运动疗法对中青年腰椎间盘突出症疗效的影响

Effect of exercise therapy on the treatment efficacy of lumbar disc herniation for young and middle-aged patients

目的探讨运动疗法对中青年腰椎间盘突出症疗效的影响。方法将80例中青年腰椎间盘突出患者随机分为观察组和对照组,对照组采用粗针深刺治疗,观察组在粗针深刺治疗基础上给予相应的运动方案。按照腰痛JOA评分标准进行评定,比较患者治疗前、治疗后第7天、第14天、第21天评分分值及治疗21天后改善指数;比较两组患者粗针深刺治疗次数、平均住院时间、患者满意度及研究其远期复发率。结果两组患者经治疗后JOA评分均有所提高,且观察组在治疗后第7天、第14天、第21天评分分值对比高于对照组,治疗21天后改善指数优于对照组,差异均有统计学意义(P<0.05);观察组粗针深刺治疗次数、住院时间、复发率少于对照组,患者满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论运动疗法能减少中青年早期腰椎间盘突出症患者粗针针刺治疗次数,提高粗针深刺治疗临床疗效、降低复发率,提高患者满意度和生活质量。

Objective To study the effect of exercise therapy on the treatment efficacy of lumbar disc herniation for young and middle-aged patients. Method 80 cases of lumbar discherniation were randomly divided into interven- tion and control group. Patients in control and intervention group was treated both with thick needle deep acupuncture treatment. Patients in observation group was given the corresponding exercise program on the basis of thick needle deep acupuncture therapy. According to the standard of low back pain （JOA）, the scores of before and after treatment, seventh days, fourteenth days and twenty-first days after treatment and improvement index were com- pared between groups. The number of needle penetration, average length of stay, patient satisfaction and long-term recurrence rate were compared between the two groups. Results JOA scores were improved for two groups of patients after treatment, The score of seventh days, fourteenth days, twenty-first days after treatment in intervention group was higher than that of the control group. The improvement index 21 days after treatment in invention group was better than that of the control group, There was significant difference between group（P〈0.05）. The number of deep needling, hospital stay and the recurrence rate in observation group were less than that of the control group. The satisfaction degree of the patients was significantly higher than that of the control group. There was significant difference between group（P〈0.05）. Conclusion Exercise therapy can reduce the numher of acupuncture treatment for young and middle-aged patients with early lumbar disc herniation, and to improve the clinical efficacy of thick needle deep acupuncture treatment, reduce the recurrence rate and improve the patient satisfaction and quality of life.