专项康复训练对腰椎间盘突出症康复期患者康复效果的影响  

Influence of Special Rehabilitation Training on Rehabilitation Effect of Patients with Lumbar Disc Herniation in Rehabilitation Stage

作　　者：曹晶晶[1] 梅展展 王文雅 韩笑笑 孔存龙[1] 张亚琳 CAO Jingjing;MEI Zhanzhan;WANG Wenya;HAN Xiaoxiao;KONG Cunlong;ZHANG Yalin(Department of Pain,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Rehabilitation Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院疼痛科,河南郑州450000 [2]郑州大学第一附属医院康复医学科,河南郑州450000

出　　处：《河南医学研究》2024年第1期128-132,共5页Henan Medical Research

摘　　要：目的探讨专项康复训练对腰椎间盘突出症(LDH)康复期患者康复效果的影响。方法选取郑州大学第一附属医院2021年2月至2022年7月就诊的94例LDH康复期患者,将2021年2—10月就诊患者设为常规康复组,2021年11月至2022年7月就诊患者设为专项康复训练组,各47例。常规康复组接受常规康复治疗和护理(腰椎牵引、推拿、药物干预、常规康复锻炼等),专项康复训练组在常规康复组基础上联合开展专项康复训练。对比两组锻炼依从性、Oswestry功能障碍指数(ODI)、焦虑自评量表(SAS)、自我效能感量表(GSES)、视觉模拟评分法(VAS)评分及满意度。结果干预3个月后,专项康复训练组锻炼依从性(95.74%)高于常规康复组(74.47%)(P<0.05);干预1周、1个月、3个月后,两组VAS评分呈逐渐下降趋势,且专项康复训练组低于常规康复组(P<0.05);干预3个月后,专项康复训练组SAS、ODI评分均低于常规康复组,GSES评分高于常规康复组(P<0.05);专项康复训练组满意度(97.87%)高于常规康复组(80.85%)(P<0.05)。结论专项康复训练用于LDH康复期患者中,可增强患者自我效能,提高锻炼依从性,缓解腰椎功能障碍,减轻疼痛程度,改善不良情绪,提升满意度。Objective To explore the effect of special rehabilitation training on the rehabilitation of patients with lumbar disc herniation(LDH)in the rehabilitation period.Methods A total of 94 LDH rehabilitation patients who visited the First Affiliated Hospital of Zhengzhou University from February 2021 to July 2022 were selected.Patients who visited from February to October 2021 were assigned to the routine rehabilitation group,and patients who visited from November 2021 to July 2022 were assigned to the specialized rehabilitation training group,47 patients in each group.The routine rehabilitation group received routine rehabilitation treatment and nursing(lumbar traction,massage,medication intervention,routine rehabilitation exercise,etc.),while the specialized rehabilitation training group received specialized rehabilitation training on the basis of the routine rehabilitation group.The exercise compliance,oswestry dysfunction index(ODI),self-rating anxiety scale(SAS),general self-efficacy scale(GSES),visual analogue scale(VAS)scores,and satisfaction were compared between two groups.Results After 3 months of intervention,the exercise compliance of the specialized rehabilitation training group(95.74%)was higher than that of the conventional rehabilitation group(74.47%)(P<0.05).After 1 week,1 month,and 3 months of intervention,the VAS scores in two groups showed gradual downward trends,and the VAS score in specialized rehabilitation training group was lower than that in the routine rehabilitation group(P<0.05).After 3 months of intervention,the SAS and ODI scores in the specialized rehabilitation training group were lower than those in the routine rehabilitation group,while the GSES score was higher than that in the routine rehabilitation group(P<0.05).The satisfaction rate of the specialized rehabilitation training group(97.87%)was higher than that of the routine rehabilitation group(80.85%)(P<0.05).Conclusion The specialized rehabilitation training can enhance self-efficacy,improve exercise compliance,alleviate lumbar

关 键 词：腰椎间盘突出症 专项康复训练 腰椎牵引 推拿 

分 类 号：R493[医药卫生—康复医学]