牵引联合康复操对腰椎间盘突出症患者康复治疗的应用效果

摘要/Abstract

摘要： 目的研究腰椎间盘突出症患者康复治疗中应用牵引联合康复操的实际效果。方法选择2022年6月—2023年6月深圳市龙岗区第三人民医院收治的100例腰椎间盘突出症患者作为研究对象,按照随机数表法分为对照组和观察组,每组50例。对照组给予牵引术治疗,观察组在对照组基础上联合康复操治疗。12周后,比较两组患者治疗前后的日本骨科协会（JOA）下腰痛评分、疼痛视觉模拟（VAS）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分及两组治疗后的总有效率。结果观察组的治疗有效率高于对照组,差异有统计学意义（P<0.05）。治疗后,观察组的JOA评分明显高于对照组,差异有统计学意义（P<0.05）。观察组的VAS评分、SAS评分、SDS评分均明显低于对照组,差异有统计学意义（P<0.05）。结论牵引联合康复操更能有效缓解腰椎间盘突出症患者的腰痛症状,减少患者整体疼痛问题,并能更好调节患者因疾病与疼痛产生的焦虑、抑郁等负性情绪,治疗效率更高。

关键词: 腰椎间盘突出症, 牵引, 康复操, 康复治疗

Abstract: Objective To explore the application effect of traction combined with rehabilitation exercises in the rehabilitation treatment of patients with lumbar disc herniation. Methods A total of 100 patients with LDH admitted to the Department of Orthopedic Trauma of the Third People's Hospital of Longgang District, from June 2022 to June 2023 were selected for the study. All patients were divided into the control group and the observation group randomly with 50 cases in each group. The control group was treated with traction, and the observation group was treated with rehabilitation exercises on the basis of the control group. The two groups were treated for 12 weeks, and the total effective rates of the two groups were compared with the Japanese Orthopaedic Association (JOA) Lower Back Pain Score, Visual Analog Synthesis (VAS) Score, Self-Assessment Scale for Anxiety (SAS), Self-Assessment Scale for Depression (SDS) Score, and the total effective rates of the two groups before and after the treatment. Results The total effective rate and JOA score of the observation group after treatment were higher than those of the control group, and the difference was statistically significant (P<0.05). The VAS score, SAS and SDS scores of the observation group were lower than those of the control group after treatment and the difference was statistically significant (P<0.05). Conclusion Traction combined with rehabilitation exercises can more effectively relieve lumbar pain symptoms in patients with lumbar disc herniation, reduce the overall pain problem of the patient, and better regulate the patient's anxiety, depression and other negative emotions due to the disease and pain,the treatment is more efficient.

Key words: lumbar disc herniation, traction, rehabilitation exercises, rehabilitation treatment

中图分类号:

R681.53

罗华荣, 冯崔桃. 牵引联合康复操对腰椎间盘突出症患者康复治疗的应用效果[J]. 中华养生保健, 2024, 42(4): 63-66.

LUO Hua-rong, FENG Cui-tao. Application Effect of Traction Combined with Rehabilitation Exercises on the Rehabilitation Treatment of Patients with Lumbar Disc Herniation[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(4): 63-66.

参考文献

[1] LEE J, HA I H, KIM M R, et al.Pain, disability, and MRI changes in lumbar disc herniation patients treated with integrative medicine: Ten-year results of an observational study[J]. Integrative medicine research,2022,11(2):100833.
[2] 胡有谷. 腰椎间盘突出症的区域定位[J].中华骨科杂志,1998,18(1):14.
[3] REZWAN A K M, HOSSAIN T, HASAN M A, et al. Study on Effectiveness of Intermittent mechanical traction among the Patients with Lumbar disc herniation[J]. Journal of Scientific Reports,2021,3(1):1-8.
[4] 李姣,黄委委,陶林,等.名老中医治疗腰椎间盘突出症经验荟萃[J].颈腰痛杂志,2022,43(2):283-290.
[5] 中国康复医学会脊柱脊髓专业委员会基础研究与转化学组.腰椎间盘突出症诊治与康复管理指南[J].中华外科杂志,2022,60(5):401-408.
[6] 陈信东,张慧铭,于滢,等.腰椎间盘突出症患者应用牵引联合康复训练的疗效观察[J].中国卫生标准管理,2023,14(14):87-90.
[7] 刘琪玉,寇丽霞,陈梦,等.骨筋肉运动康复操配合中医五音疗法对腰椎间盘突出症患者的疗效观察[J].云南中医中药杂志,2018,39(9):103-105.
[8] ZHENG C F, LIU Y C, HU Y C, et al.Correlations of Japanese Orthopaedic Association Scoring Systems with Gait Parameters in Patients with Degenerative Spinal Diseases[J].Orthopaedic Surgery,2016,8(4):447-453.
[9] 彭宗泽,孙波,李麟平,等.中医药综合治疗腰椎间盘突出症VAS、FRS、改良JOA评分和临床疗效观察[J].中国中医骨伤科杂志,2002,10(6):28-30.
[10] 王祥瑞,冯智英,张小梅,等.腰椎间盘突出症诊疗中国疼痛专家共识[J].中国疼痛医学杂志,2020,26(1):2-6.
[11] WATKINS R G 4th, WATKINS R G 3rd. Cervical Disc Herniations, Radiculopathy, and Myelopathy[J].Clinics in Sports Medicine,2021,40(3):513-539.
[12] 张丽华,米立新,杨华清,等.脊柱减压治疗对腰椎间盘突出症的临床疗效及对多裂肌弹性的影响[J].中国临床医生杂志,2020,48(9):1075-1077.
[13] 蒋文. 牵引联合推拿治疗腰椎间盘突出症的临床疗效分析[J].反射疗法与康复医学,2022,3(14):1-3,10.
[14] 陈龙梅,王珩.腰椎间盘突出症患者抑郁,焦虑状况及影响因素分析[J].中国疼痛医学杂志,2014,20(6):437-440.
[15] MARTIN A R, JENTZSCH T, WILSON J R F, et al. Inter-Rater Reliability of the Modified Japanese Orthopaedic Association Score in Degenerative Cervical Myelopathy: A Cross-Sectional Study[J].Spine,2021,46(16):1063-1069.
[16] 付国静,赵怡,赵慧,等.腰椎康复体操联合牵拉整复术对腰椎间盘突出症患者的干预效果[J].齐鲁护理杂志,2022,28(13):25-28.