体位及康复运动疗法在颈腰椎间盘患者中的应用

Application of postural and rehabilitation exercise therapy in patients with lumber or cervical intervertebral disc herniation

目的探讨体位及康复运动疗法在颈腰椎间盘患者中的应用价值。方法选取140例颈腰椎间盘患者随机分为观察组和对照组各70例,对照组采用针灸、药物及牵引为主的常规对症治疗,观察组在此基础上采用规律的体位及康复运动疗法,评价2组临床疗效、颈腰椎疼痛程度、腰椎功能及颈腰椎活动度。结果观察组临床总有效率为87.14%,高于对照组的72.86%(P<0.05);治疗前,2组视觉模拟疼痛(VAS)评分、腰椎功能障碍指数(ODI)评分差异无统计学意义(P>0.05),治疗后,2组评分均显著降低,且观察组VAS评分、ODI评分低于对照组(P<0.05);治疗前,2组颈椎前屈、后伸活动度和腰椎屈伸、旋转活动度差异无统计学意义(P>0.05),治疗后,2组均显著改善,且观察组颈椎前屈、后伸活动度和腰椎屈伸、旋转活动度均高于对照组(P<0.05)。结论体位及康复运动疗法辅助对症治疗颈腰椎间盘患者疗效满意,对缓解疼痛和改善颈腰椎活动度有重要的临床价值。

Objective To analyze the application value of postural and rehabilitation exer- cise therapy in patients with lumber or cervical intervertebral disc herniation. Methods A total of 140 patients with lumber or cervical intervertebral disc herniation were randomly divided into observa- tion group （n = 70） and control group （n = 70）. The control group were given conventional treatment based on acupuncture, medicine and traction while the observation group were given regular postural and rehabilitation exercise therapy on the basis of the control group. The clinical efficacy, the degree of cervical and lumbar pain, lumbar vertebral function and cervical and lumbar vertebral activity were evaluated. Results The total clinical outcomes in the observation group was significantly higher than that in the control group （87.14% vs. 72.86% , P 〈 0.05 ）. There was no significant difference in visual analogue score （VAS） and lumbar dysfunction index （ODI） score between the two groups be- fore treatment （P 〉 0.05 ）. After treatment, the above scores were significantly decreased, and the observation group was significantly lower than the control group （P 〈 0.05 ）. There was no significant difference in cervical anteflexion, backward extension, lumbar flexion and extension and rotation ac- tivity between the two groups before treatment （ P 〉 0.05 ）. After treatment, the above indices were significantly improved, and observation group was significantly higher than control group （P 〈 0.05 ）. Conclusion The efficacy of postural and rehabilitation exercise therapy is satisfactory in the treatment of patients with protrusion of lumber or cervical intervertebral disc. And it is of great value in relieving pain and improving the activity of cervical and lumber vertebrae.