摘要
目的观察早期疼痛管理对腰椎间盘突出症患者术后功能锻炼的效果影响。方法选择2014年8月至2016年8月就诊的腰椎间盘突出症患者89例,回忆性将患者分为常规护理组(n=42)和早期疼痛管理组(n=47),早期疼痛管理组患者在常规护理及治疗的基础上在入院后即采取疼痛管理,并采用视觉模拟评分(VAS评分)评价患者疼痛程度,ODI和JOA评分评价患者腰椎康复效果,SAS和SDS评价患者焦虑和抑郁症状,WHO评分评价患者生存质量,对功能锻炼情况进行分析。结果 2组患者干预前疼痛VAS、ODI、JOA、SAS、SDS、WHO评分比较差异无统计学意义(P>0.05),而2组干预后VAS、ODI、JOA、SAS、SDS、WHO评分比较差异有统计学意义(P<0.05),2组干预后VAS、ODI、JOA、SAS及SDS评分与干预前比较差异均有统计学意义(P<0.05),早期疼痛管理组干预后股四头肌锻炼、直退抬高试验、腰背肌锻炼情况与常规护理组比较差异均有统计学意义(P<0.05)。结论早期疼痛管理对腰椎间盘突出症患者功能锻炼情况具有良好的促进作用。
Objective To observe the effects of early pain management on the recovery of postoperative functional exercise in patients with lumbar disc herniation. Methods A total of 89 patients with lumbar disc herniation who were admitted and treated in our hospital from August 2014 to August 2016 were enrolled in the study. The patients were divided into routine nursing group and early pain management group. The patients in early pain management group,on the basis of routine nursing and treatment,were treated by pain management on admission,moreover,the VAS score was used to evaluate the patient’s pain degree,and ODI and JOA scores were used to evaluate the rehabilitation outcome of patients. The patient’s anxiety and depression symptoms were assessed by SAS and SDS score,and the functional exercise status of patients was assessed according to WHO score. Results Before intervention there were no significant differences in VAS,ODI,JOA,SAS,SDS scores between the two groups（ P 〉 0. 05）,however,after intervention there were significant differences in VAS,ODI,JOA,SAS,SDS and WHO scores between two groups（ P 〈 0. 05）. There were no significant differences in VAS,ODI,JOA,SAS and SDS scores before intervention and after intervention in both groups（ P 〈 0. 05）,moreover,after intervention there were significant differences in quadriceps femoris exercises,straight-leg raising test and waist dorsal muscles exercises between two groups（ P 〈 0. 05）. Conclusion The early pain management has better promoting effects on the recovery of functional exercise in patients with lumbar disc herniation.
作者
张礼礼
毕霞
ZHANG Lili;BI Xia(Department of Rehabilitation,Public Benefit Hospital of Pudong New Area,Shanghai,Shanghai 200135,China)
出处
《河北医药》
CAS
2018年第17期2715-2717,2720,共4页
Hebei Medical Journal
基金
上海市浦东新区科技发展基金创新资金(编号:PKJ2011-Y05)
关键词
早期疼痛管理
腰椎间盘突出症
功能锻炼
治疗结果
early pain management
lumbar disc herniation
functional exercise
therapeutic effects
