腰椎康复体操联合牵拉整复术对腰椎间盘突出症患者的干预效果  

Intervention Effect of Lumbar Rehabilitation Gymnastics Combined with Pulling and Pressing Taxis Treatment in Patients with Lumbar Disc Herniation

作　　者：付国静 赵怡 赵慧 尹明洁 Fu Guojing;Zhao Yi;Zhao Hui(Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan Shandong 250021,China)

机构地区：[1]山东第一医科大学附属省立医院,山东济南250021

出　　处：《齐鲁护理杂志》2022年第13期25-28,共4页Journal of Qilu Nursing

摘　　要：目的:探讨腰椎康复体操联合牵拉整复术对腰椎间盘突出症(LDH)患者的干预效果。方法:选取2020年9月1日~2021年8月1日行牵拉整复术治疗的60例LDH患者,按照随机数字表法分为干预组和对照组各30例,对照组给予牵拉整复术及围术期护理,干预组在对照组基础上实施腰椎康复体操干预;比较两组功能状态[采用日本骨科学会评估治疗(JOA)]、功能恢复效果[采用Oswestry功能障碍指数(ODI)]、疼痛[采用数字疼痛评分法(NRS)]及生存质量[采用健康调查简表(SF-36)]。结果:术后1周、3个月、6个月,干预组JOA评分高于对照组(P<0.01,P<0.05);干预组ODI评分低于对照组(P<0.01,P<0.05);术后,两组NRS评分低于术前(P<0.01),且干预组低于对照组(P<0.01);术后6个月,干预组SF-36评分优于对照组(P<0.01,P<0.05)。结论:腰椎康复体操联合牵拉整复术能有效提高LDH患者治疗效果,缓解其疼痛,改善生存质量。Objective:To explore the intervention effect of lumbar rehabilitation gymnastics in patients with lumbar disc herniation by pulling and pressing taxis treatment.Methods:A total of 60 patients with lumbar disc herniation during September 1,2020 to August 1,2021,were selected were divided into the intervention group and the control group according to the random nuber table method,with 30 cases in each group.The control group was given pulling and pressing taxis treatment.The intervention group implemented lumbar rehabilitation gymnastics on this basis.Function status by Japanese Orthopaedic Association(JOA)scores,function recovert effect by Oswestry dysfunction score,pain by numerical rating scale(NRS)and quality of life by SF-36 were compared between the two groups.Results:After 1 week,3 months and 6 months after operation,the JOA scores in the intervention group were higher than those in the control group(P<0.01,P<0.05).The ODI scores in the intervention group were lower than those in the control group(P<0.01,P<0.05).The NRS scores in the two groups were lower tham those before operation(P<0.01),and lower in the intervention group than those in the control group(P<0.01).At 6 months after operation,the SF-36 scores in the intervention group were better than those in the control group(P<0.01,P<0.05).Conclusion:Lumbar rehabilitation gymnastics combined with pulling and pressing taxis treatment can effectively improve the treatment effect on patients with lumbar disc herniation,relieve their pain,and improve the quality of life.

关 键 词：腰椎康复体操 牵拉整复术 腰椎间盘突出症 生存质量 

分 类 号：R473.6[医药卫生—护理学]