超声药物导入联合腰腹部核心肌力训练对腰椎间盘突出患者康复效果的影响  

Influences of Ultrasound Drug Introduction Combined with Lumbar Muscle Training on Rehabilitation Effect in Patients with Lumbar Disc Herniation

作　　者：崔高亮[1] 程立[1] 彭辉[1] CUI Gaoliang;CHENG Li;PENG Hui(Department of Rehabilitation Medicine,Shangqiu First People’s Hospital,Shangqiu 476000,China)

机构地区：[1]商丘市第一人民医院康复医学科,河南商丘476000

出　　处：《河南医学研究》2024年第19期3540-3544,共5页Henan Medical Research

摘　　要：目的探讨超声药物导入联合腰腹部核心肌力训练对腰椎间盘突出(LDH)患者康复效果的影响。方法选取商丘市第一人民医院2021年1月至2022年12月收治的122例LDH患者,按随机数字表法分为观察组(61例)及对照组(61例)。对照组接受腰背肌训练,观察组接受超声药物导入联合腰腹部核心肌力训练。比较两组康复效果、治疗前后腰椎功能、腰背肌群肌力、炎症因子、疼痛情况。结果观察组治疗总有效率为93.44%,高于对照组的80.33%(P<0.05)。治疗后,观察组日本骨科协会评估治疗(JOA)评分高于对照组,Oswestry功能障碍指数(ODI)评分低于对照组(P<0.05);观察组右侧屈、左侧屈、右旋、左旋、后伸及前屈肌力高于对照组(P<0.05);观察组血清白细胞介素-1β(IL-1β)、C反应蛋白(CRP)及肿瘤坏死因子-α(TNF-α)低于对照组(P<0.05);观察组视觉模拟评分(VAS)、血清P物质(SP)及前列腺素E_(2)(PGE_(2))水平低于对照组(P<0.05)。结论超声药物导入联合腰腹部核心肌力训练能提高LDH患者的康复效果,促进腰椎功能及腰腹部肌群肌力恢复,缓解炎症反应,改善疼痛情况。Objective To explore the influences of ultrasound drug introduction combined with lumbar and abdominal core muscle strength training on rehabilitation effect in patients with lumbar disc herniation(LDH).Methods A total of 122 patients with LDH in Shangqiu First People’s Hospital were enrolled from January 2021 to December 2022.They were divided into observation group(61 cases)and control group(61 cases)according to the random numble table method.The control group was given lumbar and abdominal core muscle strength training,while observation group was additionally given ultrasound drug introduction.The rehabilitation effect,lumbar function,muscle strength of lumbar muscle groups,pain and inflammatory factors were compared between the two groups.Results The total response rate of rehabilitation in observation group(93.44%)was higher than that in control group(80.33%)(P<0.05).After treatment,score of Japanese Orthopaedic Association(JOA),muscle strength of right flexion,left flexion,right rotation,left rotation,rear protraction and anterior flexion in observation group were higher than that in control group,and score of Oswestry Disability Index(ODI),score of visual analogue scale(VAS),levels of serum substance P(SP),prostaglandin E_(2)(PGE_(2)),interleukin-1β(IL-1β),C-reactive protein(CRP)and tumor necrosis factor-α(TNF-α)in observation group were lower than those in control group(P<0.05).Conclusion Ultrasound drug introduction combined with lumbar and abdominal core muscle strength training can improve rehabilitation effect in LDH patients,promote the recovery of lumbar function and muscle strength of lumbar muscle groups,relieve pain and inflammatory response.

关 键 词：腰椎间盘突出 超声药物导入 腰背肌训练 康复效果 

分 类 号：R68[医药卫生—骨科学]