首页|腰椎退行性疾病患者术后恐动症的研究进展

腰椎退行性疾病患者术后恐动症的研究进展

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腰椎退行性疾病是脊柱外科常见病和多发病,以腰腿痛、麻木或间歇性跛行为主要临床表现.手术是改善腰腿痛快速有效的治疗方法,术后早期功能锻炼对康复具有重要意义,但患者因受长期强烈疼痛折磨,害怕造成腰部的二次损伤而对运动锻炼出现恐惧心理,产生恐动症.恐动症是因受到疼痛性损害或刺激导致机体对疼痛敏感性增强,对运动产生过度非理性的恐惧行为,可导致患者术后器官功能障碍甚至出现废用综合征,严重影响康复进程,增加医疗经济负担.本文综述腰椎退行性疾病患者术后恐动症的概念、发生现状、影响因素、不良影响和干预策略,以期为医护人员深入探索恐动症的发生机制并制定个性化的干预措施,提高患者对恐动症的正确认知和康复锻炼的参与度,提高生活质量提供理论依据.
Research progress on postoperative kinesiophobia in patients with lumbar degenerative diseases
Lumbar degenerative diseases are common and frequently-occurring diseases in spinal surgery.The main clinical manifestations include pain,numbness or intermittent broken behavior of back and leg.Surgery is a quick and effective treatment for lumbar and leg pain. Early postoperative functional exercise is of great significance for rehabilitation.However,patients suffer from long-term intense pain,resulting in a fear of early postoperative functional exercise and secondary damage to the waist,that is,kinesiophobia.Kinesiophobia is an increased sensitivity of the body to pain caused by painful damage or stimulation,leading to excessive irrational fear of movement.It can cause postoperative organ dysfunction or even disuse syndrome in patients,seriously affecting the rehabilitation process and increasing the medical economic burden.This review overviewed the concept,current situation,influencing factors,adverse effects,and intervention measures of postoperative kinesiophobia in patients with lumbar degenerative diseases,thus providing a theoretical basis for medical staff to explore the mechanism of kinesiophobia,develop individualized intervention measures,enhance correct understanding of kinesiophobia and participation in rehabilitation exercise and improve the quality of life.

Lumbar degenerative diseasesPostoperativeKinesiophobiaRecoveryReview

范志英、仝伟伟、郑喜灿、臧建峰、李勇

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开封大学医学院,河南开封 475004

联勤保障部队第 988 医院护理部,河南郑州 450007

腰椎退行性疾病 术后 恐动症 康复 综述

2025

中国疗养医学
中国煤矿工人北戴河疗养院

中国疗养医学

影响因子:0.584
ISSN:1005-619X
年,卷(期):2025.34(1)