对腰椎间盘突出症围手术期患者实施个体化功能锻炼指导的效果.docVIP

精品论文 参考文献 对腰椎间盘突出症围手术期患者实施个体化功能锻炼指导的效果 黄素碧 杜励 陈竹 何燕 张杰敏（四川省南充市中心医院 637000） 【中图分类号】R681.5+3【文献标识码】A【文章编号】1672-5085（2011）48-0106-02 【摘要】目的 探讨腰椎间盘突出症围手术期患者功能锻炼的效果。方法 将62例腰椎间盘突出症患者随机分为观察组和对照组，观察组实施个体化功能锻炼指导,对照组应用常规健康教育方法及指导，观察两组术后恢复情况并进行对比。结果 随访6个月后，观察组腰部疼痛、腰部僵硬、下肢麻疼、下肢功能障碍发生率明显低于对照组(Plt;0.05)，Otanirsquo;S分级方法评定优良率93.54%，明显高于对照组（Plt;0.05）。结论　对LDH患者围手术期实施个体化功能锻炼指导能提高手术治疗效果。 【关键词】 腰椎间盘突出症 围手术期 功能锻炼 【Abstract】 Objective: To assess the effect of functional exercise for the patients with lumbar disc herniation (LDH) during perioperative period. Methods：62 patients with LDH were randomly divided into observation group and control group. The observation group was guided by individualized functional training while the conventional methods of health education and guidance were used in the control group. The recovery conditions after operation were observed and compared. Results: After 6 months follow-up, the incidence rate of the back pain, lower back stiffness, lower limb pain anesthesia and lower extremity dysfunction in the observation group were significantly lower than the control group (Plt;0. 05). The excellent rate was 93.54% and significantly higher than the control group（Plt;0. 05）by Otanirsquo;S classification methods. Conclusion: Guiding perioperative patients with LDH by the individualized functional training can significantly improve the surgical treatment. 【Key words】lumbar disc herniation perioperative period functional training 腰椎间盘突出症（lumbar disc herniation, LDH）是由于椎间盘变性、纤维环破裂、髓核突出压迫马尾神经根，造成腰腿痛或尿、便障碍，行走困难等症状的一种综合症，椎间盘切除术已成为腰椎间盘突出症的常规治疗方法。LDH术后功能锻炼与手术成败与功能的恢复密切相关[1]，对腰椎间盘突出症围手术期患者???施个体化功能锻炼指导，取得较好的近期疗效，报道如下。 1　临床资料 1.1 一般资料 1.1.1入组标准 选择在我院住院治疗的腰椎间盘突出症患者62例[2]，男38例，女24例，年龄36-71岁。入组标准：①根据病史、体征、影像学检查均确诊为腰4-5椎间盘突出症患者；②采用开窗或半椎板切除髓核摘除术。③排除各种原因不愿或不能在规定时间内持续合作者。 1.1.2病例分组 患者在签署知情同意书后，随机分入对照组和观察组。观察组：个体化功能锻炼指导组31例；对照组：常规功能锻炼指导组31例。两组患者性别、年龄、职业、病程、病变部位及手术种类等一般资料比较，差异无统计学意义（pgt;0.05），具有可比性。 2组患者均在其入院后、手术前、