阶梯式康复训练在腰椎间盘突出症术后患者中的应用  

Application of Step Rehabilitation Training in Postoperative Patients with Lumbar Disc Herniation

作　　者：王芳[1] WANG Fang(Spinal SurgeryⅠ&Oral Surgery Ward,Jinan Third People's Hospital of Shandong Province,Jinan Shandong,250132,China)

机构地区：[1]济南市第三人民医院脊一口外病区,山东济南250132

出　　处：《中华养生保健》2025年第7期5-9,共5页CHINESE HEALTH CARE

摘　　要：目的探讨在腰椎间盘突出症(LDH)术后患者中应用阶梯式康复训练的效果。方法选取2023年4月—2024年7月在山东省济南市第三人民医院行手术治疗的101例LDH患者,以随机数表法分成干预组(n=51)与对照组(n=50),对照组给予常规康复训练,干预组给予阶梯式康复训练,两组均干预1个月。比较两组腰椎功能、疼痛程度、生活质量。结果干预前,两组日本骨科协会评估治疗分数(JOA)评分比较,差异无统计学意义(P>0.05);干预后,两组JOA评分均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预前,两组VAS评分比较,差异无统计学意义(P>0.05);干预后,两组视觉模拟评分法(VAS)评分均低于干预前,且干预组低于对照组,差异有统计学意义(P<0.05)。干预前,两组世界卫生组织生活质量量表(WHOQOL-100)各维度评分比较,差异无统计学意义(P>0.05);干预后,两组WHOQOL-100各维度评分均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。结论阶梯式康复训练应用于LDH术后患者干预中,可改善腰椎功能,减轻疼痛感,提高生活质量。Objective To investigate the eff ect of step rehabilitation training in patients with lumbar disc herniation(LDH)after operation.Methods A total of 101 LDH patients who underwent surgical treatment in Jinan Third People's Hospital from April 2023 to July 2024 were selected and divided into intervention group(n=51)and control group(n=50)by random number table method.The control group was given routine rehabilitation training,and the intervention group was given stepped rehabilitation training.Both groups were treated for 1 month.Lumbar function,pain and quality of life were compared between the two groups.Results Before intervention,there was no diff erence in the Japanese Orthopaedic Association(JOA)between the two groups(P>0.05).After intervention,the JOA scores of both groups were higher than before intervention,and the intervention group was higher than control group,the diff erence was statistically signifi cant(P<0.05).Before intervention,there was no diff erence in VAS scores between the two groups(P>0.05).After intervention,the visual analogue scale(VAS)scores of both groups were lower than before intervention,and the intervention group was lower than control group,the diff erence was statistically signifi cant(P<0.05).Before intervention,there was no diff erence in the scores of World Health Organization Quality of Life-100(WHOQOL-100)between the two groups(P>0.05).After intervention,the WHOQOL-100 scores of both groups were higher than before intervention,and the intervention group was higher than control group,the diff erence was statistically signifi cant(P<0.05).Conclusion The application of step rehabilitation training in the intervention of LDH patients can improve the function of lumbar spine,relieve pain and improve the quality of life.

关 键 词：腰椎间盘突出症 手术 阶梯式康复训练 腰椎功能 

分 类 号：R681.53[医药卫生—骨科学]