健腰导引十二式练功法治疗腰椎间盘突出症术后患者的效果  

Effects of waist strengthening-guided 12-type practice method on postoperative patients with lumbar disc herniation

作　　者：张帅虎 刘创 ZHANG Shuaihu;LIU Chuang(Department of Orthopaedics of Henan Provincial Second People’s Hospital,Zhengzhou 451100 Henan,China)

机构地区：[1]河南省第二人民医院骨科,河南郑州451100

出　　处：《中国民康医学》2023年第20期106-108,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察健腰导引十二式练功法治疗腰椎间盘突出症术后患者的效果。方法:选取2020年3月至2022年7月该院收治的115例腰椎间盘突出症术后患者进行前瞻性研究,按照随机数字表法将其分为观察组58例与对照组57例。对照组行常规康复治疗,观察组在对照组基础上行健腰导引十二式练功法治疗,比较两组治疗前后日本骨科协会(JOA)评分、Oswestry功能障碍指数(ODI)评分、腰椎曲度水平和疼痛视觉模拟评分法(VAS)评分。结果:治疗后,两组JOA评分、腰椎曲度水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组ODI、VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:在常规康复治疗基础上采用健腰导引十二式练功法治疗腰椎间盘突出症术后患者可提高JOA评分和腰椎曲度水平,降低ODI、VAS评分,优于单纯常规康复治疗效果。Objective:To observe effects of waist strengthening-guided 12-type practice method on postoperative patients with lumbar disc herniation.Methods:A prospective study was conducted on 115 patients with lumbar disc herniation who were admitted to the hospital from March 2020 to July 2022.They were divided into observation group(58 cases)and control group(57 cases)according to the random number table method.The control group was given routine rehabilitation training,while the observation group was given the waist strengthening-guided 12-type practice on the basis of that of the control group.The Japanese Orthopaedic association(JOA)score,the Oswestry disability index(ODI)score,the lumbar curvature level,and the visual analogue scale(VAS)score were compared between the two groups before and after the treatment.Results:After the treatment,the JOA scores and the lumbar curvature levels of the two groups were higher than those before the treatment,that in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After the treatment,the ODI and VAS scores of the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine rehabilitation training,the waist strengthening-guided 12-type practice method in the treatment of the postoperative patients with lumbar disc herniation can improve the JOA scores and the lumbar curvature levels and reduce the ODI and VAS scores.Moreover,it is superior to single routine rehabilitation training.

关 键 词：健腰导引十二式练功法 腰椎间盘突出症 术后 OSWESTRY功能障碍指数 疼痛 视觉模拟评分法 

分 类 号：R681.5[医药卫生—骨科学]