阶段性功能训练监督干预对腰椎间盘突出症术后患者的影响

Influences of phased functional training supervision on patients after operation for lumbar disc nerniation

目的：研究两阶段功能训练监督干预对腰椎间盘突出症患者术后腰腿疼痛程度、直腿抬高角度及肌力影响。方法：选择2014年1月-2015年8月在我院住院并接受腰椎内固定手术的腰椎间盘突出症患者80例,并随机等分为对照组和观察组,观察组患者给予两阶段功能训练监督干预;对照组患者给予常规护理和指导,比较两组患者的JOA评分、VAS评分、直腿抬高角度和肌力。结果：观察组患者术后的JOA评分高于对照组（P〈0.05）,观察组患者术后的VAS评分低于对照组（P〈0.05）,术后3个月观察组患者的直腿抬高角度明显大于对照组（P〈0.05）,且肌力优于对照组（P〈0.05）。结论：阶段性功能训练监督干预可以明显减轻腰椎间盘突出症患者术后腰腿疼痛程度,增大直腿抬高角度,改善肌力和腰椎功能。

Objective To study influences of two - phase functional training supervision on pain degrees in low back and leg, straight - leg rising angels and muscles of patients after operation for lumbar disc nerniation. Methods： Selected 80 patients with lumbar disc nerniation,who had undergone lumbar fixation in our hospital from January 2014 to August 2015. These patients were randomly divided into control group and experimental group equally. Observation group patients received two - phase functional training supervision, while control group patients received usual nursing and instructions. Both groups were compared for their JOA scores, VAS scores, straight - leg rising angels and muscles. Results： Observation group patients had higher JOA scores（P 〈0. 05） , lower VAS scores （P 〈0. 05） , bigger straight - leg rising angels 3 months after operation（P 〈0. 05） and superior muscles（P 〈0. 05 ） than control group patients. Conclusion ： Phased functional training supervision can significantly alleviate pain degrees in low back and leg of patients after operation for protrusion of lumbar intervertebral disc, increase their straight - leg rising angels and improve muscle strength and lumbar vertebral functions.