腰部肌力训练应用于腰间盘突出症康复治疗中的效果研究.docVIP

腰部肌力训练应用于腰间盘突出症康复治疗中的效果研究 　　【摘 要】目的：研究腰部肌力?练应用于腰间盘突出症康复治疗中的效果。方法：选取我院收治的腰间盘突出症患者100例为对象进行研究，利用计算机随机法将其分为对照组和观察组，各50例。对照组采取常规康复治疗和护理，而在此基础上，观察组采取腰部肌力训练，包括膝手平衡、俯卧撑、仰卧抬腿、双桥运动、单桥运动等。比较两组治疗前后VAS（疼痛程度）、ODI（腰椎功能障碍指数）、JOA（日本骨科协会评估治疗分数）等评分变化以及疗效满意度。结果：两组治疗前VAS、ODI、JOA等评分对比差异不显著，且组间差异对比P0.05，无统计学意义；而治疗后观察组VAS、ODI、JOA等评分与对照组相比显著改善，且组间差异对比P0.05，具有统计学意义。而观察组疗效满意度为96.0%（48/50）其中非常满意35例（70.0%）、一般满意13例（26.0%）、不满意2例（4.0%），而对照组疗效满意度为80.0%（40/50），其中非常满意25例（50.0%）、一般满意15例（30.0%）、不满意10例（20.0%），观察组疗效满意度与对照组相比显著较高，且组间差异对比P0.05，具有统计学意义。结论：腰部肌力训练应用于腰间盘突出症康复治疗中的效果的非常显著，既能有效减轻患者疼痛症状以及自觉症状，还能显著改善其腰椎功能，从而提升其疗效满意度以及生活质量，因此值得临床应用推广。 　　【关键词】腰间盘突出症；腰部肌力训练；康复治疗；应用效果 　　[Abstract] Objective：To study the effect of lumbar muscle strength training on rehabilitation of lumbar disc herniation. Methods： 100 cases of lumbar disc herniation in our hospital were selected as the subjects， and they were divided into the control group and the observation group by the computer random method， with 50 cases in each group. The control group took routine rehabilitation and nursing， and on this basis， the observation group took the training of lumbar muscle strength， including knee balance， push up， supine leg lifting， double bridge movement， single bridge movement， etc. The scores of VAS （pain degree）， ODI （lumbar dysfunction index）， and JOA （Japan Department of orthopedics Association evaluation treatment score） were compared before and after treatment， and the satisfaction of the two groups was compared. Results： the scores of VAS， ODI and JOA in the two groups were not significant before treatment， and there was no significant difference between the groups and P0.05， but the scores of VAS， ODI and JOA in the observation group after treatment were significantly improved， and the difference in the group was statistically significant compared with that of the control group. The satisfaction of the observation group was 96% （48/50）， of which 35 cases （70%）， 13 cases （26%） and 2 cases （4%） were dissatisfied， while t