摘要
目的:探讨共治理念下阶段性康复训练联合渐进性放松训练对腰椎间盘突出症(LDH)患者术后康复的影响。方法:选择2023年1-12月赤峰市医院收治的80例LDH术后患者为研究对象,按随机数字表法将其分为对照组及观察组,各40例。对照组采用常规康复护理干预,观察组采用共治理念下阶段性康复训练联合渐进性放松训练,两组均持续干预8周。比较两组康复依从性、疼痛程度、肌肉耐力、腰椎功能及并发症发生情况。结果:干预后,观察组的锻炼效果监管、主动寻求意见及身体参与锻炼依从性评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的腰部疼痛视觉模拟(VAS)评分及腿部VAS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的腹肌耐力及背肌耐力评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的日本骨科协会腰椎功能评分高于对照组,Osweatry功能障碍评分低于对照组,差异均有统计学意义(P<0.05)。观察组的并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论:共治理念下阶段性康复训练联合渐进性放松训练可提高LDH患者术后的康复锻炼依从性,减轻腰腿疼痛,增强肌肉耐力,改善腰椎功能,减少并发症,具有临床应用价值。
Objective:To explore the effect of phased rehabilitation training combined with progressive relaxation training under the concept of co-treatment on rehabilitation of patients with lumbar disc herniation(LDH)after surgery.Methods:A total of 80 postoperative patients with LDH admitted to Chifeng Hospital from January to December 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group received routine rehabilitation nursing intervention,and the observation group received phased rehabilitation training combined with progressive relaxation training under the concept of co-treatment.Both groups continued the intervention for 8 weeks.The rehabilitation compliance,pain degree,muscle endurance,lumbar function and complications were compared between the two groups.Results:After intervention,the compliance scores of exercise effect supervision,active advice seeking and physical participation in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the lower back pain visual analogue scale(VAS)score and leg pain VAS score of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the abdominal muscle endurance and back muscle endurance scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the Japanese Orthopaedic Association lumbar function score of the observation group was higher than that of the control group,and the Oswestry disability index score was lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than 20.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:Phased rehabilitation training combined with progressive relaxation training under the concept of co-treatment can improve the compliance of rehabilitation exercise in patients with LDH after surgery,reduce back and leg pain,enhance muscle endurance,improve lumbar function,reduce complications,and have clinical application value.
作者
张静
王杰
ZHANG Jing;WANG Jie(Department of Spine Surgery,Chifeng Municipal Hospital,Chifeng 243000,China)
出处
《中国伤残医学》
2024年第19期138-142,共5页
Chinese Journal of Trauma and Disability Medicine
关键词
腰椎间盘突出症
共治理念
阶段性康复训练
渐进性放松训练
疼痛
腰椎功能
Lumbar disc herniation
Concept of co-treatment
Phased rehabilitation training
Progressive relaxation training
Pain
Lumbar function
