快速康复理念结合五点式腰背肌长期锻炼对椎间盘髓核摘除患者的腰椎功能及生活质量的影响  

The Impact of Combining the Concept of Rapid Rehabilitation with Long-term Exercise of the Five Point Lumbar and back Muscles on Lumbar Spine Function and Quality of Life in Patients Undergoing Lumbar Spine Surgery

作　　者：黄里铭 HUANG Liming(Rehabilitation Department of Changle District People's Hospital in Fuzhou,Fuzhou 350200,China)

机构地区：[1]福州市长乐区人民医院康复科,福建福州350200

出　　处：《中华灾害救援医学》2025年第1期121-124,共4页Chinese Journal of Disaster Medicine

摘　　要：目的 分析快速康复理念(Enhanced Recovery After Surgery,ERAS)结合五点式腰背肌长期锻炼对腰椎手术患者腰椎功能和生活质量的影响。方法 选取福州市长乐区人民医院2022年1月至2023年6月期间收治的椎间盘髓核摘除术患者90例作为研究对象,通过随机数字抽签法分为观察组和对照组,每组各45例,对照组采用常规康复护理,观察组采用快速康复理念和五点式腰背肌长期锻炼,分析干预后的日本骨科协会评估治疗(Japanese Orthopaedic Association Scores,JOA)评分、功能障碍指数(Oswestry Disability Index,ODI)评分、视觉模拟评分法(Visual Analog Scale,VAS)评分、腰椎生理前凸角、SF-36生活质量评分情况。结果 干预后观察组的JOA评分、SF-36生活质量评分、腰椎生理前凸角高于对照组(P<0.05);观察组随访3个月后的ODI评分、VAS评分低于对照组(P<0.05)。结论 快速康复理念结合五点式腰背肌长期锻炼能进一步促进腰椎间盘突出症患者腰椎功能恢复,提高生活质量。Objective To analyze the effects of Enhanced Recovery After Surgery(ERAS)combined with five point lumbar and back muscle long-term exercise on lumbar spine function and quality of life in patients undergoing lumbar spine surgery.Methods Ninety patients who underwent intervertebral disc nucleus pulposus removal surgery at Changle District People's Hospital in Fuzhou City from January 2022 to June 2023 were selected as the study subjects.They were randomly divided into an observation group and a control group,with 45 patients in each group.The control group received routine rehabilitation nursing,while the observation group received rapid rehabilitation concept and five point lumbar and back muscle long-term exercise.The Japanese Orthopaedic Association Scores(JOA)score,Oswestry Disability Index(ODI)score,Visual Analog Scale(VAS)score,lumbar spine physiological anterior convexity angle,and SF-36 quality of life score were analyzed after intervention.Results After intervention,the JOA score,SF-36 quality of life score,and lumbar physiological lordosis angle in the observation group were higher than those in the control group(P<0.05);After a 3-month follow-up,the ODI score and VAS score of the observation group were lower than those of the control group(P<0.05).Conclusion The combination of rapid rehabilitation concept and long-term exercise of the five point lumbar and back muscles can further promote the recovery of lumbar function and improve the quality of life for patients with lumbar disc herniation.

关 键 词：快速康复理念 五点式腰背肌长期锻炼 椎间盘髓核摘除术 

分 类 号：R248.2[医药卫生—中医临床基础]