松解手法配合核心肌群训练治疗腰椎间盘突出症术后慢性腰痛患者的临床效果

Clinical effect of relaxation technique combined with core muscle group training in the treatment of patients with chronic low back pain after lumbar disc herniation surgery

目的探究松解手法配合核心肌群训练治疗腰椎间盘突出症(LDH)术后慢性腰痛患者的临床效果。方法选取93例LDH术后慢性腰痛患者为研究对象,按照治疗方法不同将其分为对照组(n=46)和观察组(n=47)。对照组采用核心肌群训练进行治疗,观察组在此基础上配合松解手法进行治疗。比较两组患者的临床效果、治疗前及治疗1、2个月后的腰痛程度与腰椎功能、治疗前及治疗2个月后的腰部活动范围。结果观察组的治疗总有效率为91.49%,高于对照组的76.09%(P<0.05)。治疗1、2个月后,两组的VAS评分均降低,JOA评分均升高,且观察组优于对照组(P<0.05)。治疗2个月后,两组的腰部伸展、屈曲、侧屈活动范围均增大,且观察组大于对照组(P<0.05)。结论松解手法配合核心肌群训练治疗LDH术后慢性腰痛患者的临床效果显著,能够明显改善患者的术后腰痛程度及腰椎功能,增加腰部活动范围,有很好的临床推广价值。

Objective To explore the clinical effect of relaxation technique combined with core muscle group training in the treatment of patients with chronic low back pain after lumbar disc herniation(LDH)surgery.Methods Ninety-three patients with chronic back pain after LDH surgery were selected as the research objects and divided into control group(n=46)and observation group(n=47)according to different treatment methods.The control group was treated with core muscle group training,and the observation group was treated with relaxation technique on this basis.The clinical effect,degree of low back pain and lumbar function before treatment and after 1 month and 2 months of treatment,and the range of lumbar motion before treatment and after 2 months of treatment were compared between the two groups.Results The total effective rate of treatment of the observation group was 91.49%,which was higher than 76.09% of the control group(P<0.05).After 1 month and 2 months of treatment,the VAS score of the two groups decreased,the JOA score increased,and those of the observation group were better than the control group(P<0.05).After 2 months of treatment,the range of lumbar extension,flexion and lateral flexion in the two groups increased,and those in the observation group were greater than the control group(P<0.05).Conclusion Relaxation technique combined with core muscle group training in the treatment of patients with chronic low back pain after LDH surgery has a significant clinical effect.It can significantly improve the degree of low back pain and lumbar function after surgery,increase the range of lumbar motion,and has a good clinical promotion value.