摘要
目的分析在腰椎间盘突出症患者的康复治疗中采用腰部核心肌力训练的临床效果.方法选取2018年1月—2020年1月在该院治疗的30例腰椎间盘突出症患者为研究对象,根据随机数字表法分成对照组和观察组,对照组患者(n=15)采用常规治疗,观察组患者(n=15)在对照组基础上联合腰部核心肌力训练,比较两组患者治疗前后的腰椎功能障碍指数(oswestry disability index,ODI)、疼痛视觉模拟评分(visual analogue score,VAS)、日本骨科协会(Japanese Orthopaedic Association,JOA)评分以及复发率.结果治疗后,观察组患者的ODI评分、VAS评分以及JOA评分分别为(8.16±1.24)分、(2.05±0.23)分、(23.56±1.42)分,均优于对照组的(11.05±1.06)分、(4.52±0.56)分、(20.42±1.26)分,组间差异有统计学意义(P<0.05).观察组患者的复发率为6.67%,低于对照组的20.00%,差异无统计学意义(P>0.05).结论通过腰部核心肌力训练对腰椎间盘突出症患者进行康复治疗,可有效缓解疼痛,改善腰椎功能,复发率低,临床疗效确切,值得推广.
Objective To analyze the clinical effect of the application of waist core strength training in the rehabilitation of patients with lumbar disc herniation.Methods 30 patients with lumbar disc herniation treated in this hospital from January 2018 to January 2020 were selected as the research objects,and they were divided into a control group and an observation group according to the random number table method.Patients in the control group(n=15)received conventional treatment,and patients in the observation group(n=15)combined waist core strength training on the basis of the control group.The Oswestry disability index(ODI),pain visual analogue score(VAS)score,Japanese Orthopaedic Association(JOA)score before and after treatment and recurrence rate were compared between the two groups.Results After treatment,the observation group's ODI score,VAS score and JOA score were(8.16±1.24)points,(2.05±0.23)points,(23.56±1.42)points,respectively,which were better than the control group's(11.05±1.06)points,(4.52±0.56)points and(20.42±1.26)points,the differences between the groups were statistically significant(P<0.05).The recurrence rate of patients in the observation group was 6.67%,which was lower than 20.00%in the control group,and the difference was not statistically significant(P>0.05).Conclusion Rehabilitation treatment for patients with lumbar disc herniation through waist core strength training can effectively relieve pain,improve lumbar spine function,the recurrence rate is low,the clinical efficacy is accurate,and it is worthy of promotion.
作者
谭力文
TAN Liwen(Department of Spine Surgery,Affiliated Hospital of Traditional Chinese Medicine of Chongqing Three Gorges Medical College,Chongqing,404100,China)
出处
《反射疗法与康复医学》
2021年第3期137-139,共3页
Reflexology And Rehabilitation Medicine
关键词
腰部核心肌力训练
腰椎间盘突出症
康复治疗
临床疗效
复发率
Lumbar core muscle strength training
Lumbar disc herniation
Rehabilitation treatment
Clinical efficacy
Recurrence rate
作者简介
谭力文(1985-),男,重庆人,本科,主治医师,研究方向:脊柱微创治疗。
