ICF-RS用于评价多模式疗法对腰椎管狭窄症术后患者康复效果的研究  

Evaluation of rehabilitation effects of multimodal therapy on patients with lumbar spinal stenosis by ICF-RS

作　　者：朱行通 巩浩然 吴占勇 马建青 胡业华 莫秀芳 赵晓博 Zhu Hangtong;Gong Haoran;Wu Zhanyong(North China University of Science and Technology College of Nursing and Rehabilitation,Hebei Tangshan 063000,China)

机构地区：[1]华北理工大学护理与康复学院,河北唐山063000 [2]华北医疗健康集团邢台总医院,河北邢台054000

出　　处：《中国康复》2024年第12期736-740,共5页Chinese Journal of Rehabilitation

基　　金：河北省自然科学基金资助项目(H2021108006)。

摘　　要：目的:采用国际功能、残疾与健康分类康复组合(ICF-RS)评估行后路椎体间融合术(PLIF)的腰椎管狭窄症(LSS)患者功能状况,初步分析多模式疗法的康复疗效。方法:选取行后路椎体间融合术的腰椎管狭窄症患者76例,随机分为观察组和对照组,每组38例患者。对照组采取常规康复治疗,观察组进行多模式疗法。干预3个月前后,通过ICF-RS评估患者功能改善情况。结果:76例患者存在明显功能障碍的类目依次为:b130能量和驱力功能、d240控制应激和其他心理需求、d640做家务、d230进行日常事务、d570照顾个人的健康、d660帮助别人、d850有报酬的就业、d920娱乐和休闲、b134睡眠功能、b152情感功能、b280痛觉、b455运动耐受能力、b710关节活动能力、b730肌肉力量功能、d410改变身体基本姿势、d415保持一种身体姿势共16条。干预3个月后,2组16条类目评分均低于干预前(P<0.05),观察组16条类目评分均低于对照组(P<0.05)。结论:多模式疗法对行PLIF术的LSS患者有明显的康复疗效。Objective:ICF rehabilitation combination(ICF-RS)was used to evaluate the functional status of posterior lumbar interbody fusion(PLIF)patients with lumbar spinal stenosis(LSS).The rehabilitation effect of multimodal therapy was analyzed.Methods:A total of 76 patients with LSS who underwent PLIF were selected and randomly divided into an observation group and a control group,with 38 patients in each group.The control group was treated with conventional rehabilitation therapy,and the observation group was treated with multimodal therapy.Before and after 3 months of intervention,the patients’functional improvement was assessed by ICF-RS.Results:The categories in which 76 patients had significant functional impairment were,in order:b130 energy and drive functioning,d240 controlling stress and other psychological needs,d640 doing household chores,d230 carrying out daily routines,d570 caring for one’s health,d660 helping others,d850 gainful employment,d920 recreation and leisure,b134 sleep functioning,and b152 emotional functioning,b280 pain perception,b455 exercise tolerance,b710 joint mobility,b730 muscle strength functioning,d410 changing basic body postures,and d415 maintaining a body posture totaling 16.After 3 months of intervention,the scores of 16 categories in both groups were lower than those before intervention(P<0.05),and the scores of 16 categories in the observation group were lower than those in the control group(P<0.05).Conclusion:Multimodal therapy has obvious rehabilitation effect on LSS patients undergoing PLIF.

关 键 词：腰椎管狭窄症 后路椎体间融合术 多模式疗法 国际功能、残疾与健康分类康复组合 康复 

分 类 号：R49[医药卫生—康复医学] R681.5[医药卫生—临床医学]