骶管阻滞联合核心肌群训练对腰椎间盘突出症患者JOA评分的影响

Effects of Sacral Canal Block Combined with Core Muscle Group Activation on the Japanese Orthopedic Association(JOA)Score of Lumbar Disc Herniation Patients

目的观察骶管阻滞联合核心肌群训练对腰椎间盘突出症患者腰椎功能(Japanese orthopedic association,JOA)评分的影响。方法将2020年6月-2021年3月本院收治的80例慢性腰椎间盘突出症保守治疗患者,随机分为对照组和试验组,每组40例。对照组采用骶管阻滞以及保守治疗,试验组在对照组基础上,增加核心肌群训练,整个疗程共8周。在治疗前及治疗8周后进行以下评估:JOA评分及视觉模拟评分(visual analogue scale,VAS)。结果经8周治疗后,两组患者VAS评分均降低;试验组VAS评分较对照组低,JOA评分较对照组高,差异有统计学意义(P<0.05)。结论骶管阻滞联合核心肌群训练能有效降低腰椎间盘突出症患者JOA评分,缓解腰部疼痛,提升腰椎功能,疗效确切,临床上有重要应用价值。

Objective To observe the effect of sacral block combined with core muscle group training on Japanese orthopedic association(JOA)score of patients with lumbar disc herniation.Methods From June 2020 to March 2021,80 patients with chronic lumbar disc herniation were randomly divided into control group and experimental group,40 cases in each group.The control group was given sacral block and conservative treatment,the experimental group was given core muscle training,sacral block and conservative treatment.Before and after treatment,JOA score and visual analogue scale(VAS)score were evaluated.The treatment last for 8 weeks.Results After treatment,the VAS scores of the two groups were decreased;the VAS score of the experimental group was lower than the control group,and the JOA score was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion Sacral block combined with core muscle group training can effectively reduce the JOA score of patients with lumbar disc herniation,relieve lumbar pain,improve lumbar function,with definite curative effect,which has important clinical application value.