腰背肌锻炼对腰椎间盘突出症的康复效果分析

Analysis of rehabilitation effect of lumbar back muscle exercise on lumbar disc herniation

目的探讨腰椎间盘突出症患者开展腰背肌锻炼的康复效果。方法80例腰椎间盘突出症患者,采用随机数字表法分为对照组和观察组,每组40例。对照组患者采用常规康复治疗方案,观察组患者在对照组基础上加强腰背肌锻炼。对比两组康复效果,不同时点疼痛程度、腰椎功能及腰背肌肌力,生活质量。结果观察组康复总有效率为97.50%,对照组为82.50%,观察组明显高于对照组(P<0.05)。治疗1周、2周、1个月后,两组视觉模拟评分法(VAS)评分均较本组治疗前有所降低,且观察组治疗1周、2周、1个月后VAS评分分别为(4.72±1.09)、(3.43±0.42)、(1.48±0.34)分,均低于对照组的(5.49±0.87)、(4.81±1.07)、(3.59±0.97)分(P<0.05)。治疗3个月后,观察组和对照组Oswestry功能障碍指数量表(ODI)评分(22.39±4.17)、(27.93±5.25)分均较本组治疗前的(36.72±6.13)、(36.78±5.99)分有所下降,且观察组比对照组下降更多(P<0.05)。治疗3个月后,观察组和对照组的腰背肌肌力(989.56±181.34)、(807.23±190.26)N均较本组治疗前的(652.83±108.39)、(639.21±123.93)N有所升高,且观察组比对照组升高更多(P<0.05)。随访半年,观察组周围环境、生理健康、社会关系、心理状态评分分别为(20.39±2.31)、(22.34±1.49)、(22.42±1.99)、(22.45±1.38)分,均较对照组的(18.43±2.71)、(19.23±1.09)、(18.49±2.04)、(18.32±2.14)分更高(P<0.05)。结论对腰椎间盘突出症患者开展腰背肌锻炼,可提高康复效果,降低疼痛程度,增强腰椎功能,提升腰背肌肌力,改善生活质量,应用价值显著。

Objective To explore the rehabilitation effect of lumbar back muscle exercise on lumbar disc herniation.Methods 80 patients with lumbar disc herniation were divided into a control group and an observation group by random number table method,with 40 cases in each group.The control group was treated with routine rehabilitation regimen,and the observation group strengthened the lumbar back muscle exercise on the basis of the control group.The rehabilitation effect,pain intensity,lumbar function,lumbar back muscles strength at different time points,and quality of life of the two groups were compared.Results The total effective rate of rehabilitation was 97.50%in the observation group and 82.50%in the control group,and the observation group was significantly higher than the control group(P<0.05).After 1 week,2 weeks and 1 month of treatment,the visual analogue scale(VAS)scores in both groups were lower than those before treatment in this group;the VAS scores of the observation group after 1 week,2 weeks and 1 month of treatment were(4.72±1.09),(3.43±0.42),and(1.48±0.34)points,which were lower than(5.49±0.87),(4.81±1.07)and(3.59±0.97)points in the control group(P<0.05).After 3 months of treatment,the Oswestry disability index(ODI)scores were(22.39±4.17)and(27.93±5.25)points in both the observation and control groups,which were decreased compared to(36.72±6.13)and(36.78±5.99)points before treatment in this group,and the decline in the observation group was more than the control group(P<0.05).After 3 months of treatment,the lumbar back muscle strength were(989.56±181.34)and(807.23±190.26)N in both the observation group and the control group,which were higher than(652.83±108.39)and(639.21±123.93)N before treatment in this group,and the increase in the observation group was more than that in the control group(P<0.05).At 6 months of follow-up,the scores of surrounding environment,physical health,social relations,and psychological state in the observation group were(20.39±2.31),(22.34±1.49),(22.42±1.99)and(22.45±1.38)points,which were higher than(18.43±2.71),(19.23±1.09),(18.49±2.04)and(18.32±2.14)points in the control group(P<0.05).Conclusion Lumbar back muscle exercise for patients with lumbar disc herniation can improve the rehabilitation effect,reduce the intensity of pain,enhance the function of the lumbar spine,improve the lumbar back muscle strength,improve the quality of life,and its application value is significant.