实用老年医学

实用老年医学 ›› 2024, Vol. 38 ›› Issue (10): 1020-1024.doi: 10.3969/j.issn.1003-9198.2024.10.012

• 临床研究 • 上一篇    下一篇

老年病人全脊柱内镜术后常规康复辅以髋部加强训练的临床效果分析

宋涵菁, 孙文江, 余波   

  1. 200080 上海市,上海交通大学医学院附属第一人民医院康复科
  • 收稿日期:2023-12-06 出版日期:2024-10-20 发布日期:2024-10-22
  • 通讯作者: 余波,Email:boyujtu@163.com
  • 基金资助:
    上海市科委"科技创新行动计划"医学创新研究专项项目(22Y11912100);上海杉达学院老年康复护理科创中心项目(2023-14)

Clinical effect analysis of routine rehabilitation combined with intensive hip training after full spinal endoscopy in elderly patients

SONG Hanjing, SUN Wenjiang, YU Bo   

  1. Department of Rehabilitation, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
  • Received:2023-12-06 Online:2024-10-20 Published:2024-10-22
  • Contact: YU Bo, Email: boyujtu@163.com

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摘要： 目的 探讨老年病人全脊柱内镜术后常规康复辅以髋部加强训练的临床疗效。 方法 回顾性分析2021年8月至2022年8月在本院接受全脊柱内镜治疗的腰椎间盘突出症病人60例,其中观察组术后采用常规康复辅以髋部加强训练,共28例,对照组术后采用单纯常规康复,共32例。比较2组治疗前、治疗3个月后腰痛及下肢放射痛VAS评分,Oswestry障碍指数(ODI)评分,日本骨科学会(JOA)评分与Barthel指数(BI) 的差异。 结果 治疗后观察组腰痛及下肢放射痛VAS评分及ODI评分均显著低于对照组(P<0.05),JOA评分和BI均显著高于对照组(P<0.05)。 结论 老年病人全脊柱内镜术后采用常规康复辅以髋部加强训练可改善病人术后的腰背痛,加速术后康复。

关键词: 全脊柱内镜手术, 腰背肌康复, 髋部肌肉训练, 生活质量, 康复评定

Abstract: Objective To analyze the clinical effect of routine rehabilitation combined with intensive hip training in the elderly patients after full spinal endoscopy. Methods Sixty patients with lumbar disc herniation undergoing full spinal endoscopic surgery from August 2021 to August 2022 were enrolled in this study. Among them, 28 patients in observation group were treated with routine rehabilitation and intensive hip training after operation, and 32 patients in control group were only treated with routine rehabilitation after surgery. The scores of visual analogue scale (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Society Scale (JOA) and Barthel index (BI) were recorded before and 3 months after surgery. Results The VAS scores of low back pain and lower extremity pain in both groups were all significantly relieved 3 months after surgery. The JOA score and BI in observation group were significantly higher than those in control group(P<0.05), and the ODI score in observation group was significantly lower than that in control group (P<0.05). Conclusions Routine rehabilitation combined with intensive hip training can improve the low back pain in the elderly patients receiving full spinal endoscopy and accelerate postoperative rehabilitation.

Key words: full spinal endoscopic surgery, lumbar muscle rehabilitation, hip muscle training, quality of life, rehabilitation assessment

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