首页|中频脉冲治疗联合深层肌康复锻炼对腰椎间盘突出症术后患者腰椎功能的影响

中频脉冲治疗联合深层肌康复锻炼对腰椎间盘突出症术后患者腰椎功能的影响

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目的 探究中频脉冲治疗联合深层肌康复锻炼对腰椎间盘突出症(LDH)术后患者腰椎功能的影响.方法 选择 2020 年 6 月—2023年6 月梁山县人民医院收治的 70 例LDH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,每组 35 例.两组均采用一般支持治疗,在此基础上,对照组进行深层肌康复锻炼,观察组采用中频脉冲治疗仪联合深层肌康复锻炼.对比两组患者的腰椎功能、疼痛程度、生活质量、腰腹肌肌力及脊髓神经功能.结果 干预 4周后,观察组的Oswestry功能障碍指数、疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).干预4 周后,观察组的健康调查简表评分为(72.36±8.57)分,高于对照组的(62.22±11.74)分,差异有统计学意义(P<0.05).干预 4 周后,观察组的腰背肌、腹肌肌力均大于对照组,组间差异有统计学意义(P<0.05).干预 4 周后,观察组的日本骨科协会评分高于对照组,差异有统计学意义(P<0.05).结论 中频脉冲治疗联合深层肌康复锻炼治疗LDH术后患者,有助于减轻其疼痛程度,改善腰椎功能、腰腹肌肌力和脊髓神经功能,提高其生活质量.
Effect of Intermediate Frequency Pulse Therapy Combined with Deep Muscle Rehabilitation Exercise on Lumbar Function in Postoperative Patients with Lumbar Disc Herniation
Objective To explore the effect of intermediate frequency pulse therapy combined with deep muscle rehabilitation exercise on lumbar function in postoperative patients with lumbar disc herniation(LDH).Methods A total of 70 LDH patients admitted to Liangshan County People's Hospital from June 2020 to June 2023 were selected as research objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.Both groups were given general support treatment.On this basis,the control group was given deep muscle rehabilitation exercise,and the observation group was given intermediate frequency pulse therapy combined with deep muscle rehabilitation exercise.The lumbar function,pain degree,quality of life,lumboabdominal muscle strength and spinal cord nerve function were compared between the two groups.Results After 4 weeks of intervention,the Oswestry Disability Index score and pain Visual Analogue Score of the observation group were lower than those of the control group,the differences between the two groups were statistically significant(P<0.05).After 4 weeks of intervention,the MOS item short form health survey score of the observation group was(72.36±8.57)points,which was higher than(62.22±11.74)points of the control group,the difference was statistically significant(P<0.05).After 4 weeks of intervention,the strength of lumbar muscle and abdominal muscle in the observation group were greater than those in the control group,the differences between the groups were statistically significant(P<0.05).After 4 weeks of intervention,the Japanese Orthopaedic Association score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The use of intermediate frequency pulse therapy combined with deep muscle rehabilitation exercise in the treatment of postoperative LDH patients can help to reduce the degree of pain,improve the function of lumbar spine,lumboabdominal muscle strength and spinal cord nerve function,and improve their quality of life.

Lumbar disc herniationIntermediate frequency pulse therapyDeep muscle rehabilitation exerciseLumbar function

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梁山县人民医院骨二科,山东济宁 272600

腰椎间盘突出 中频脉冲治疗 深层肌康复锻炼 腰椎功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(16)