体外冲击波联合康复训练对腰椎间盘突出症患者腰椎功能、疼痛程度及生活质量的影响

Effects of Extracorporeal Shock Wave Combined with Rehabilitation Training on Lumbar Function,Pain Degree and Quality of Life in Patients with Lumbar Disc Herniation

目的探讨体外冲击波联合康复训练对腰椎间盘突出症(LDH)患者的效果。方法选取2019年1月—2022年11月扬州友好医院骨伤科收治的288例LDH患者为研究对象,按随机数字表法分为两组。对照组(n=144)进行康复训练,观察组(n=144)在此基础上采用体外冲击波干预。比较两组患者的腰椎功能、疼痛程度、生活质量及自理能力。结果干预后,观察组的日本骨科协会腰椎功能量表评分为(25.37±4.06)分,高于对照组的(19.24±3.46)分,差异有统计学意义(P<0.05)。干预后,观察组的疼痛视觉模拟评分为(3.46±0.44)分,低于对照组的(4.53±0.63)分,差异有统计学意义(P<0.05)。干预后,观察组的生活质量综合量表中社会功能、物质功能、躯体功能、心理功能及总评分分别为(94.35±4.28)分、(95.68±4.56)分、(93.29±5.38)分、(96.43±3.54)分、(94.79±5.02)分,均高于对照组的(86.13±5.53)分、(84.69±6.02)分、(86.13±5.33)分、(85.24±5.88)分、(87.04±5.26)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(78.63±2.56)分,高于对照组的(60.65±4.56)分,差异有统计学意义(P<0.05)。结论LDH患者采用康复训练联合体外冲击波干预的效果理想,可改善腰椎功能,减轻疼痛,提高生活质量及自理能力,值得临床推广使用。

Objective To investigate the effect of extracorporeal shock wave combined with rehabilitation training on patients with lumbar disc herniation(LDH).Methods 288 LDH patients admitted to the Orthopedics and Traumatology Department of Yangzhou Friendship Hospital from January 2019 to November 2022 were selected as the research objects and were divided into two groups according to random number table method.The control group(n=144)received rehabilitation training,and the observation group(n=144)received extracorporeal shock wave intervention on this basis.The lumbar function,pain degree,quality of life and self-care ability were compared between the two groups.Results After intervention,the score of Japanese Orthopaedic Association lumbar function scale in the observation group was(25.37±4.06)points,higher than(19.24±3.46)points in the control group,the difference was statistically significant(P<0.05).After the intervention,the pain visual analogue scale score in the observation group was(3.46±0.44)points,which was lower than(4.53±0.63)points in the control group,and the difference was statistically significant(P<0.05).After intervention,the social function,material function,physical function,psychological function and total score of the general quality of life scale in the observation group were(94.35±4.28)points,(95.68±4.56)points,(93.29±5.38)points,(96.43±3.54)points,(94.79±5.02)points,respectively,which were higher than(86.13±5.53)points,(84.69±6.02)points,(86.13±5.33)points,(85.24±5.88)points,(87.04±5.26)points in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Barthel index score in the observation group was(78.63±2.56)points,which was higher than(60.65±4.56)points in the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of rehabilitation training combined with extracorporeal shock wave intervention in LDH patients is ideal,which can improve lumbar function,relieve pain,improve quality of life and self-care ability,and is worthy of clinical promotion.