以核心稳定为基础的康复训练在腰椎压缩性骨折患者中的应用  

Application of rehabilitation training bassed on core-stabilization in patients with lumbar compression fractures

作　　者：李丹[1] 陈莹 姜霞 Li Dan;Chen Ying;Jiang Xia(The First Department of Bone Injury,Changzhou Traditional Chinese Medicine Hospital,Changzhou 213000,China;Orthopedics,Changzhou Traditional Chinese Medicine Hospital,Changzhou 213000,China;The Fifth Department of Bone Injury,Changzhou Traditional Chinese Medicine Hospital,Changzhou 213000,China)

机构地区：[1]常州市中医医院骨伤一科,常州213000 [2]常州市中医医院正骨科,常州213000 [3]常州市中医医院骨伤五科,常州213000

出　　处：《国际护理学杂志》2024年第7期1263-1267,共5页international journal of nursing

基　　金：江苏省中医药科技项目(一般项目)(YB201832)。

摘　　要：目的探讨以核心稳定为基础的康复训练在腰椎压缩性骨折患者中的应用效果。方法选取2019年8月至2022年8月在常州市中医医院骨伤一科接受治疗的88例腰椎压缩性骨折患者作为研究对象,根据随机数字表法将其分为对照组和研究组。对照组采用常规康复训练,研究组采用以核心稳定为基础的康复训练。观察两组患者术后1 w、术后3个月腰椎功能和日常生活活动能力。结果本研究共纳入88例患者,对照组1例患者因问卷填写有误予以剔除,研究组1例患者因失访予以剔除,最终86例患者完成研究。术后1 w,两组患者改良Oswestry功能障碍指数(ODI)各条目评分及总评分对比差异无统计学意义(P>0.05);术后1个月,两组患者ODI量表各维度评分及总评分均有下降,差异有统计学意义(P<0.05),研究组ODI量表各维度评分及总评分低于对照组,差异有统计学意义(P<0.05)。术后1 w,两组患者躯体生活自理量表(PSMS)评分对比差异无统计学意义(P>0.05);术后3个月,两组患者PSMS总评分均有下降,研究组PSMS总评分低于对照组,差异有统计学意义(P<0.05)。结论腰椎压缩性骨折患者行以核心稳定为基础的康复训练效果较好,可有效提升患者腰椎功能,提升日常生活活动能力。Objective To explore the effects of rehabilitation training based on core-stabilization in patients with lumbar vertebral compression fractures.Methods A total of 88 patients with lumbar vertebral compression fractures who were treated in the First Department of Orthopedics,Changzhou Hospital of Traditional Chinese Medicine from August 2019 to August 2022 were selected as the research objects.According to the random number table method,they were divided into control group and study group.The control group was given routine rehabilitation training,while the study group was given rehabilitation training based on core stability.Lumbar function and activities of daily living were observed in the two groups at 1 week and 3 months after operation.Results A total of 88 patients were included in this study.One patient was excluded from the control group due to error in filling out the questionnaire,and one patient was excluded from the study group due to loss of follow-up.Finally,86 patients completed the study.At 1 week after operation,there was no significant difference in the item score and total score of modified Oswestry Disability Index(ODI)between the two groups.One month after operation,the scores of each dimension and the total score of the ODI scale in the two groups decreased,and the difference was statistically significant(P<0.05).The scores of each dimension and the total score of ODI in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After 1 week,there was no significant difference in Physical Self-Maintenance Scale(PSMS)scores between the two groups(P>0.05).Three months after operation,the total PSMS score of the two groups decreased,and the total PSMS score of the study group was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions The rehabilitation training based on core-stabilization has a good effect on patients with lumbar compression fractures,which can effectively improve the

关 键 词：康复训练 腰椎压缩性骨折 

分 类 号：R687.3[医药卫生—骨科学] R493[医药卫生—外科学]