分期腰腹肌功能锻炼对腰椎间盘突出症患者术后康复的影响

The Influence of Staging Funcional Exercise of Lumbar and Abdominal Muscles on the Recovery of LDH Post--operative Patients

目的：探讨腰椎间盘突出症术后功能锻炼的方法及其疗效。方法：将腰椎间盘突出症手术患者随机分为观察组和常规组，观察组分期锻炼腰背肌扣腹肌肌力，常规组锻炼腰背肌肌力，于术后1月、3月、6月、12月行JOA评分，测定腹背肌肌力。结果：两组JOA评分，腹背肌肌力均优于术前（P〈0．05），术后3个月开始，观察组腹肌肌力、JOA评分优于常规组（P〈0．05）。结论：腹肌肌力变化与腰椎功能恢复密切相关，术后不同阶段可以采用不同功能锻炼方法。

Objective：Explore LDH postoperative function exercise methods and curative effect. Methods：Patients were randomly divided into trial group and conventional group, the trial group staging exercise lumbar back and abdominal muscles, conventional group exercise lumbar back muscles. Score JOA after operation 1 month, 3months, 6months, 1 year, and determine lumbar back muscles and abdominal muscles strength. Results.. Abdominal muscles strength and score JOA of trial group are better obviously than conventional group（p〈0.05）. Conclusion： Functional exercise of abdominal muscles is closely related with lumbar functional recovery, the postoperative different stages can adopt different functional exercise methods.