飞燕式腰背肌功能锻炼联合阶梯式康复干预对腰椎间盘突出症患者腰椎功能及疼痛水平的影响  

The effect of Feiyan style lumbar and back muscle functional exercise combined with stepwise rehabilitation intervention on lumbar spine function and pain level in patients with lumbar disc herniation

作　　者：高连保 GAO Lian-bao(Orthopedics Department,Xiamen Third Hospital Traditional Chinese Medicine,Xiamen 361100,China)

机构地区：[1]厦门市第三医院中医骨伤科,361100

出　　处：《中国现代药物应用》2024年第23期169-172,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨飞燕式腰背肌功能锻炼联合阶梯式康复干预对腰椎间盘突出症(LDH)患者腰椎功能及疼痛水平的影响。方法选择LDH患者88例为研究对象,按随机数表法分为对照组和观察组,各44例。对照组开展阶梯式康复干预,观察组在对照组基础上开展飞燕式腰背肌功能锻炼。对比两组患者腰椎功能、疼痛程度及日常生活能力。结果干预3个月后,观察组腰椎功能的主观症状评分为(8.13±0.41)、临床体征评分为(5.30±0.28)、日常活动受限度评分(12.78±1.03)分,均高于对照组的(7.20±0.74)、(4.82±0.35)、(11.59±2.10)分,有统计学差异(P<0.05)。干预3个月后,观察组疼痛程度评分(2.06±0.87)分较对照组的(3.30±1.25)分低,有统计学差异(P<0.05)。干预3个月后,观察组Oswestry功能障碍指数(ODI)评分(11.49±3.80)分较对照组的(15.42±5.17)分低,Berthel指数(BI)评分(82.49±6.38)分较对照组的(77.54±7.34)分高,有统计学差异(P<0.05)。结论飞燕式腰背肌功能锻炼联合阶梯式康复干预对LDH患者腰椎功能及疼痛程度的改善效果优于单纯的阶梯式康复干预,有助于提升患者日常活动能力。Objective To explore the effect of Feiyan style lumbar and back muscle functional exercise combined with stepwise rehabilitation intervention on lumbar spine function and pain level in patients with lumbar disc herniation(LDH).Methods 88 LDH patients were selected and divided into a control group and an observation group according to random numerical table,with 44 patients in each group.The control group received stepwise rehabilitation intervention,while the observation group received Feiyan style lumbar and back muscle functional exercise on the basis of the control group.The lumbar spine function,pain level,and daily living ability were compared between the two groups.Results After 3 months of intervention,the lumbar function scores for subjective symptoms,clinical signs and daily activity limit in the observation group were(8.13±0.41)points,(5.30±0.28)points and(12.78±1.03)points,which were higher than(7.20±0.74)points,(4.82±0.35)points and(11.59±2.10)points in the control group(P<0.05);After 3 months of intervention,the score of pain degree in the observation group[(2.06±0.87)points]was lower compared with the control group[(3.30±1.25)points](P<0.05).After 3 months of intervention,the Oswestry disability index(ODI)score of the observation group[(11.49±3.80)points]was lower compared with the control group[(15.42±5.17)points],while the Barthel index(BI)score of the observation group[(82.49±6.38)points]was higher compared with the control group[(77.54±7.34)points](P<0.05).Conclusion Compared with simple stepwise rehabilitation intervention,the combination of Feiyan style lumbar and back muscle function exercise and stepwise rehabilitation intervention has a better effect on improving lumbar spine function and pain levels in LDH patients,which helps to enhance patients'daily living ability.

关 键 词：腰椎间盘突出症 飞燕式腰背肌功能锻炼 阶梯式康复干预 腰椎功能 疼痛 日常活动能力 

分 类 号：R493[医药卫生—康复医学] R681.53[医药卫生—临床医学]