引用本文:许育东,任光华,王荣生,王伟雄,何立文,刘雄业.腰椎固定融合术后患者居家康复指导和锻炼干预对预后影响的观察[J].中国临床新医学,2017,10(8):781-783.
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腰椎固定融合术后患者居家康复指导和锻炼干预对预后影响的观察
许育东,任光华,王荣生,王伟雄,何立文,刘雄业
525300 广东,信宜市人民医院骨科
摘要:
[摘要] 目的 观察腰椎固定融合术后1年内患者居家康复指导和锻炼干预对预后的影响。方法 选取2013-04~2014-04该院行腰椎固定融合术患者30例,依据患者12个月内康复指导和锻炼情况分为观察组和对照组,每组15例。对照组6个月时停止了康复指导和锻炼,观察组6个月后继续坚持康复指导和锻炼,并配合全身运动。对两组患者进行1年随访,记录术后12个月腰椎不稳定症状出现情况和术后6个月、12个月患者居家康复指导和锻炼实施情况。结果 两组术前腰腿疼痛评分比较差异无统计学意义(P>0.05);术后12个月,观察组腰痛、腿痛评分分别为(1.2±0.4)分、(1.4±0.7)分,对照组为(3.1±1.1)分、(2.9±1.2)分,观察组腰腿疼痛评分低于对照组,差异有统计学意义(P<0.01)。随访12个月后,观察组腰部酸胀无力和脊柱周围肌肉疼痛情况比对照组少,差异具有统计学意义(P<0.05)。结论 腰椎固定融合术后坚持规律的康复指导和锻炼干预,可以有效地预防腰椎不稳定的相关症状出现,有助于改善预后。
关键词:  腰椎固定融合术  居家康复行为  腰椎不稳定性
DOI:10.3969/j.issn.1674-3806.2017.08.20
分类号:R 68
基金项目:
The effect of home rehabilitation intervention on the prognosis after lumbar interbody fusion
XU Yu-dong, REN Guang-hua, WANG Rong-sheng, et al.
The effect of home rehabilitation intervention on the prognosis after lumbar interbody fusion
Abstract:
[Abstract] Objective To observe the effect of home rehabilitation intervention on the prognosis of patients with lumbar interbody fusion for 1 year.Methods 30 patients who underwent lumbar arthrodesis in our hospital from April 2013 to April 2014 were divided into the observation group and the control group according to the rehabilitation exercise behaviors within 12 months, with 15 cases in each group. The control group stopped the rehabilitation exercise 6 months after the operation, while the observation group continued to do the rehabilitation exercise 6 months after the operation and in combination with full-body movements. All the patients were followed up for one year. The lumbar instability symptoms and the cutcomes of home rehabilitation 6 and 12 months after the operation were compared between the two groups.Results There were no significant differences in the limbocrual pain scores before the operation between the two groups(P>0.05). 12 months after the surgery, low back pain and leg pain scores in the observation group were less than those in the control group[(1.2±0.4) vs (3.1±1.1), (1.4±0.7) vs (2.9±1.2), (P<0.05)]. The symptoms of lumbar instability in the observation group were less than those in the control group after a follow up of 12 months(P<0.05).Conclusion The intervention of regular rehabilitation after lumbar fixation and fusion can effectively prevent the related symptoms of lumbar spine instability, and help to improve the prognosis.
Key words:  Lumbar interbody fusion  Home rehabilitation behavior  Instability of lumbar spine