社区内健康教育对腰椎间盘突出症复发的影响

The influence of community health education upon the recurrence on lumbar intervertebral disc protrusion

目的：观察社区医护人员健康教育及其指导下的功能锻炼对腰椎间盘突出症愈后复发的影响。方法：将经综合康复治疗达临床痊愈出院的100例腰椎间盘突出症患者随机分为观察组与对照组，每组各50例。观察组出院后由社区医护人员对其定期进行健康教育，并指导与督促其坚持功能锻炼，对照组仅在出院时进行相应的健康教育。观察两组在2年内的复发率。结果：观察组与对照组各50例患者中分别有3例及5例失访。观察组47例中2年内复发者有8例，复发率17．02％，对照组45例复发23例，复发率为51．11％，两组复发率比较，差异有统计学意义（P〈0．01），观察组复发率低于对照组。结论：社区医护人员健康教育及其指导下的功能锻炼对预防腰椎间盘突出症愈后复发具有积极作用。

Objective： To observe the influence of community health education and functional exercise under the guidance of medical care workers upon the recurrence of lumbar intervertebral disc protrusion. Method： 100 examples lumbar intervertebral disc protrusion who were fully recovered by comprehensive treatment will be divided into the observation group and the control group stochastically, each group of 50 examples. After the observation group being out of hospital, them were carried on regular community health education and functional exercise under the guidance of medical care workers. The control group was only carried on the appropriate health education when they are discharged. Then to observation the recurrence rate within 2 years. Result： Each 50 example patients of the observation group and the control group had 3 cases and 5 cases were lost visits, within 2 years, the observation group 47 examples recurred 8 examples, the recurrence rate was 17.02%. And the control group 45 examples recurred 23 examples, the recurrence rate was 51.11%. Compared with two groups＇ recurrence rate, the difference has statistics significance （P〈0.01）. And the observation group＇s recurrence rate is lower than the control group＇s. Conclusion： The community health education and functional exercise under the guidance of medical care workers had played the positive role on preventing the recurrence of lumbar intervertebral disc protrusion.