共治理念下阶段性量化运动处方对老年腰椎间盘突出症术后康复训练依从性、腰椎功能恢复的影响

Effect of staged quantitative exercise prescription under co-treatment concept on postoperative rehabilitation training compliance and lumbar function recovery in elderly patients with lumbar disc herniation

目的探讨共治理念下阶段性量化运动处方对老年腰椎间盘突出症患者术后康复训练依从性、腰椎功能恢复的影响。方法选取中国人民解放军陆军第七十三集团军医院2021年1月至2023年1月收治的老年腰椎间盘突出症手术患者94例,按照随机数字表法将其分为观察组和对照组各47例。对照组采用常规康复训练方法干预,观察组采用共治理念下阶段性量化运动处方干预,从患者手术结束开始干预,连续干预至术后3个月。比较两组患者的术后康复训练依从性、术后疼痛情况、腰椎功能恢复情况和生活质量。结果观察组骨科患者功能锻炼依从性量表评分高于对照组,差异有统计学意义(P<0.05);观察组患者术后12 h、术后1 d、术后3 d和术后7 d的疼痛视觉模拟评分法(VAS)评分均低于对照组,术后3 d和术后7 d与对照组比较,差异有统计学意义(P<0.05);干预后,观察组患者日本骨科协会评分(JOA)高于对照组,功能障碍指数(ODI)评分低于对照组,差异有统计学意义(P<0.05);干预后,观察组患者生活质量评定问卷(WHOQOL-100)各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论共治理念下阶段性量化运动处方能够提高老年腰椎间盘突出症患者术后康复训练的依从性,改善术后的疼痛,加快腰椎功能恢复和提高术后生活质量。

Objective To explore the effect of staged quantitative exercise prescription under co-treatment concept on postoperative rehabilitation training compliance and lumbar function recovery in elderly patients with lumbar disc herniation.Methods A total of 94 elderly patients with lumbar disc herniation treated in the 73rd Group Military Hospital of the Chinese People's Liberation Army from January 2021 to January 2023 were selected and divided into an observation group and a control group with 47 patients in each group according to random number table method.The control group was intervened with routine rehabilitation training method,while the observation group was given staged quantitative exercise prescription intervention under co-treatment concept.The patients began intervention at the end of the surgery and continued until 3 months after surgery.The postoperative rehabilitation training compliance,postoperative pain status,lumbar function recovery and quality of life were compared between the two groups of patients.Results The functional exercise compliance scale of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Pain Visual Analogue Scale(VAS)scores in the observation group at 12 hours,1 day,3 days and 7 days after surgery were lower than those in the control group,and there were significant differences between the observation group and the control group at 3 days and 7 days after surgery(P<0.05).After intervention,the Japanese Orthopedic Association(JOA)score in the observation group was higher than that in the control group,while the Oswestry Disability Index(ODI)score was lower than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of World Health Organization Quality of Life Scale(WHOQOL-100)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Staged quantitative exercise prescription under co-treatment concept can enhance the postoperative rehabilitation training compliance,and improve the postoperative pain status,lumbar function recovery and postoperative quality of life in elderly patients with lumbar disc herniation.