疼痛护理联合核心肌群训练对腰椎间盘突出症手术患者术后功能康复的影响研究  

Study on the Effect of Pain Nursing Combined with Core Muscle Training on Postoperative Functional Recovery in Patients with Lumbar Disc Herniation

作　　者：刘雪会 张敏[1] 樊晓韩 LIU Xuehui;ZHANG Min;FAN Xiaohan(Department of Orthopedics,First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China;Department of Orthopedics,Second Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院骨科,河南郑州450000 [2]郑州大学第二附属医院骨科,河南郑州450000

出　　处：《临床研究》2024年第11期192-195,共4页Clinical Research

摘　　要：目的分析腰椎间盘突出症(LDH)手术患者经疼痛护理联合核心肌群训练(CMT)干预效果。方法筛选2022年3月至2023年6月郑州大学第一附属医院收治的106例LDH患者,运用随机抽样法分组,参照组(n=53)给予常规护理,研究组(n=53)以疼痛护理+CMT训练,比较患者疼痛情况[视觉模拟评分法(VAS)]、腰椎功能情况[日本骨科协会评估治疗评分(JOA)、Oswestry功能障碍指数(ODI)]、康复效果、腰背伸峰力矩与腰背屈伸比及生活质量[生活质量综合评定问卷-74(GQOLI-74)]。结果治疗前,两组VAS、ODI、JOA评分,差异无统计学意义(P<0.05),治疗后2周、4周研究组VAS、ODI低于参照组,JOA高于参照组,差异均有统计学意义(P<0.05);治疗前,两组腰背屈伸比、腰背伸峰力矩比较,差异无统计学意义(P>0.05),治疗后2周、4周研究组腰背屈伸比低于参照组,腰背伸峰力矩则高于参照组,差异均有统计学意义(P<0.05);康复效果方面,研究组治疗有效率高于参照组,差异具有统计学意义(P<0.05);治疗前,两组GQOLI-74评分差异无统计学意义(P>0.05),研究组治疗后2周、4周各维度评分均高于参照组,差异均有统计学意义(P<0.05)。结论LDH术后患者经疼痛护理和核心肌群训练后,康复效果明显,患者疼痛减轻,有利于腰椎功能的康复,提高生活质量。Objective To analyze the effect of pain nursing combined with core muscle training(CMT)on postoperative functional recovery in patients with lumbar disc herniation(LDH).Methods A total of 106 LDH patients treated at the First Affiliated Hospital of Zhengzhou University from March 2022 to June 2023 were selected and randomly divided into two groups.The control group(n=53)received routine nursing care,while the study group(n=53)received pain nursing combined with CMT.Pain levels were assessed using the Visual Analog Scale(VAS),lumbar function was assessed using the Japanese Orthopedic Association(JOA)score and the Oswestry Disability Index(ODI),and rehabilitation effects were evaluated.Additionally,lumbar extension peak torque and lumbar flexion-extension ratio,as well as quality of life[assessed using the General Quality of Life Inventory-74(GQOLI-74)],were compared between the two groups.Results Before treatment,there were no significant differences in VAS,ODI,and JOA scores between the two groups(P>0.05).After 2 and 4 weeks of treatment,the study group had significantly lower VAS and ODI scores and higher JOA scores compared to the control group(P<0.05).Similarly,there were no significant differences in lumbar flexion-extension ratio and lumbar extension peak torque between the two groups before treatment(P>0.05).After 2 and 4 weeks of treatment,the study group had a lower lumbar flexion-extension ratio and higher lumbar extension peak torque compared to the control group(P<0.05).The effective rate of rehabilitation was higher in the study group than in the control group(P<0.05).Before treatment,there were no significant differences in GQOLI-74 scores between the two groups(P>0.05).After 2 and 4 weeks of treatment,the study group had higher GQOLI-74 scores in all dimensions compared to the control group(P<0.05).Conclusion Pain nursing combined with core muscle training significantly improves rehabilitation outcomes,reduces pain,enhances lumbar function recovery,and improves the quality of life in postoperative L

关 键 词：腰椎间盘突出症 术后 核心肌群训练 疼痛护理 

分 类 号：R473.6[医药卫生—护理学]