功能锻炼预防腰椎间盘突出症复发96例临床观察

Observation of Prevention of Functional Exercise on Recurrence in 192 Cases with Lumbar Disc Herniation

目的观察功能锻炼对于腰椎间盘突出症复发的影响。方法将192例治愈后的腰椎间盘突出症患者随机分为锻炼组和对照组。在常规治疗基础上,锻炼组患者再进行3～5点搭桥、仰卧起坐、弯腰锻炼。对两组患者进行2年的随访,记录其病情复发例数。对复发者记录其首次复发时间。多次复发者记录其复发次数,复发后病情,复发后采取推拿治疗再次获得痊愈的治疗次数。结果治愈后2年之内,锻炼组有10例复发,对照组有19例复发。锻炼组复发例数、平均首次复发时间(月)、平均复发次数、获得再次痊愈的平均治疗时间(次)均低于对照组。结论功能锻炼能有效预防腰椎间盘突出症患者的复发,且患者复发时症状相对较轻,再次治愈的治疗时间也相对缩短。

Objective： To investigate the functional exercise on recurrence in lumbar disc herniation. Methods： 192 cases of post-cured patients with lumbar disc herniation were randomly divided into the exercise group and the control groups. All patients were given the conventional treatment. The exercise group were used the functional exercise, such as the further 3-5 points bypass, the sit-ups and the bending exercise. After 2 years of follow-up, there were some indices were recorded including the number of relapse cases, the first recurrence duration, the number of the repeated recurrence, the condition of the recurrence and the number of massage to cure the illness. Results： In 2 years of curing, 10 cases of recurrence were in the exercise group and 19 patients of relapse were in the control group. These were some significant differences including the number of recurrent cases of the two groups, the average time of first relapse （months）, the average recurrence frequency of recovery and the average treatment re-cured time （time）. Conclusion： The functional exercise is effective in preventing recurrence of patients with lumbar disc herniation. If the illness is relapsed, the symptoms will be light relatively and the time of re-cured will be short relatively.