核心肌群训练配合认知行为疗法在腰椎间盘突出症患者康复治疗中的应用

Application of Core Muscle Group Training with Cognitive Behavioral Therapy in the Rehabilitation of Patients with Lumbar Intervertebral Disc Herniation

目的:探究在腰椎间盘突出症患者康复治疗中使用核心肌群训练与认知行为疗法的效果。方法:选取2021年3月—2022年3月信宜市人民医院收治的腰椎间盘突出症患者85例为研究对象,随机分为对照组(43例)与试验组(42例)。对照组给予核心肌群训练,试验组在对照组基础上配合认知行为疗法。对比两组临床疗效、腰椎活动度、疼痛程度及复发情况。结果:试验组治疗总有效率高于对照组(P=0.015);治疗后,两组腰椎前屈、后伸、左侧屈、右侧屈、左旋、右旋活动度增加,试验组大于对照组(P<0.05);治疗后,两组视觉模拟评分法评分下降,试验组低于对照组(P<0.05);试验组复发率低于对照组(P=0.021)。结论:在腰椎间盘突出症患者康复治疗中应用核心肌群训练配合认知行为疗法效果显著,可帮助患者恢复腰椎功能,缓解疼痛,且复发率低。

Objective:To investigate the effect of using core muscle group training with cognitive behavioral therapy in the rehabilitation treatment of patients with lumbar intervertebral disc herniation.Methods:Eighty-five patients with lumbar intervertebral disc herniation admitted to Xinyi People's Hospital from March 2021 to March 2022 were selected as the study subjects,and were randomly divided into the control group(forty-three cases)and the experimental group(forty-two cases).The control group was given core muscle group training,and the experimental group was given cognitive behavioral therapy on the basis of the control group.The clinical efficacy,lumbar spine mobility,pain level and recurrence were compared between the two groups.Results:The total effective rate of treatment of the experimental group was higher than that of the control group(P=0.015);after treatment,the lumbar spine anterior flexion,posterior extension,left lateral flexion,right lateral flexion,left rotation,and right rotation mobility increased in the two groups,and the experimental group was larger than that of the control group(P<0.05);after treatment,the score of the visual analog scoring method decreased in the two groups,and the experimental group was lower than that of the control group(P<0.05);the recurrence rate of the experimental group was lower than that of the control group(P=0.021).Conclusion:The application of core muscle group training with cognitive behavioral therapy in the rehabilitation treatment of patients with lumbar disc herniation is effective,which can help patients restore lumbar spine function,relieve pain,and have a low recurrence rate.