核心稳定性训练在腰椎小关节综合征患者疼痛管理中的应用价值  

Application value of core stability training in pain management of patien ts with lumbar facet joint syndrome

作　　者：张丽丽 张国忠 崔颖 ZHANG LIli;ZHANG Guozhong;CUI Ying(Department of Rehabilitation,Qia nxi Hospital of Traditional Chinese Medicine,Qianxi Hebei 064300;Department of External Surgery,Qia nxi Hospital of Traditional Chinese Medicine,Qianxi Hebei 064300;Department of Infectious Diseases,Zunhua People’s Ho spital of Hebei Province,Zunhua Hebei 064299)

机构地区：[1]河北省迁西县中医院康复科,河北迁西064300 [2]河北省迁西县中医院外一科,河北迁西064300 [3]河北省遵化市人民医院感染性疾病科,河北遵化064299

出　　处：《当代医药论丛》2022年第19期8-11,共4页

基　　金：河北省卫健委医学科学研究课题计划项目,编号:20191094。

摘　　要：目的:观察核心稳定性训练在腰椎小关节综合征患者疼痛管理中的应用价值。方法:采用随机数表法将腰椎小关节综合征患者55例分为核心稳定性训练组(治疗组,27例)及传统腰背肌训练组(对照组,28例)。分别于入选时、治疗2周后、治疗3个月后、治疗6个月后,采用视觉模拟评分法(VAS)及Oswestry功能障碍指数(ODI)问卷表对两组患者的腰部疼痛程度和功能进行评价,并随访6个月,统计其病情的复发率。结果:治疗2周后,两组患者的VAS评分及ODI问卷表评分组内比较均有显著性差异(P<0.01),组间比较差异无统计学意义(P>0.05)。治疗3个月后,两组患者的VAS评分及ODI问卷表评分组内比较均有显著性差异(P<0.01),组间比较治疗组优于对照组,差异有统计学意义(P<0.05)。治疗6个月后,两组患者的VAS评分及ODI问卷表评分组内比较均有显著性差异(P<0.01),组间比较治疗组优于对照组,有显著性差异(P<0.01)。治疗后6个月内,治疗组患者病情的复发率低于对照组患者,差异有统计学意义(P<0.05)。结论:核心稳定性训练可有效改善腰椎小关节综合征患者遗留的腰痛症状,并能在一定程度上改善腰椎功能,降低复发率,可作为长期康复治疗手段于临床推广应用。Objective:To observe the application value of core stability training in pain management of patients with lumbar facet joint syndrome.Methods:A total of 55 patients with lumbar facet joint syndrome were randomly divided into core stability training group(treatment group,27 cas es)and traditional lum bar back muscle training group(control group,28 cas es).Visual analogue scale(VAS)and Oswestry Disability Index(ODI)were used to evaluate the degree of lumbar pain and function of the two groups at the time of enrollment,2 weeks after treatment,3 months after treatment,and 6 months after treatment.The patients were followed up for 6 months.Results:After 2 weeks of treatment,there were significant differences in VAS scores and ODI questionnaire scores between the two groups(P<0.01),but no significant differences between the two groups(P>0.05).After 3 months of treatment,there were significant differences in VAS scores and ODI questionnaire scores between the two groups(P<0.01),and the treatment group was better than the control group,and the difference was statistically significant(P<0.05).After 6 months of treatment,there were significant differences in VAS score and ODI questionnaire between the two groups(P<0.01),and the treatment group was better than the control group(P<0.01).Within 6 months after treatment,the recurrence rate of patients in the treatment group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Core stability training can effectively improve the symptoms of low back pain in patients with lumbar facet joint syndrome,improve lumbar function to a certain extent,reduce the recurrence rate,and can be used as a long-term rehabilitation treatment in clinical applic ation.

关 键 词：核心稳定性训练 腰椎小关节综合征 视觉模拟评分法 Oswestry功能障碍指数问卷表 

分 类 号：R681.5[医药卫生—骨科学]