摘要
目的探讨重力肌群伸展强化康复锻炼在腰椎间盘突出症(LDH)患者治疗中的应用。方法选取2016年1月～2018年4月在我院骨科门诊就诊LDH患者70例,随机分为观察组与对照组,各35例。两组患者均予以腰椎牵引治疗,观察组在此基础上予以重力肌群伸展康复锻炼。两组均干预8周。观察并比较两组患者治疗前和治疗8周后腰背部疼痛评分和腰椎功能情况,并比较临床效果。结果治疗8周后,两组患者的VAS评分和ODI评分均较前明显下降,差异有统计学意义(P<0.05或P<0.01),且治疗后观察组患者下降值较对照组患者改善更明显,差异有统计学意义(P<0.05);同时观察组患者的临床总有效率为94.29%,明显高于对照组的77.14%,差异有统计学意义(χ~2=4.20,P<0.05)。结论重力肌群伸展康复锻炼用于LDH患者效果较确切,能明显减轻腰背部疼痛,更好改善腰椎功能。
Objective To investigate the application of gravity muscle group stretching and intensive rehabilitation exercise in the treatment of patients with lumbar disc herniation(LDH).Methods 70 patients with LDH who were diagnosed in the orthopedic clinic from January 2016 to April 2018 in our hospital were selected and randomly divided into observation group and control group,with 35 cases in each group.Both groups of patients were given lumbar traction for treatment.On the basis of this,the observation group was given the rehabilitation exercise of the gravity muscle group.Both groups were intervened for 8 weeks.The low back pain score and lumbar function were observed and compared between the two groups before treatment and 8 weeks after treatment,and the clinical effects were compared.Results After 8 weeks of treatment,the VAS score and ODI score of the two groups were significantly lower than before,and the differences were statistically significant(P<0.05 or P<0.01).After treatment,the decrease value in the observation group was improved more significant than that in the control group,and the difference was statistically significant(P<0.05);at the same time,the total clinical effective rate in the observation group was 94.29%,which was significantly higher than that of 77.14%in the control group.The difference was statistically significant(χ^2=4.20,P<0.05).Conclusion Gravity muscle group stretching and rehabilitation exercise is more effective in the patients with LDH,which can significantly reduce low back pain and improve lumbar function.
作者
黄凌云
胡思进
HUANG Lingyun;HU Sijin(Outpatient Department,Rui’an Hospital of TCM in Zhejiang Province,Rui’an 325200,China)
出处
《中国现代医生》
2019年第9期92-95,共4页
China Modern Doctor
基金
浙江省中医药科技计划项目(2015ZT014)
关键词
腰椎间盘突出症
重力肌群伸展强化康复锻炼
腰背部疼痛
腰椎功能
Lumbar disc herniation
Gravity muscle group stretching and intensive rehabilitation exercise
Low back pain
Lumbar function
