标题：主动康复锻炼对腰椎间盘突出症缓解期患者的治疗作用

      作者：李健兵 1，杨建全 2    (1.陕西财经职业技术学院体育部，陕西 咸阳 712000；2.西安医学院体育部，陕西 西安 710021)

      卷次： 2017年28卷12期

      【摘要】 目的 研究主动康复锻炼对腰椎间盘突出症缓解期患者的治疗作用。方法 选择西安医学院附属医院门诊2016年1~6月收治的72例腰椎间盘突出症缓解期患者作为研究对象，采用随机数字表法分为两组，每组36例。对照组采用单纯推拿治疗，康复组在推拿治疗的同时在专业人员的指导下进行主动康复锻炼，治疗前、治疗3个月后采用日本矫形外科学会(JOA)下腰痛评分标准、VAS视觉模拟疼痛评分法及脊柱功能测试评价训练系统(Tergumed)评价法评价患者症状功能、疼痛及腰椎活动度、背伸肌力改善情况。结果 治疗3个月后，观察组患者的 JOA评分、腰椎背伸力量和活动度评分由治疗前的(13.64±3.53)分、(359.82±79.64)分、(26.02±5.87)分提高到(24.95±5.18)分、(527.51±102.36)分、(28.47±5.32)分，VAS评分由治疗前的(6.48±1.36)分降低到(0.92±0.27)分，差异均有统计学意义(P<0.05)。结论 主动康复锻炼对改善腰椎间盘突出症缓解期患者腰椎、脊柱功能、症状体征均有明显疗效。
      【关键词】 康复锻炼；腰椎间盘突出症；缓解期；治疗作用
      【中图分类号】 R681.5+3 【文献标识码】 A 【文章编号】 1003—6350（2017）12—1932—03

Therapeutic effect of active rehabilitation exercise on patients with lumbar disc prolapse in the period ofremission.
LI Jian-bing 1, YANG Jian-Quan 2. 1. Department of Physical Education, Shaanxi Technical College of Finance& Economics, Xi'an 712000, Shaanxi, CHINA; 2. Department of Physical Education, Xi'an Medical University, Xi'an710021, Shaanxi, CHINA
【Abstract】 Objective To study the therapeutic effect of the active rehabilitation exercise on the treatment ofpatients with lumbar disc prolapse in the period of remission. Methods A total of 72 cases of patients with lumbar discprolapse in the period of remission, who admitted to outpatient service of our hospital from January 2016 to June 2016,were selected and divided into the two groups by random number table methods, with 36 cases in each group. The controlgroup was treated with pure massage therapy, and the rehabilitation group was treated with additional active rehabilita-tion exercise under the guidance of professional staff based on the treatment of the control group. Before and after 3months of treatment, the patient's symptoms, pain and lumbar motion and back muscle strength improvement were evalu-ated by the low back pain score proposed by Japanese Orthopedic Association (JOA), visual analogue score (VAS), andspinal functional test training system (Tergumed) evaluation method. Results After 3 months of treatment, the JOAscore, lumbar back stretch strength score and activity score in the rehabilitation group were (24.95±5.18) points, (527.51±102.36) points, (28.47±5.32) points, respectively, which were significantly higher than (13.64±3.53) points, (359.82±79.64) points, (26.02±5.87) points before treatment (P<0.05), and VAS scores significantly reduced from (6.48±1.36)points befor treatment to (0.92±0.27) points (P<0.05). Conclusion Active rehabilitation exercise has significant effecton improving the lumbar spine, spinal function, symptoms and signs of patients with lumbar disc prolapse in the periodof remission.
      【Key words】 Rehabilitation exercise; Lumbar disc disease; Remission; Therapeutic effect·论 著·doi:10.3969/j.issn.1003-6350.2017.12.013基金项目：陕西省教育厅2012自然科学基金(编号：12JK0707)；2015年陕西省体育局课题(编号：15038)