中药熏蒸联合腰背肌锻炼对退行性腰椎滑脱症患者术后康复的影响  

Effect of Traditional Chinese Medicine Fumigation Combined with Lumbodorsal Muscle Training on Postoperative Rehabilitation of Patients with Degenerative Lumbar Spondylolisthesis

作　　者：丁锏 袁帅 张向东 吕振超 曹向阳 DING Jian;YUAN Shuai;ZHANG Xiangdong;L Zhenchao;CAO Xiangyang(Department of Spinal Surgery,Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincal Orthopedic Hospital),Zhengzhou 450000,China)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)脊柱外科,河南郑州450000

出　　处：《河南医学研究》2024年第10期1861-1864,共4页Henan Medical Research

摘　　要：目的 探讨中药熏蒸联合腰背肌锻炼对退行性腰椎滑脱症患者术后康复的影响。方法 回顾性收集2021年6月至2023年1月河南省洛阳正骨医院收治的65例退行性腰椎滑脱症患者的临床资料,根据术后干预方法分为对照组(32例,腹肌锻炼+腰背肌锻炼)和观察组(33例,腹肌锻炼+腰背肌锻炼+中药熏蒸),均完成3个月干预。比较两组下床活动时间、住院时间、干预前和干预3个月时功能障碍情况[功能障碍指数(ODI)评分]、疼痛程度[视觉模拟评分法(VAS)评分]、生活质量[生存质量测定量表(QOL-100)]。结果 对照组术后下床活动时间、住院时间长于观察组(P<0.05);干预3个月时,对照组QOL-100评分低于观察组,ODI、VAS评分高于观察组(P<0.05)。结论 中药熏蒸联合腰背肌锻炼可有效缩短退行性腰椎滑脱症患者术后下床活动时间和住院时间,降低患者功能障碍和疼痛程度,提高患者生活质量。Objective To explore the effect of traditional Chinese medicine fumigation combined with lumbodorsal muscle training on postoperative rehabilitation of patients with degenerative lumbar spondylolisthesis.Methods Clinical data of 65 patients with degenerative lumbar spondylolisthesis were retrospectively collected from June 2021 to January 2023 in Luoyang Orthopedic-Traumatological Hospital of Henan Province.They were divided into a control group(32 cases,abdominal muscle exercise+back and waist muscle exercise)and an observation group(33 cases,abdominal muscle exercise+back and waist muscle exercise+Chinese medicine fumigation)based on different postoperative intervention methods,all of which completed 3 months of intervention.The time of getting out of bed,length of stay,dysfunction[Oswestry disability index(ODI)],pain[visual analogue scale(VAS)score]and quality of life[quality of life 100(QOL^(-1)00)]were compared between the two groups before intervention and at 3 months of intervention.Results The time of getting out of bed and staying in hospital in control group were longer than those in observation group(P<0.05).After 3 months of intervention,the QOL^(-1)00 score in the control group was lower than that in the observation group,while the ODI and VAS scores were higher than those in the observation group(P<0.05).Conclusion Traditional Chinese medicine fumigation combined with lumbodorsal muscle training can effectively shorten the postoperative time for getting out of bed and hospitalization in patients with degenerative lumbar spondylolisthesis,reduce functional impairment and pain,and improve their quality of life.

关 键 词：退行性腰椎滑脱症 中药熏蒸 腰背肌锻炼 术后康复 

分 类 号：R274.23[医药卫生—中医骨伤科学]