运动疗法在腰椎退行性疾病患者脊柱融合术后康复中的应用分析

Analysis on the application of exercise therapy in the rehabilitation of patients with lumbar degenerative diseases after spinal fusion China

目的探讨腰椎退行性疾病患者脊柱融合术后施以运动疗法的应用价值。方法 80例腰椎退行性疾病患者,随机分为对照组和观察组,每组40例。两组患者均施以脊柱融合术治疗,对照组患者术后施以常规运动疗法,观察组患者术后施以优化运动疗法。比较两组患者出院后不同时段的视觉模拟评分法(VAS)评分、日本骨科协会评估治疗(JOA)评分及腰背伸高度、抬腿角度。结果出院时,两组患者的VAS评分比较差异无统计学意义(P>0.05);观察组患者的JOA评分(16.66±4.25)分高于对照组的(14.54±3.54)分,差异具有统计学意义(P<0.05)。术后6、12个月,观察组患者的VAS评分均低于对照组、JOA评分均高于对照组,差异均具有统计学意义(P<0.05)。出院时,两组患者的腰背伸高度、抬腿角度比较,差异无统计学意义(P>0.05);术后6、12个月,观察组患者的腰背伸高度、抬腿角度均大于对照组,差异均具有统计学意义(P<0.05)。结论优化运动疗法在腰椎退行性疾病患者脊柱融合术后应用,有利于患者尽快恢复机体功能,缓解腰腿疼痛,从而使生活质量改善。

Objective To investigate the application value of spinal fusion and exercise therapy in patients with lumbar degenerative diseases. Methods A total of 80 patients with lumbar degenerative diseases were randomly divided into control group and observation group, with 40 cases in each group. Patients in two groups were treated with spinal fusion, and the control group received routine exercise therapy after operation. The observation group received optimized exercise therapy after operation. Comparison was made on visual analogue scale(VAS) score, Japanese orthopaedic association(JOA) score, waist-back stretching height and leg-raising angle of the two groups at different time periods after discharge. Results There was no statistically significant difference in VAS score between the two groups at discharge(P>0.05);JOA score of the observation group was(16.66±4.25) points, which was higher than(14.54±3.54) points of the control group, and the difference was statistically significant(P<0.05). At 6 months and 12 months after operation, the VAS score of the observation group was lower than that of the control group and the JOA score was higher than that of the control group, the difference was statistically significance(P<0.05). At discharge, there was no statistically significant difference in the waist-back stretching height and leg-raising angle between the two groups(P>0.05);at 12 months after the operation, the waist-back stretching height and leg-raising angle in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). Conclusion The application of exercise therapy after spinal fusion in patients with lumbar degenerative diseases is beneficial for patients to recover body function as soon as possible, alleviate pain of lumbar and leg, and improve their quality of life.