腰部核心肌力训练联合呼吸训练对LDH患者术后脊柱功能及生活质量的影响  

Effect of lumbar core strengthening exercises combined with respiratory training on the postoperative spinal function and quality of life in patients with lumbar disc herniation

作　　者：邱霞 周晓吉 景慧云 丁娟 秦萌涯 郑宇蔚 陶峰琴[1] QIU Xia;ZHOU Xiaoji;JING Huiyun(Department of Orthopedics,904RD Hospital of PCL,Jiangsu,Wuxi 214000,China)

机构地区：[1]中国人民解放军联勤保障部队第904医院骨科,江苏省无锡市214000

出　　处：《河北医药》2023年第3期361-364,共4页Hebei Medical Journal

基　　金：无锡市卫生健康委科技成果与适宜技术推广项目(编号:T202145)。

摘　　要：目的探讨对腰椎间盘突出症(lumbar disc herniation,LDH)患者实施腰部核心肌力训练联合呼吸训练对术后脊柱功能及生活质量的影响。方法选取联勤保障部队第904医院骨科2018年1月至2021年1月收治的LDH患者103例作为研究对象,按干预方法不同将其分成对照组51例和联合组52例。对照组单纯予以腰部核心肌力训练干预,观察组予以腰部核心肌力训练联合呼吸训练干预,比较2组干预前后腰椎活动度(japanese orthopaedic association,JOA)、腰椎功能障碍指数评分(oswestry disability index,ODI)和脊柱-骨盆参数(TK、PI、PT、SS、SVA、LL)等术后脊柱功能,利用国际脊柱侧凸研究协会22项问卷表(scoliosis research society-22,SRS-22)评价2组患者的生活质量。结果2组干预后12周时JOA评分均显著高于干预前,观察组较对照组更高(P<0.05)。2组干预后12周时ODI评分均显著低于干预前,观察组较对照组更低(P<0.05)。2组干预前LL、TK、SS、PT、PI、SVA等脊柱-骨盆参数比较差异不显著(P>0.05),2组干预后12周时的LL、SS均高于干预前,且观察组较对照组更高(P<0.05),2组干预后12周时TK、PT、PI及SVA较干预前无显著差异,组间比较差异无统计学意义(P>0.05)。2组干预后12周时SRS-22评分均显著高于干预前,且观察组较对照组更高(P<0.05)。结论腰部核心肌力训练联合呼吸训练能有效改善LDH患者术后脊柱功能,提高生活质量。Objective To investigate the effect of lumbar core strengthening exercises combined with respiratory training on on the postoperative spinal function and quality of life in patients with lumbar disc herniation(LDH).Methods A total of 103 LDH patients admitted to the orthopedic department of 904RD Hospital of PCL from January 2018 to January 2021 were retrospectively recruited.They were divided into control group(n=51)and observation group(n=52)according to the different interventions.Patients in both groups were intervened by lumbar core strengthening exercises,and those in the observation group were additionally managed by the respiratory training.Postoperative lumbar function,including the Japanese orthopedic association(JOA)scores,oswestry disability index(ODI)and spinal-pelvis parameters(thoracic kyphosis[TK],pelvic incidence[PI],pelvic tilt[PT],sacral slope[SS],sagittal vertical axis[SVA],lumbar lordosis[LL])between groups were compared.The quality of life was assessed using the Scoliosis Research Society-22(SRS-22)questionnaire.Results JOA scores at 12 weeks of the intervention in both groups were significantly enhanced than those before intervention,which were significantly higher in the observation group than those of control group(P<0.05).ODI scores at 12 weeks of the intervention in both groups were significantly reduced than those before intervention,which were significantly lower in the observation group than those of control group(P<0.05).Before the intervention,there were no significant differences in LL,TK,SS,PT,PI,SVA and other spinal-pelvis parameters between groups(P>0.05).LL and SS at 12 weeks of the intervention in both groups were significantly enhanced than those before intervention,which were significantly higher in the observation group than those of control group(P<0.05).There were no significant differences in TK,PT,PI and SVA at 12 weeks of the intervention between groups(P>0.05).The SRS-22 scores at 12 weeks of the intervention in both groups were significantly enhanced than those befo

关 键 词：腰椎间盘突出症 腰部核心肌力训练 呼吸训练 脊柱功能 生活质量 

分 类 号：R681.5[医药卫生—骨科学]