摘要
目的研究腰椎间盘突出症患者经皮椎间孔镜下髓核摘除术(PTED)后予以系统化康复功能锻炼的临床效果。方法选择2017年3月至2019年3月在许昌龙耀医院经PTED治疗的腰椎间盘突出症(LDH)患者97例,将所有患者按照随机数字表法分为观察组(n=50)与对照组(n=47),观察组行系统化康复功能锻炼,对照组行常规康复训练。对所有患者均进行半年随访,比较两组的治疗效果。结果观察组临床疗效(94.00%,47/50)高于对照组(76.60%,36/47),差异有统计学意义(P<0.05);术后,观察组疼痛视觉模拟评分、Osweatry功能障碍指数评分低于对照组(P<0.05);术后,观察组生活质量高于对照组(P<0.05);术后,观察组屈曲、后伸、侧屈、旋转均低于对照组(P<0.05);术后,观察组生活自理、恢复工作时间均低于对照组(P<0.05)。结论系统化康复功能锻炼可提高LDH患者经PTED术临床疗效,促进腰椎功能恢复,具有显著辅助治疗价值。
Objective To investigate the value of postoperative systemic rehabilitation training for lumbar disc herniation(LDH)patients after percutaneous transforaminal endoscopic discectomy(PTED).Methods Ninty-seven LDH patients underwent PTED in Xuchang Longyao Hospital from March 2017 to March 2019 were enrolled,and randomly divided into two groups.The observation group(n=50)received the systematic rehabilitation training,and the control group(n=47)received the routine rehabilitation training.All patients were followed up for six month.Results The clinical efficacy of the observation group was higher than that of the control group(P<0.05).the VAS and ODI scores of the observation group were lower than those of the control group(P<0.05).The quality of life of the observation group was higher than that of the control group(P<0.05).The flexion,posterior extension,lateral flexion and rotation of the observation group were lower than those of the control group(P<0.05).The time of self-care and back-to-work of the observation group patients was shorter than that of the control group(P<0.05).Conclusions Postoperative systemic rehabilitation training for LDH patients underwent PTED can effectively promote the recovery of lumbar function.
作者
翟东旺
王书培
Zhai Dongwang;Wang Shupei(Department of Orthopedics and Traumatology,Xuchang Longyao Hospital,Xuchang 461700,China)
出处
《临床医学》
CAS
2020年第8期30-33,共4页
Clinical Medicine
