摘要
目的 探讨渐进式康复训练模式在中老年腰椎间盘突出症(lumbar disc herniation,LDH)患者中的应用价值。方法 选取2019年1月~2021年1月在本院确诊的68例中老年LDH患者,采用简单随机分组将患者分为观察组(n=34)和对照组(n=34)。对照组患者采用腰椎持续牵引进行常规康复治疗,观察组采用腰椎牵引等常规治疗的同时,进行渐进式康复训练,均持续干预6周。干预后,评估两组中老年患者LDH临床疗效。结果 观察组中老年LDH患者治疗有效率为94.12%,高于对照组的76.47%(P<0.05);干预后,观察组中老年LDH患者疼痛缓解时间、恢复时间均明显短于对照组(P<0.05);与对照组相比,观察组中老年LDH患者JOA评分显著升高,而NRS评分、ODI指数则明显降低,组间差异显著(P<0.05)。结论 渐进式康复训练模式可显著降低中老年LDH患者腰部疼痛症状,促进其腰椎功能康复,疗效确切。
Objective To explore the application value of progressive rehabilitation training mode in middle-aged and elderly patients with lumbar disc herniation(LDH).Methods A total of 68 middle-aged and elderly patients with LDH confirmed in the hospital were enrolled from January 2019 to January 2021.They were divided into observation group(n=34) and control group(n=34) by simple random grouping method.The control group was given continuous lumbar traction for routine rehabilitation training,while the observation group was given progressive rehabilitation training for 9 weeks.After intervention,the clinical curative effect in two groups was evaluated.Results The response rate of treatment in observation group was higher than that in control group(94.12% vs 76.47%,P<0.05).After intervention,the pain relief time and recovery time in observation group were significantly shorter than those in control group(P<0.05).Compared with control group,JOA score was significantly increased,while NRS and ODI scores were significantly decreased in observation group(P<0.05).Conclusion The progressive rehabilitation training mode can significantly relieve backache in middle-aged and elderly patients with LDH,promote the recovery of lumbar function,with significant effect.
作者
黄勇
王丽
HUANG Yong;WANG Li(Department of Physiotherapy,Department of Geriatrics,The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei,Anhui 230001,China;Department of Rehabilitation Medicine,The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei,Anhui 230001,China)
出处
《颈腰痛杂志》
2022年第5期657-659,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
中老年
腰椎间盘突出症
渐进式康复训练模式
middle-aged and elderly
lumbar disc herniation
progressive rehabilitation training mode
