Clinical Efficacy of Standardized Exercise Prescription Rehabilitation Training on Lumbar Intervertebral Disc Herniation
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摘要:
目的 探讨规范化运动处方对腰椎间盘突出症患者疼痛、活动受限、抑郁情绪等相关症状的临床疗效。 方法 纳入腰椎间盘突出症患者40例随机分为观察组（常规治疗加规范运动处方康复训练）和对照组（常规治疗加常规运动训练），观察各组治疗前后视觉模拟疼痛评分、抑郁自评量表评分、直腿抬高角度。 结果 治疗后，实验组视觉模拟评分法（VAS）评分、抑郁自评量表评分（SDS）、直腿抬高角度改善情况均优于对照组。经对比，实验组的患者VAS、SDS评分在治疗前后变化，差异有统计学意义（P < 0.001）；对照组的患者VAS评分在治疗前后变化，差异有统计学意义（P = 0.001），而SDS评分治疗前后变化，差异无统计学意义（P = 0.178）。实验组VAS、SDS、直腿抬高角度与对照组，差异有统计学意义（P < 0.05），实验组疼痛、情绪抑郁、直腿抬高角度改善程度明显高于对照组（P < 0.001）。 结论 规范化运动处方康复训练具有减轻腰椎间盘突出症疼痛、提高直腿抬高角度、改善抑郁情绪的临床疗效，进而改善患者生活质量。 Abstract:Objective To explore the clinical efficacy of standardized exercise prescription on pain, immobility, depression and other related symptoms in patients with herniated lumbar disc. Methods 40 patients with lumbar intervertebral disc herniation were enrolled and randomly divided into observation group （conventional treatment plus standard exercise prescription rehabilitation training） and control group （conventional treatment plus routine exercise training）. Visual Analogue Scale （VAS）, self-rating depression scale （SDS） and straight leg elevation angle were measured before and after treatment in each group. Results After treatment, VAS, SDS and straight leg elevation angle of the experimental group were significantly improved. VAS, SDS in the experimental group changed significantly before and after treatment, and the difference was statistically significant （P < 0.001）. The VAS of patients in the control group changed before and after treatment, the difference was statistically significant （P = 0.001）, while difference of SDS before and after treatment was not statistically significant （P = 0.178）. The VAS, SDS and straight leg elevation angle of the experimental group were significantly different from those of the control group （P < 0.05）. The improvement degree of pain, depression and straight leg elevation angle of the experimental group was significantly higher than that of the control group （P < 0.001）. Conclusion The standardized exercise prescription rehabilitation training can alleviate the pain of lumbar disc herniation, improve the angle of straight leg raising, and improve the clinical effect of depression, so as to improve the quality of life of patients. -
Key words:
- Exercise prescription /
- Rehabilitation training /
- Lumbar disc herniation
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表 1 2组基线资料比较（
$\bar x \pm s$ ）Table 1. Baseline data of two Groups （
$\bar x \pm s$ ）项目 实验组 对照组 P/χ2 年龄（岁） 67.55 ± 13.81 68.05 ± 14.94 0.550 性别[（男性/女性）n] 12/8 10/10 0.525 BMI（kg/m2） 23.42 ± 3.88 23.16 ± 4.15 0.836 
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表 2 2组VAS、SDS、直腿抬高角度对比（
$\bar x \pm s$ ）Table 2. Comparison of VAS、SDS and straight leg elevation angle between two groups （
$\bar x \pm s $ ）组别 实验组 对照组 P VAS（分） 治疗前 5.65 ± 1.04 5.50 ± 1.10 0.660 治疗后 2.1 ± 1.45**## 4.05 ± 1.5* 0.000 P 0.000 0.001 SDS（分） 治疗前 44.45 ± 2.74 46.25 ± 3.25 0.067 治疗后 41.3 ± 1.13**## 44.95 ± 2.70 0.000 P 0.000 0.178 直腿抬
高角度（°）治疗前 37.10 ± 4.67 37.95 ± 4.64 0.567 治疗后 70.25 ± 9.10**## 48.95 ± 11.32** 0.000 P 0.000 0.000 与治疗前比较，*P < 0.05，**P < 0.001；与对照组比较，##P < 0.01。
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