标题：核心肌群训练联合康复护理在腰椎间盘突出患者术后康复中的应用

      作者：殷叶琳，索迎春，康艳    上海市闵行区中心医院骨科，上海 201199

      卷次： 2022年33卷19期

      【摘要】 目的 探讨核心肌群训练联合康复护理在腰椎间盘突出患者术后康复中的应用价值。方法 选择上海市闵行区中心医院骨科于2020年1~12月期间收治的80例接受微创手术治疗的腰椎间盘突出症患者为研究对象，根据随机数表法分为观察组与对照组各40例。对照组患者术后接受常规康复护理，观察组患者在此基础上联合核心肌群训练干预，干预周期均为3个月。比较两组患者干预前后疼痛程度[视觉模拟法(VAS)评分]、腰椎功能[Oswesttry功能障碍指数(ODI)评分]、疗效[日本骨科协会评估治疗分数(JOA)评分]以及生活质量[健康调查简表(SF-36)]评分的变化。结果 术后3个月，观察组患者的VAS、ODI评分分别为(1.39±0.42)分、(7.42±2.68)分，明显低于对照组的(1.85±0.61)分、(11.69±3.31)分，JOA评分为(26.34±4.97)分，明显高于对照组的(22.55±4.46)分，差异均有统计学意义(P<0.05)；观察组患者SF-36量表中的心理健康总评分(MCS)和生理健康总评分(PCS)分别为(80.43±4.78)分、(84.39±6.52)分，明显高于对照组的(76.60±5.27)分、(79.63±5.46)分，差异均有统计学意义(P<0.05)。结论 核心肌群训练联合康复护理应用于腰椎间盘突出患者的术后康复，可有效缓解疼痛症状、促进腰椎功能的恢复，从而提高临床疗效，改善患者的生活质量。
      【关键词】 核心肌群训练；康复护理；腰椎间盘突出；腰椎功能；生活质量
      【中图分类号】 R473.3 【文献标识码】 A 【文章编号】 1003—6350（2022）19—2551—03

Application value of core muscle group training combined with rehabilitation nursing in postoperativerehabilitation of patients with lumbar disc herniation.
YIN Ye-lin, SUO Ying-chun, KANG Yan. Department ofOrthopaedics, Shanghai Minhang District Central Hospital, Shanghai 201199, CHINA
【Abstract】 Objective To explore the application value of core muscle group training combined with rehabilita-tion nursing in postoperative rehabilitation of patients with lumbar disc herniation. Methods Eighty patients with lum-bar disc herniation treated by minimally invasive surgery in the Department of Orthopedics, Shanghai Minhang DistrictCentral Hospital from January 2020 to December 2020 were selected as the research objects. They were randomly divid-ed into an observation group and a control group, with 40 patients in each group. Patients in the control group receivedroutine rehabilitation nursing after operation, and those in the observation group were treated with core muscle grouptraining intervention on the basis of the control group. All the patients were treated for 3 months. The changes of pain de-gree [Visual Analogue Scale (VAS) score], lumbar function [Oswestry disability index (ODI) score], curative effect [Jap-anese Orthopaedic Association Scores (JOA) score], and quality of life (SF-36) before and after intervention were com-pared between the two groups. Results Three months after operation, the VAS and ODI scores of the observation groupwere (1.39±0.42) points and (7.42±2.68) points, respectively, which were significantly lower than (1.85±0.61) points and(11.69±3.31) points of the control group; the JOA score of the observation group was (26.34±4.97) points, which was sig-nificantly higher than (22.55±4.46) points of the control group; the differences were statistically significant (P<0.05). Thetotal score of Mental Component Score (MCS) and physical Component (PCS) score of SF-36 in the observation groupwere (80.43±4.78) points and (84.39±6.52) points, respectively, which were significantly higher than (76.60±5.27) pointsand (79.63±5.46) points in the control group (P<0.05). Conclusion The application of core muscle training combinedwith rehabilitation nursing in the postoperative rehabilitation of patients with lumbar disc herniation can effectively alle-viate the pain symptoms and promote the recovery of lumbar function, so as to improve the clinical curative effect andimprove the quality of life of patients.
      【Key words】 Core muscle group training; Rehabilitation care; Lumbar disc herniation; Lumbar function; Qualityof life　　　·护理·doi:10.3969/j.issn.1003-6350.2022.19.028基金项目：上海市闵行区中心医院院级课题(编号：2021MHHL07)