共治理念下阶段性量化运动对老年腰椎间盘突出症术后康复训练依从性、腰椎功能恢复影响

Effect of phased quantitative exercise under the concept of co-treatment on compliance of postoperative rehabilitation training and lumbar functional recovery in elderly patients with lumbar disc herniation

中文关键词: 老年  腰椎间盘突出症  共治理念  阶段性量化运动  康复护理  腰椎功能

英文关键词: elderly  lumbar disc herniation  co-treatment concept  phased quantitative exercise  rehabilitation nursing  lumbar function

中文摘要:

      目的 观察共治理念下阶段性量化运动对老年腰椎间盘突出症(LDH)术后康复训练依从性、腰椎功能恢复的影响,为治疗该病症提供有效方案.方法 选取2020 年1 月—2023 年1 月中国人民解放军空军军医大学第一附属医院收治的老年LDH患者108 例,均行腰椎后路减压融合内固定术,术后按数字表法随机分为观察组(常规康复护理基础上进行共治理念下阶段性量化运动,n =54)和对照组(常规康复护理,n =54).2 组均采取相同的常规治疗,均干预12 周.比较2 组术后康复训练依从性,比较干预前后疼痛程度、腹和背肌肌力、腰椎功能恢复情况和生活质量.结果 干预后,2组术后康复训练依从性评分、日本骨科学会(JOA)下腰痛评分和生活质量(GQOLI-74)评分均升高(P＜0.05);2 组疼痛视觉模拟评分(VAS)、腹和背肌肌力评分、Oswestry功能障碍评分表得分均低于同组干预前(P＜0.05),且观察组术后康复训练依从性评分、JOA评分、GQOLI-74 评分均显著高于对照组(P＜0.05),VAS、腹和背肌肌力评分、Oswestry功能障碍评分均显著低于对照组(P＜0.05).结论 共治理念下阶段性量化运动能有效提高老年LDH患者术后康复锻炼依从性,有助于腰椎功能恢复和提高患者生活质量,具有一定临床价值.

英文摘要:

      Objective To observe the effect of phased quantitative exercise under the concept of co?treatment on the compliance of postoperative rehabilitation training and lumbar functional recovery in elderly patients with lumbar disc herniation (LDH), and provide an effective treatment of the disease. Methods 108 elderly patients with LDH admitted to First Affilia? ted Hospital of Air Force Military Medical University from January 2020 to January 2023 were selected and underwent posterior lumbar decompression fusion and internal fixation. After surgery, they were randomly divided into observation group (phased quantitative exercise under the concept of co?treatment based on conventional rehabilitation nursing, n =54) and control group (conventional rehabilitation nursing, n =54) according to the number table method. Both groups were treated with the same conventional treatment for 12 weeks. The compliance of postoperative rehabilitation training was compared between the two groups. The degree of pain, abdominal and dorsal muscle strength, lumbar functional recovery, and quality of life before and after intervention were compared between the two groups. Results After intervention, the score of the compliance of postoper? ative rehabilitation training, Japanese Orthopaedic Society (JOA) low back pain score and quality of life (GQOLI?74) score increased in both groups (P < 0. 05). The scores of Visual Analogue Scale (VAS), abdominal and dorsal muscle strength score and Oswestry Disability Index of the two groups after intervention were lower than those of the same group before inter? vention (P <0. 05). In addition, the score of the compliance of postoperative rehabilitation training, JOA score, and GQOLI? 74 score of the observation group were significantly higher than those of the control group (P < 0. 05), while the scores of VAS, abdominal and dorsal muscle strengths score and Oswestry Disability Index were significantly lower than those of the con?trol group (P <0. 05). Conclusion Phased quantitative exercise under the concept of co?treatment can effectively improve the compliance of postoperative rehabilitation exercise in elderly patients with LDH. It is helpful to the recovery of lumbar function and improvement of the quality of life of patients, and has certain clinical value.