腰椎间盘突出症手术后早期功能锻炼分析

Analysis of early functional exercise after lumbar disc herniation surgery

目的:探讨腰椎间盘突出症手术后功能锻炼的应用。方法:收治腰椎间盘突出症患者62例。A组35例给予系统的腰背肌功能锻炼,责任护士每日宣教并按时监督辅助施行。B组27例给予相同的锻炼方法,责任护士每日宣教由患者自行锻炼。比较术前及术后两组患者的平均JOA评分、VAS评分;比较术后平均使用止痛消炎药物。结果:两组患者腰背部疼痛症状均明显好转,术前与术后JOA评分差异有统计学意义(P<0.05),A组术后VAS疼痛评分低于B组,且术后平均使用西乐葆、曲马多量比B组少。结论:早期系统的腰背肌功能锻炼可明显改善术后腰背部疼痛症状,护士协助宣教实施可增加患者依从性,保证锻炼效果,同时可能减少术后早期脱水和消肿止痛药物的应用。

Objective:To explore the application of functional exercise after lumbar disc herniation surgery.Methods:62 patients with lumbar disc herniation were selected.35 cases in A group were given systematic training back muscles;the primary nurse gave daily propaganda and education,supervision and auxiliary on time.27 cases in B group were given the same exercise method;the primary nurse gave daily propaganda and education,and patients exercised by themselves.The average JOA scores and VAS scores of two groups were compared before and after operation.The average use of analgesic anti-inflammatory drugs after operation were compared.Results:The lumbar back pain symptoms of two groups were improved obviously.The preoperative and postoperative JOA score differences had statistical significance(P<0.05).The postoperative VAS pain score of A group was lower than that of B group,and postoperative average use of celebrex,tramadol were less than those of B group.Conclusion:Early systematic functional exercise can significantly improve the postoperative lumbar back pain symptoms.The nurses assist propaganda and education that can increase the compliance of patients and ensure the training effect,and it also may reduce the applications of early dehydration,swelling analgesic drug after operation.