulposus resection,improve the lower limb activity status of patients,shorten the length ofhospital stay,and improve the recovery rate and quality of life of patients.

关 键 词：腰椎间盘突.出症 椎间孔镜 功能锻炼 护理 

分 类 号：R681[医药卫生—骨科学]