社区干预对改善腰椎间盘突出症患者腰椎功能及预防复发的研究

摘要

目的 探讨社区应用腰腹肌肌力训练对改善腰椎间盘突出症患者腰椎功能及预防复发的疗效.方法 将56例经治疗并治愈和显效的腰椎间盘突出症患者随机分为社区干预组和对照组各28例,社区干预组进行腰腹肌肌力训练,对照组只进行腰部防护的健康知识教育.随访1年观察两组复发率,并分别于治疗后6和12个月进行腰椎功能评定.结果 社区干预组1年内的复发率明显低于对照组(P＜0.01).两组患者治疗后即时腰椎功能评分间差异无统计学意义(P＞0.05);社区干预组治疗后6、12个月时腰椎功能评分较治疗后即时增高,差异有统计学意义(P＞0.05),6、12个月后的评分间差异无统计学意义(P＞0.48);对照组治疗后6、12个月时的腰椎评分与治疗后即时相比降低,差异有统计学意义(P＜0.05),6和12个月的评分间差异无统计学意义(P＞0.05);社区干预组治疗后6和12个月的腰椎功能评分明显高于对照组同期,差异有统计学意义(P＜0.01).结论 进行腰腹肌肌力训练能有效改善腰椎间盘突出症患者腰椎功能,预防复发.%Objective To explore the application of community-based lumbar muscle strength training intervention to improve patients with lumbar disc herniation of lumbar function,research and application of community intervention to reduce the recurrence of lumbar intervertebral disc in patients with an effective way.Methods 56 cases treated and cured and markedly effective in patients with lumbar disc herniation treated by the time the end of the community were randomly divided into intervention and control groups,the community intervention group lumbar abdominal strength training,the control group only the waist protection of health education.1 year follow-up recurrence rates were observed,and after treatment,respectively 6 and 12 months for assessment of lumbar function.Results The community intervention group 1 year relapse rate was significantly lower than the control group (χ2 = 7.16,P＜0.01).The results of two groups of patients immediately after the end of the lumbar spine functional score by the t test the difference was not significant(t=0.70,P＞ 0.05) after the treatment of community-based intervention group 6 and 12 months,lumbar spine functional score higher than immediately after treatment,the difference was significant (t=1.86,1.89,P＜0.05),6 and 12 months score difference was not significant (t=0.73,P＞ 0.048);the control group after treatment 6 and 12 months score and treatment of the lumbar spine no obvious difference compared to immediately after (t=2.09.1.79.P＜0.05).6 and 12 months compared with no obvious difference score (t=0.57,P＞ 0.05);community-based treatment intervention group 6 and 12 months of lumbar function score were significantly higher than control inspection teams score the same period,the difference was very significant and (t=2.69,2.56,P＜0.01).Conclusion The lumbar muscle strength training to be effective in improving patients with lumbar disc herniation of lumbar function,prevention of recurrence.