目的 探讨核心肌群训练联合综合护理对腰椎间盘突出症(Lumbar Disc Herniation，LDH)患者术后功能恢复及生活质量的影响。方法 将2021 年3 月至2022 年10 月在厦门大学附属成功医院(中国人民解放军陆军第七十三集团军医院)接受手术治疗的LDH患者120 例以随机数字表法分为对照组和观察组各 60 例。对照组予综合护理干预，观察组在对照组的基础上联合腰部核心肌群训练。康复训练干预2 个月后，观察两组患者干预前后的腰部疼痛程度、腰椎活动度变化及腰椎功能恢复情况、生活质量改善情况。结果 观察组患者干预1 个月后及干预2 个月后视觉模拟评分法(Visual Analogue Scale，VAS)评分低于对照组，差异均有统计学意义(均P<0。05)。观察组干预2 个月后前屈、后伸、侧屈活动度均高于对照组，差异均有统计学意义(均P<0。05)。观察组患者干预2 个月后改良日本骨科协会腰痛量表(Meliorate-Japanese Orthopaedic Association，M-JOA)各维度评分均低于对照组，差异均有统计学意义(均P<0。05)。观察组患者的生存质量量表(the World Health Organiza-tion Quality of Life-BREF，WHOQOL-BREF)各领域评分均高于对照组，差异均有统计学意义(均P<0。05)。结论 核心肌群训练联合综合护理干预能够缓解接受手术治疗的LDH患者术后腰部疼痛程度，并促进患者腰椎生理活动度及腰椎功能的恢复，提高患者的生活质量。
Effects of core muscle training combined with comprehensive nursing on postopera-tive functional recovery and quality of life in patients with lumbar disc herniatio
Objective To explore the effects of core muscle training combined with comprehensive nursing on postoperative functional recovery and quality of life in patients with lumbar disc herniation(LDH).Methods A total of 120 patients with LDH who underwent surgical treatment in the hospital from March 2021 to October 2022 were divided into control group and observation group by the random number table method,with 60 cases in each group.The control group was given comprehensive nursing intervention,and the observation group was combined with lumbar core muscle training on this basis.After 2 months of rehabilitation training intervention,the lumbar pain degree,lumbar activity changes,lumbar function recovery and quality of life improvement in the two groups were observed before and after inter-vention.Results After 1 month and 2 months of intervention,the Visual Analogue Scale(VAS)score in the observa-tion group was lower than that in the control group,and the difference was statistically significant(P<0.05).After 2 months of intervention,the activities of anterior flexion,posterior extension and lateral flexion in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 2 months of intervention,the score of Meliorate-Japanese Orthopaedic Association(M-JOA)in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).the World Health Organization Quality of Life-BREF(WHOQOL-BREF)scores in all fields of observation group were higher than those of control group,and the differences were statistically significant(P<0.05).Conclusions Core muscle training combined with comprehensive nursing intervention can relieve the postoperative lumbar pain degree in patients with LDH receiving sur-gical treatment,promote the recovery of lumbar physiological activity and lumbar function,and enhance the quality of life of patients.
Lumbar disc herniationCore muscle trainingComprehensive nursingLumbar functionQuality of life
NETL
NSTL
万方数据
维普
