摘要
目的比较脊柱节段稳定性训练(SSE)与传统方法对慢性腰椎间盘突出症的疗效。方法选择2007年4月~2011年4月我院收治的慢性腰椎间盘突出症患者200例,根据治疗方法不同分为两组,采用传统方法治疗的100例患者为对照组,采用传统+SSE治疗的100例患者为SSE组。两组患者分别在治疗前后进行Oswealry功能量表(ODI)及生活质量评分量表(SF-36)测查,并进行统计学分析。结果治疗3个月时SSE组休假天数、生活质量评分量表(SF-36)评分与对照组比较,差异均无统计学意义(均P>0.05),但复发次数明显少于对照组,差异有统计学意义(P<0.05);治疗后6、12个月时SSE组的各项指标均优于对照组,差异均有统计学意义(均P<0.05)。SSE组治疗后Oswealry功能量表测试结果与治疗前比较,差异明显有统计学意义(P<0.05);SSE组治疗后Oswealry功能量表测试结果与对照组比较差异有统计学意义(P<0.05)。结论 SSE治疗慢性腰椎间盘突出症能在短期减少复发次数,疗效保持时间长,能有效提高患者生活质量。
Objective To compare the treatment efficacy of spinal segment stability training (SSE) and the traditional methods in chronic prolapse of lumbar intervertebral disc. Methods 200 cases with chronic prolapse of lumbar intervertebral disc from April 2007 to April 2011 in our hospital were divided into two groups according to the different treatment meth- ods conventionally, 100 patients treated with traditional methods were served as~ control group, 100 patients treated with traditional methods combined with SSE therapy were chosen as SSE group. The two groups were all measured by Oswealry function scale (ODI) and the quality of life rating scale (SF-36) measurements before and after treatment, the data were analyzed. Results The difference of number of vacation days and the quality of life rating scale (SF-36) score between the two groups after 3 months of treatment were all not statistically significant (all P 〉 0.05), but relapse frequency in SSE group was found less than that in control group (P 〈 0.05); the scales of SF-36 were found better in SSE group than those in control group, the differences were all statistically significant (all P 〉 0.05). Oswealry functional scales in SSE group after the treatment were found better than those before the treatment, the differences were statistically significant (P 〉 0.05); the differences of Oswealry functional scales after the treatment between SSE group and control group were statistically sig- nificant (P 〉 0.05). Conclusion The spinal segment stability training for the treatment of chronic prolapse of lumbar intervertebral disc can reduce relapse frequency, and curative effect can keep for a long time, so that it can effectively improve patients' quality of life.
出处
《中国医药导报》
CAS
2012年第32期40-42,共3页
China Medical Herald
关键词
腰椎间盘突出
脊柱节段稳定性训练
传统方法
Lumbar intervertebral disc
Spinal segments stability of training
Traditional method