早期肌力量化训练对腰椎间盘突出症患者术后功能障碍及疼痛程度的影响  

Effect of early muscle strength quantification training on postoperative dysfunction and pain in patients with lumbar disc herniation

作　　者：李佳 周宏玉 LI Jia;ZHOU Hongyu(Department of Cervical Spine Surgery,the Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China)

机构地区：[1]海军军医大学第二附属医院颈椎外科,上海200003

出　　处：《检验医学与临床》2024年第24期3726-3729,共4页Laboratory Medicine and Clinic

摘　　要：目的探讨早期肌力量化训练对腰椎间盘突出症(LDH)患者术后功能障碍及疼痛程度的影响。方法选取该院2021年1月至2023年3月接受手术治疗的107例LDH患者为研究对象,按照随机数字表法分为研究组与对照组,分别为54、53例。对照组术后进行常规训练,研究组术后进行早期肌力量化训练。比较两组干预前、干预12周后腰椎功能障碍程度[使用Oswestry功能障碍评分表(ODI)评估]、疼痛程度[使用视觉模拟评分法(VAS)评估]及生活质量[使用生活质量综合评定问卷(GQOLI-74)评估]。结果干预前,研究组与对照组ODI、VAS及GQOLI-74的心理功能、躯体功能、物质生活状态、社会功能评分比较,差异均无统计学意义(P>0.05)。干预12周后,研究组ODI评分、VAS评分均低于对照组,GQOLI-74各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论LDH患者术后采用早期肌力量化训练可改善腰椎功能障碍程度,减轻疼痛,提高生活质量。Objective To explore the effect of early muscle strength quantification training on postoperative functional impairment and pain level in patients with lumbar disc herniation(LDH).Methods A total of 107 LDH patients who underwent surgical treatment in the Second Affiliated Hospital of Naval Medical University from January 2021 to March 2023 were selected as the research subjects.They were randomly divided into study group and control group using a random number table method,with 54 and 53 cases respectively.The control group received routine training after surgery,while the study group received early muscle strength quantification training after surgery.Compare the degree of lumbar dysfunction[evaluated using the Oswestry Disability Index(ODI)],pain level[evaluated using the Visual Analog Scale(VAS)]and quality of life[evaluated using the Quality of Life Comprehensive Assessment Questionnaire(GQOLI-74)]between the two groups before and after 12 weeks of intervention.Results Before intervention,there was no statistically significant difference in ODI,VAS and GQOLI-74 score including psychological function,physical function,material life status,social function score between the study group and the control group(P>0.05).After 12 weeks of intervention,the ODI and VAS scores of the study group were lower than those of the control group,and the GQOLI-74 score including psychological function,physical function,material life status,social function score were higher than those of the control group,with statistically significant differences(P<0.05).Conclusion Early muscle strength quantification training for LDH patients after surgery can improve the degree of lumbar dysfunction,alleviate pain,and improve quality of life.

关 键 词：腰椎间盘突出症 早期肌力量化训练 功能障碍 疼痛 生活质量 

分 类 号：R493[医药卫生—康复医学] R684.7[医药卫生—临床医学]