腰椎间盘突出症术后患者康复训练路径的临床研究

The clinical research about the rehabilitation training path on the postoperative residual lumbar- leg pain after lumbar disc herniation

目的探讨康复训练路径应用于腰椎间盘突出症术后患者功能恢复的实施效果。方法将126例腰椎间盘突出症患者随机分为观察组64和对照组62例，对照组应用常规康复训练方法，观察组应用康复训练路径指导康复训练。结果观察组康复训练掌握程度显著高于对照组（P〈0．05），术后腰腿痛残留率和直腿抬高试验阳性率显著低于对照组（P均〈0．05）。结论应用康复训练路径指导康复训练有利于提高患者康复训练掌握程度，能提高手术远期效果，减少腰腿痛的残留。

Objective To examine the effect of the rehabilitation training path on the residual lumbar and leg pain after surgery of lumbar disc herniation （LDH） . Methods A total of 126 cases of LDH were divided into observation group with 64 subjects and control group with 62 subjects. In observation group, the rehabilitation training path was employed for rehabilitative training while in the control group, the routine rehabilitative training was used. Results Mastery of rehabilitation was significantly higher in the observation group com- pared with that of the control group, while the occurrence rate of postoperative residual lumbar - leg pain and the rate of positive findings in leg - lifting exercises were significantly lower in the observation group than those in the control group （ P 〈 ） .Conelusions The rehabilita- tion training path can promote the mastery of training technique by patients and improve the long - term effect of surgery and reduce residual lumbar - leg pain.