腰背肌功能锻炼在腰椎间盘突出症保守治疗中的作用.docVIP

精品论文 参考文献 腰背肌功能锻炼在腰椎间盘突出症保守治疗中的作用 何延辉 徐建立 舒永辉 和晓艳 张苏婉 　　(深圳市龙岗区第三人民医院骨科 广东深圳 518115) 　　【摘要】目的：研究腰背肌功能锻炼在腰椎间盘突出症(LDH)保守治疗中的作用。方法：将130例腰椎间盘突出症患者随机分成观察组与对照组,对照组采用卧硬板床休息、腰椎牵引、硬膜外封闭以及中药内服等治疗，观察组除采用上述综合保守治疗外，并于患者自觉疼痛减轻时进行腰背肌功能锻炼。结果：治疗3个月，观察组与对照组有效率统计无显著性差异(pgt;0.05)。随访1年，观察组年复发率低于对照组，有显著性差异(plt;0.05)。结论：综合保守治疗配合腰背肌功能锻炼能有效治疗腰椎间盘突出症，腰背肌功能锻炼能明显降低LDH的复发率，并在巩固LDH远期疗效方面起重要作用。 　　【关键词】腰椎间盘突出症 综合保守治疗 腰背肌锻炼 复发率 　　【中图分类号】R493 【文献标识码】A 【文章编号】2095-1752（2014）15-0118-02 　　The function of lumbar back muscle exercise in the conservative treatment of lumbar disc herniation 　　【Abstract】 Objective: to observe the function of lumbar back muscle exercise in the conservative treatment of lumbar disc herniation 　　 (LDH).Methods: 130 cases of LDH were randomly divided into observation group and control group, The control group were treated by rest in hard bed, lumbar traction, epidural injection and traditional Chinese Medicine. The observation group in addition to the above combined conservative treatment, Start lumbar back muscle exercise When the patients perceived pain relief. Results: 3 months of treatment, the observation group and the control group had no significant difference in the efficiency of Statistics (pgt;0.05); 1 years of follow-up, the observation group year recurrence rate was lower than the control group, there were significant differences (plt;0.05). Conclusion: Combined conservative treatment with the function of lumbar back muscle exercise can be effective in the treatment of LDH, the function of lumbar back muscle exercise can significantly reduce the recurrence rate of LDH, and play an important role in the consolidation of long-term efficacy of LDH. 　　【Key words】 lumbar disc herniation Combined conservative treatment the initiative lumbar back muscle exercise The recurrence rate 　　腰椎间盘突出症是临床常见病、多发病，是引起腰腿痛的最常见的原因,其发病主要是由于腰椎间盘的纤维环破裂,髓核突出,压迫一侧或两侧神经根,从而产生腰部疼痛、活动受限、下肢放射痛及麻木无力等临床症状。其病因病机较为复杂，单纯采用一种方法治疗难