运动治疗腰椎间盘突出症的临床疗效观察
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摘要
目的:探讨运动疗法对腰椎间盘突出症(LDH)的治疗作用。方法:选取2015年12月31日～2017年12月31日在门诊确诊为LDH的患者84例,随机分为治疗组和对照组各42例。对照组采用腰椎牵引和按摩,治疗组在传统治疗的基础上,通过直腿抬高法、体侧训练法、踢臀法、双膝触腋法等运动训练方法,对比两组在治疗前后Oswestry功能障碍指数,并进行临床疗效评价。结果:治疗后,两组患者的Oswestry功能障碍指数各指标评分均较治疗前显著降低(P<0.05),且治疗组治疗后的Oswestry功能障碍指数各指标评分显著低于对照组(P<0.05)。治疗组总有效率显著高于对照组(P<0.05)。结论:运动疗法治疗LDH安全有效。
Objective: To explore the therapeutic effect of exercise therapy on lumbar intervertebral disc herniation(LDH). Methods: Since the December 31, 2015 to the December 31, 2017, 84 patients diagnosed with LDH in outpatient service were treated, they were randomly divided into treatment group and control group. The control group was treated with lumbar traction and massage, while the treatment group was trained with straight leg raising, body side training, buttock kicking, knee and axillary contact, and so on, on the basis of traditional treatment. The Oswestry dysfunction index was compared before and after treatment, and the clinical efficacy was evaluated.Result: After treatment, the scores of Oswestry dysfunction index in both groups were significantly lower than those before treatment(P<0.05), and the scores of Oswestry dysfunction index after treatment in the treatment group were significantly lower than those in the control group(P<0.05). The total effective rate in the treatment group was significantly higher than that in the control group(P<0.05).Conclusions: Exercise therapy is safe and effective for LDH.
Objective: To explore the therapeutic effect of exercise therapy on lumbar intervertebral disc herniation(LDH). Methods: Since the December 31, 2015 to the December 31, 2017, 84 patients diagnosed with LDH in outpatient service were treated, they were randomly divided into treatment group and control group. The control group was treated with lumbar traction and massage, while the treatment group was trained with straight leg raising, body side training, buttock kicking, knee and axillary contact, and so on, on the basis of traditional treatment. The Oswestry dysfunction index was compared before and after treatment, and the clinical efficacy was evaluated.Result: After treatment, the scores of Oswestry dysfunction index in both groups were significantly lower than those before treatment(P<0.05), and the scores of Oswestry dysfunction index after treatment in the treatment group were significantly lower than those in the control group(P<0.05). The total effective rate in the treatment group was significantly higher than that in the control group(P<0.05).Conclusions: Exercise therapy is safe and effective for LDH.
引文
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[13]李浩炜.功能锻炼对预防腰椎间盘突出症复发的临床意义[J].颈腰痛杂志,2000,21(4):320-322.
[14]林斌强,李长辉.运动疗法治疗腰椎间盘突出症的研究进展[J].按摩与康复医学,2014,5(2):38-39.
[2]胡有谷.腰椎间盘突出症[M].北京:人民卫生出版社,2004:252-441.
[3]Kreiner D S,Shaffer W O,Baisden J L,et al.An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis(update).[J].Spine Journal,2013,13(7):734-743.
[4]陈孝平.外科学[M].北京:人民卫生出版社,2005:1070.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:202.
[6]Lue YJ,Hsieh CL,Huang MH,et al.Development of a Chinese version of the Oswestry disability index version2.1[J].Spine,2008,33(21):2354-2360.
[7]刘绮,麦明泉,肖灵君,等.中文版Oswestry功能障碍指数评定慢性腰痛患者的反应度研究[J].中国康复医学杂志,2010,25(7):621-624.
[8]李秋芳.运动在腰椎间盘突出症患者中的治疗作用[J].饮食保健,2016,3(24):110-111.
[9]于长隆.骨科康复学[M]北京:人民卫生出版社,2010:463.
[10]朱伟亮,黄崇侠,何庆璋.腰椎间盘突出症保守治疗疗效分析[J].按摩与康复医学,2011,2(2):20-21.
[11]陈岚岚,王健.腰痛运动治疗研究进展[J].中国康复医学杂志,2008,23(3):276-279.
[12]张伟.骨筋肉运动康复操在腰椎间盘突出症患者中的应用效果[J].按摩与康复医学,2016,7(9):35-36.
[13]李浩炜.功能锻炼对预防腰椎间盘突出症复发的临床意义[J].颈腰痛杂志,2000,21(4):320-322.
[14]林斌强,李长辉.运动疗法治疗腰椎间盘突出症的研究进展[J].按摩与康复医学,2014,5(2):38-39.