重力肌群锻炼对脊柱疼痛和功能康复的影响分析

Analysis of the Effect of Gravitational Muscle Exercises on Spinal Pain and Functional Rehabilitation

目的 研究重力肌群锻炼对脊柱疼痛和功能康复的影响.方法 以随机数字表法将2019年2月—2020年2月白银市第二人民医院接诊的82例腰椎间盘突出症患者设置为对照组(41例,腰椎牵引+骶管注射)与实验组(41例,重力肌群锻炼),治疗开始记为T1、治疗15 d记为T2、治疗45 d记为T3、治疗60 d记为T4、治疗90 d记为T5,对比两组的腰痛障碍评分、疼痛评分、综合疗效.结果 (1)组间T1、T3时间点的腰痛障碍评分比较,差异无统计学意义(P>0.05);实验组T2、T4、T5时间点的腰痛障碍评分低于对照组,差异有统计学意义(P<0.05).(2)组间T1、T3、T4时间点的疼痛评分比较,差异无统计学意义(P>0.05);实验组T2、T5时间点的疼痛评分低于对照组,差异有统计学意义(P<0.05).(3)90 d治疗结束后,实验组总有效率(92.68%)高于对照组(75.61%),差异有统计学意义(P<0.05).结论 腰椎间盘突出症患者进行重力肌群锻炼,可改善腰痛情况,值得推广.

Objective To study the effect of gravity muscle exercise on spinal pain and functional rehabilitation.Methods 82 patients with lumbar intervertebral disc herniation received by the Second People's Hospital of Baiyin City from February 2019 to February 2020 were set up as the control group(41 cases,lumbar traction+sacral injection)and the experimental group(41 cases,gravity muscle group exercise).The beginning of treatment is recorded as T1,15 days after treatment is recorded as T2,45 days after treatment is recorded as T3,60 days after treatment is recorded as T4,and 90 days after treatment is recorded as T5.The low back pain disorder score,pain score,and comprehensive efficacy of the two groups were compared.Results 1.The differences in the scores of low back pain at T1 and T3 between the groups were not statistically significant(P>0.05);the scores of low back pain disorder at T2,T4 and T5 in the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).2.The differences in pain scores at T1,T3,and T4 between the groups were not statistically significant(P>0.05);the pain scores of the experimental group at T2 and T5 were lower than those of the control group,and the differences were statistically significant(P<0.05).3.After 90 days of treatment,the total effective rate of the experimental group(92.68%)was higher than that of the control group(75.61%),and the difference was statistically significant(P<0.05).Conclusion Gravity muscle exercise for patients with lumbar disc herniation can improve low back pain and is worthy of promotion.