|本期目录/Table of Contents|

[1]宋玉平.早期功能锻炼康复介入对腰椎间盘突出症术后恢复的影响[J].天津医科大学学报,2020,26(06):557-559.
　SONG Yu-ping.Effect of early functional exercise and rehabilitation intervention on postoperative lumbar disc herniation[J].Journal of Tianjin Medical University,2020,26(06):557-559.
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早期功能锻炼康复介入对腰椎间盘突出症术后恢复的影响(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
26卷
期数:
2020年06期
页码:
557-559
栏目:
临床医学
出版日期:
2020-11-20

文章信息/Info

Title:
Effect of early functional exercise and rehabilitation intervention on postoperative lumbar disc herniation
作者:
宋玉平
天津医科大学第二医院康复医学科，天津 300211
Author(s):
SONG Yu-ping
Department of Rehabilitation，The Second Hospital，Tianjin Medical University, Tianjin 300211，China
关键词:
腰椎间盘突出症; 康复治疗; 功能锻炼; 生活质量
Keywords:
lumbar disc herniation; rehabilitation therapy; functional exercise; quality of life
分类号:
R493
DOI:
-
文献标志码:
A
摘要:
目的：探讨早期功能锻炼康复介入在腰椎间盘突出症（LDH）术后应用的可行性。方法：选择2016年3月-2018年10月住院治疗的LDH患者100例，使用摸球法将患者分为对照组与试验组，对照组接受常规术后康复措施，试验组在对照组基础上接受早期功能锻炼康复介入进行干预，对比两组生活质量（SF-36评分）、腰椎功能（ODI评分）及疼痛情况（VAS评分），并检测治疗前后血前列腺素E2(PGE2)水平，评估本次研究的临床效果。结果：两组治疗后SF-36评分均显著升高，ODI评分显著降低（均P＜0.01）。与对照组相比，试验组治疗后各方面SF-36、ODI评分改善更为显著（均P＜0.01）。试验组治疗后1个月、2个月及3个月VAS评分均显著低于对照组（均P＜0.01）。与对照组相比，试验组治疗后2个月、3个月PGE2水平均显著降低（均P＜0.01），且治疗有效率高达96%（P＜0.01）。结论：早期功能锻炼康复介入可有效缓解机体炎症水平，提高腰椎功能，降低疼痛，有效改善患者的生活质量，加快LDH患者术后恢复。
Abstract:
Objective: To analyze the effect of early functional exercise and rehabilitation intervention on postoperative pain and quality of life of patients with lumbar disc protrusion. Methods: A total of 100 patients with lumbar disc herniation hospitalized from March 2016 to October 2018 were selected to participate in this study. Patients were divided into control group and observation group by touch ball method. The control group received conventional postoperative measures, while the observation group received early functional exercise and rehabilitation intervention measures on the basis of the control group. The quality of life(SF-36 score), lumbar function(ODI score), pain assessment(VAS score) and blood prostaglandin E2 (PGE2) level before and after treatment of the two groups were observed, so as to evaluate the clinical effect of this study. Results: After treatment, the SF-36 score increased significantly in both groups, while the ODI score decreased significantly(both P＜0.01). Compared with the control group, the SF-36 and ODI scores of the observation group improved more significantly after treatment(both P＜0.01). The VAS scores of the observation group were significantly lower than those of the control group at 1, 2 and 3 months after treatment(all P＜0.01). Compared with the control group, the level of PGE2 in the observation group decreased significantly at 2 and 3 months after treatment(both P＜0.01), and the effective rate was as high as 96%(P＜0.01). Conclusion: Early functional exercise rehabilitation intervention can effectively alleviate the level of inflammation, improve the lumbar function, reduce pain, effectively improve the quality of life of patients, and accelerate the postoperative recovery of patients with LDH, which is worthy of clinical reference.

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备注/Memo

备注/Memo:
文章编号 1006-8147（2020）06-0557-03
作者简介 宋玉平（1988-），男，技师，学士，研究方向：运动康复与健康；E-mail：951204394@qq.com。
更新日期/Last Update: 2020-11-20