摘要
目的探究神经松动术联合量化肌力训练对腰椎间盘突出症患者疼痛程度及功能康复的影响。方法选取2021年10月—2022年9月同济大学附属东方医院胶州医院收治的82例腰椎间盘突出症患者为研究对象,按随机数字表法分为两组,每组41例。对照组采用常规康复治疗,观察组采用神经松动术联合量化肌力训练。对比两组患者的疼痛程度、功能康复情况及日常生活能力。结果干预后,观察组的疼痛视觉模拟评分为(1.38±0.54)分,低于对照组的(2.33±1.08)分,差异有统计学意义(P<0.05)。干预后,观察组的日本骨科协会腰痛评分为(24.15±1.91)分,高于对照组的(21.71±2.73)分,Oswestry功能障碍指数评分为(8.61±2.03)分,低于对照组的(12.06±1.59)分,组间差异有统计学意义(P<0.05)。干预后,观察组的Barthel指数评分为(78.96±3.39)分,高于对照组的(68.86±4.58)分,差异有统计学意义(P<0.05)。结论神经松动术联合量化肌力训练应用于腰椎间盘突出症患者中的效果显著,能减轻疼痛,降低功能障碍程度,提高其日常生活能力,值得临床推广使用。
Objective To explore the effect of nerve loosening combined with quantitative muscle strength training on pain degree and functional rehabilitation of patients with lumbar disc herniation.Methods 82 patients with lumbar disc herniation admitted to the Jiaozhou Hospital,East Hospital Affiliated to Tongji University from October 2021 to September 2022 were selected as the research objects and were divided into two groups according to random number table method,with 41 cases in each group.The control group received conventional rehabilitation treatment,and the observation group received nerve loosening combined with quantitative muscle strength training.The pain degree,functional rehabilitation and daily living ability of the two groups were compared.Results After intervention,the pain visual analogue scale score of the observation group was(1.38±0.54)points,which was lower than(2.33±1.08)points of the control group,and the difference was statistically significant(P<0.05).After intervention,the lower back pain score of the Japanese Orthopaedic Association in the observation group was(24.15±1.91)points,higher than(21.71±2.73)points in the control group,and the Oswestry disability index score was(8.61±2.03)points,lower than(12.06±1.59)points in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the Barthel index score of the observation group was(78.96±3.39)points,which was higher than(68.86±4.58)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Nerve loosening combined with quantitative muscle strength training in patients with lumbar disc herniation has significant effects,can reduce pain,reduce the degree of dysfunction,improve their daily life ability,and is worthy of clinical application.
作者
刘启杰
李纪沛
孟祥鹏
LIU Qijie;LI Jipei;MENG Xiangpeng(Department of Spine Surgery,Jiaozhou Hospital,East Hospital Affiliated to Tongji University,Qingdao Shandong,266300,China;Department of Neurology,Liaocheng Second People's Hospital,Liaocheng Shandong,252600,China)
出处
《反射疗法与康复医学》
2023年第9期81-84,共4页
Reflexology And Rehabilitation Medicine
关键词
腰椎间盘突出症
神经松动术
量化肌力训练
疼痛
功能康复
日常生活能力
Lumbar disc herniation
Nerve loosening
Quantitative muscle strength training
Pain
Functional rehabilitation
Abilities of daily living
作者简介
刘启杰(1979-),男,山东青岛人,本科,主治医师,研究方向:脊柱外科。
