腰椎间盘突出症术后腰背肌训练方式的研究进展  

Research progress on training methods of lumbar and back muscles after lumbar disc herniation surgery

作　　者：尹兴学 李进飞[1] 周圆圆 戚荣富 YIN Xingxue;LI Jinfei;ZHOU Yuanyuan;QI Rongfu(Department of Rehabilitation Medicine,Nanjing Tongren Hospital,School of Medicine,Southeast University,Nanjing 211102;Department of Orthopaedics,Nanjing Tongren Hospital,School of Medicine,Southeast University,Nanjing 211102)

机构地区：[1]东南大学医学院附属南京同仁医院康复医学科,南京211102 [2]东南大学医学院附属南京同仁医院骨科,南京211102

出　　处：《颈腰痛杂志》2025年第2期393-398,共6页The Journal of Cervicodynia and Lumbodynia

摘　　要：腰椎间盘突出症(LDH)是最常见的脊柱疾病之一,手术是解除神经根压迫、摘除突出的髓核最直接的方法。但术后需要通过腰背肌训练来提高腰椎功能,加快术后康复,减少术后并发症的发生。目前为止,腰背肌训练已发展了多种方式,包括麦肯基训练、飞燕动作、五点支撑法、核心肌群训练、悬吊训练、中国传统运动、瑜伽、屈曲和伸展练习等。本文就LDH术后腰背肌训练意义和训练方式的临床应用、作用机制及其局限性等作一综述,以期为LDH术后康复的个性化选择和应用提供参考。Lumbar disc herniation(LDH)is one of the most common spinal diseases,and surgery is the most direct way to relieve nerve root compression and remove protruding nucleus pulposus,but some patients are prone to low back pain or recurrence after surgery.However,after surgery,lumbar muscle training is needed to improve lumbar function,speed up postoperative rehabilitation and reduce postoperative complications.So far,the lumbar muscle training have been developed in many ways,including McKenzie training,flying swallow action,five-point support method,core muscles training,suspension training,traditional Chinese sports,flexion and stretching exercises.This article reviews the significance,clinical application,mechanism and limitations of LDH postoperative lumbago muscle training,in order to provide reference for the personalized selection and application of LDH postoperative rehabilitation.

关 键 词：腰椎间盘突出症 腰背肌训练 腰椎功能 核心肌群 术后训练 

分 类 号：R681.53[医药卫生—骨科学]