首页|日常功能锻炼对腰椎管狭窄症患者术后腰椎功能、疼痛程度及睡眠质量的影响

日常功能锻炼对腰椎管狭窄症患者术后腰椎功能、疼痛程度及睡眠质量的影响

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目的 探讨腰椎管狭窄症患者术后进行日常功能锻炼对腰椎功能、疼痛程度及睡眠质量的影响.方法 选择2021年1月至2023年9月收治的72例腰椎管狭窄症患者为研究对象,依照训练方法的不同分为对照组36例和观察组36例.对照组采用日常功能训练,观察组在对照组的基础上并采用针对性日常活动能力训练计划,2组均持续干预后.比较腰椎功能障碍指数问卷表(ODI)评分、疼痛程度视觉模拟量表(VAS评分)及睡眠质量匹兹堡睡眠质量指数(PSQI)评分,比较2组患者训练后并发症发生情况、满意度.结果 训练前,2组ODI评分、VAS评分、PSQI评分比较差异无统计学意义(P>0.05);训练后,2组ODI评分、VAS评分、PSQI评分较训练前降低,且观察组ODI评分、VAS评分、PSQI评分低于对照组(P<0.05),对照组并发症发生率为27.78%;观察组并发症发生率为11.11%,2组患者护理后总并发症发生率比较差异有统计学意义(x2=4.600,P值=0.032),观察组满意度高于对照组(P<0.05).结论 针对性日常活动能力训练计划可改善腰椎管狭窄症患者的腰椎功能、缓解疼痛程度、睡眠质量,提高满意度且安全可靠.
Effects of daily functional exercise on lumbar function,pain degree and sleep quality in patients with lumbar spinal stenosis after surgery
Objective To investigate the effects of daily functional exercise on lumbar function,pain degree and sleep quality in patients with lumbar spinal stenosis after surgery.Methods A total of 72 patients with lumbar spinal stenosis admitted from January 2021 to September 2023 were selected as the study objects.They were randomly assigned into the control group(36 cases,daily functional training)and observation group(36 cases,daily functional training plus targeted daily activity ability training program).Interventions lasted for 4 weeks,the Lumbar Dysfunction Index(ODI),Visual Analogue Scale(VAS)and Pittsburgh Sleep Quality Index(PSQI)were compared.The incidence of complications and patient satisfaction after training were assessed between the two groups.Results Before training,there were no significant differences in the ODI scores,VAS scores and PSQI scores between the two groups(P>0.05).After training,ODI scores,VAS scores and PSQI scores of the two groups were significantly lower than those before training,which were significantly lower in the observation group than in the control group(P<0.05).The complication rate of the observation group was significantly lower than that of the control group(27.78%vs 11.11%,X2=4.600,P=0.032).The patient satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Targeted daily activity training program can improve lumbar function,sleep quality and patient satisfaction,and relieve pain,which is safe and reliable in patients with lumbar spinal stenosis after surgery.

targeted daily activity ability training programlumbar spinal stenosisdegree of painlumbar spine functionsleep qualitycomplication

冯静、程鹏、朱静文、李国远

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236300 安徽省阜阳市,阜阳师范大学附属医院阜南县人民医院骨科

中国科技大学附属第一医院安徽省立医院

针对性日常活动功能训练计划 腰椎管狭窄症 疼痛程度 腰椎功能 睡眠质量 并发症

国家自然科学基金委员会资助项目

81902201

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(19)
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