渐进式康复训练联合腰椎牵引对腰椎间盘突出症患者腰椎功能的影响  

Effect of Progressive Rehabilitation Training Combined with Lumbar Traction on Lumbar Function in Patients with Lumbar Disc Herniation

作　　者：王洪波 张艳[2] 高丰 杨永胜 刘源 李泽恒 张跃蓬 王纪亮 WANG Hongbo;ZHANG Yan;GAO Feng;YANG Yongsheng;LIU Yuan;LI Zeheng;ZHANG Yuepeng;WANG Jiliang(Department of Orthopedics,Inner Mongolia Hospital of Traditional Chinese Medicine,Hohhot 010010,China;Department of Obstetrics and Gynecology,the 969th Hospital of the Joint Logistics Support Force of People's Liberation Army,Hohhot 010010,China)

机构地区：[1]内蒙古自治区中医医院骨外科,内蒙古呼和浩特010010 [2]中国人民解放军联勤保障部队第969医院妇产科,内蒙古呼和浩特010010

出　　处：《中国伤残医学》2024年第20期5-9,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨渐进式康复训练联合腰椎牵引对腰椎间盘突出症(LDH)患者腰椎功能的影响。方法:选取2021年12月-2023年12月于内蒙古自治区中医医院接受治疗的80例LDH患者为研究对象,采用随机数字表法分为对照组及研究组,各40例。对照组采用腰椎牵引治疗,研究组在对照组基础上进行渐进式康复训练。比较两组腰椎功能、腰椎疼痛程度、腰椎关节活动度、炎症指标及生活质量。结果:干预后,研究组的Oswestry功能障碍指数、疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,研究组的腰椎后伸、腰椎前屈、腰椎右侧屈、腰椎左侧屈活动度及腰椎最大活动范围均大于对照组,差异均有统计学意义(P<0.05)。干预后,研究组的降钙素原、基质金属蛋白酶3、肿瘤坏死因子-α水平均低于对照组,差异均有统计学意义(P<0.05)。干预后,研究组的健康调查简表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:LDH患者采用渐进式康复训练联合腰椎牵引进行干预,可有效改善腰椎活动度,抑制炎症反应,缓解患处疼痛,提高腰椎功能及生活质量。Objective:To investigate the effect of progressive rehabilitation training combined with lumbar traction on lumbar function in patients with lumbar disc herniation(LDH).Methods:A total of 80 LDH patients treated in Inner Mongolia Hospital of Traditional Chinese Medicine from December 2021 to December 2023 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 40 cases in each group.The control group received lumbar traction treatment,and the study group received progressive rehabilitation training on the basis of the control group.The lumbar function,lumbar pain degree,lumbar joint motion,inflammation indexes and quality of life were compared between the two groups.Results:After intervention,the scores of Oswestry Disability Index and Pain Visual Analogue Scale in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the lumbar posterior extension,lumbar anterior flexion,lumbar right flexion,lumbar left flexion and lumbar maximum range of motion in the study group were greater than those in the control group,the differences were statistically significant(P<0.05).After intervention,the levels of procalcitonin,matrix metalloproteinase-3 and tumor necrosis factor-αin the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores in the MOS Item Short Form Health Survey of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The intervention of progressive rehabilitation training combined with lumbar traction in LDH patients can effectively improve lumbar motion,inhibit inflammatory response,relieve pain,and improve lumbar function and quality of life.

关 键 词：腰椎间盘突出症 渐进式康复训练 腰椎牵引 腰椎功能 腰椎疼痛 腰椎关节活动度 

分 类 号：R681.53[医药卫生—骨科学]