腰椎间盘突出症患者经皮椎间孔镜下髓核摘除术后系统化康复功能锻炼的效果分析

Effect of postoperative systemic rehabilitation training on lumbar disc herniation patients after percutaneous transforaminal endoscopic discectomy

目的研究腰椎间盘突出症患者经皮椎间孔镜下髓核摘除术(PTED)后予以系统化康复功能锻炼的临床效果。方法选择2017年3月至2019年3月在许昌龙耀医院经PTED治疗的腰椎间盘突出症(LDH)患者97例,将所有患者按照随机数字表法分为观察组(n=50)与对照组(n=47),观察组行系统化康复功能锻炼,对照组行常规康复训练。对所有患者均进行半年随访,比较两组的治疗效果。结果观察组临床疗效(94.00%,47/50)高于对照组(76.60%,36/47),差异有统计学意义(P<0.05);术后,观察组疼痛视觉模拟评分、Osweatry功能障碍指数评分低于对照组(P<0.05);术后,观察组生活质量高于对照组(P<0.05);术后,观察组屈曲、后伸、侧屈、旋转均低于对照组(P<0.05);术后,观察组生活自理、恢复工作时间均低于对照组(P<0.05)。结论系统化康复功能锻炼可提高LDH患者经PTED术临床疗效,促进腰椎功能恢复,具有显著辅助治疗价值。

Objective To investigate the value of postoperative systemic rehabilitation training for lumbar disc herniation(LDH)patients after percutaneous transforaminal endoscopic discectomy(PTED).Methods Ninty-seven LDH patients underwent PTED in Xuchang Longyao Hospital from March 2017 to March 2019 were enrolled,and randomly divided into two groups.The observation group(n=50)received the systematic rehabilitation training,and the control group(n=47)received the routine rehabilitation training.All patients were followed up for six month.Results The clinical efficacy of the observation group was higher than that of the control group(P<0.05).the VAS and ODI scores of the observation group were lower than those of the control group(P<0.05).The quality of life of the observation group was higher than that of the control group(P<0.05).The flexion,posterior extension,lateral flexion and rotation of the observation group were lower than those of the control group(P<0.05).The time of self-care and back-to-work of the observation group patients was shorter than that of the control group(P<0.05).Conclusions Postoperative systemic rehabilitation training for LDH patients underwent PTED can effectively promote the recovery of lumbar function.