阶段性核心运动配合疼痛护理在腰椎间盘突出症患者中的应用效果观察

Application Effect of Phased Core Exercise Combined with Pain Nursing in Patients with Lumbar Disc Herniation

目的:探讨阶段性核心运动配合疼痛护理在腰椎间盘突出症患者中的应用效果。方法:选取滨州市滨城区市中街道社区卫生服务中心2022年4月—2023年6月收治的腰椎间盘突出症患者70例为研究对象,随机分为观察组与对照组,每组35例。对照组实施常规护理,观察组在对照组基础上予以阶段性核心运动和疼痛护理。比较两组疼痛情况、康复效果、运动依从性。结果:干预2、4、8周后,两组视觉模拟评分法评分降低,观察组低于对照组(P<0.05);干预8周后,两组日本骨科协会下腰痛评分升高,Oswestry功能障碍指数降低,观察组日本骨科协会下腰痛评分高于对照组,Oswestry功能障碍指数评分低于对照组(P<0.05);观察组运动总依从率高于对照组(P=0.024)。结论:采用阶段性核心运动配合疼痛护理干预能够减轻腰椎间盘突出症患者的疼痛症状,提高其康复效果和运动依从性。

Objective:To investigate the effect of phased core exercise combined with pain nursing in patients with lumbar disc herniation.Methods:A total of seventy patients with lumbar disc herniation admitted to Binzhou Bincheng District Shizhong Street Community Health Service Center from April 2022 to June 2023 were selected as the study objects,and randomly divided into observation group and control group,with thirty-five patients in each group.The control group received routine nursing,and the observation group received phased core exercise and pain nursing on the basis of the control group.The pain condition,rehabilitation effect and exercise compliance of the two groups were compared.Results:After 2,4 and 8 weeks of intervention,the score of visual analogue score decreased in both groups,and the observation group was lower than the control group(P<0.05);after 8 weeks of intervention,the Japanese Orthopaedic Association low back pain score was higher and the Oswestry Disability Index was lower in the two groups,the Japanese Orthopaedic Association low back pain score in the observation group was higher than that in the control group,and the Oswestry Disability Index score was lower than that in the control group(P<0.05);the total exercise compliance rate of observation group was higher than that of control group(P=0.024).Conclusion:The use of phased core exercise combined with pain nursing intervention can reduce the pain symptoms of patients with lumbar disc herniation,improve the rehabilitation effect and exercise compliance.