康复路径指导下的康复训练对腰椎间盘突出症患者术后疼痛及康复的影响

目的 探讨康复路径指导下的康复训练对腰椎间盘突出症患者术后疼痛及康复的效果。方法 按随机数字表法将2017年12月—2020年1月在本院行手术治疗的90例腰椎间盘突出症患者分为实验组和对照组,各45例。对照组行常规术后护理,在此基础上,实验组行康复路径指导下的康复训练。比较2组疼痛程度、腰椎功能、腰椎功能康复效果及生活质量。结果 实验组术后视觉模拟评分法(VAS)评分(2.95±0.55)分、Oswetry功能障碍指数(ODI)评分(13.37±1.74),均低于对照组的(3.81±0.46)分、(17.02±1.87)分,日本骨科协会评估治疗分数(JOA)(26.80±1.45)分,高于对照组的(22.18±1.39)分,差异均有统计学意义(P＜0.01)。术后3个月,实验组的SF-36躯体疼痛(71.29±10.18)分、生理职能(79.24±13.15)分、活力(78.12±10.24)分、总体健康(68.59±10.19)分、生理功能(73.30±9.64)分、心理健康(62.79±9.17)分、情感职能(68.20±11.96)分、社会功能(68.29±8.24)分,分别高于对照组的(62.20±7.28)分、(67.54±7.17)分、(68.89±8.02)分、(57.96±8.04)分、(62.23±10.24)分、(51.20±5.26)分、(57.64±9.86)分、(50.12±7.16)分,差异均有统计学意义(P＜0.01)。结论 腰椎间盘突出症术后患者接受康复路径指导下的康复训练能减轻疼痛程度,促进腰椎功能康复,利于改善生活质量。

Effect of rehabilitation training under guidance of rehabilitation pathway on postoperative pain and rehabilitation of patients with lumbar disc herniation

Objective To explore the effect of rehabilitation training under the guidance of rehabilitation pathway on postoperative pain and rehabilitation of patients with lumbar disc herniation. Methods According to the random number table method, 90 patients with lumbar disc herniation in a hospital from December 2017 to January 2020 were divided into an experimental group and a control group, with 45 cases in each group. The control group received the routine postoperative care, and on this basis, the experimental group received the rehabilitation training under the guidance of rehabilitation pathway. The pain degree, lumbar function, rehabilitation effect of lumbar function and quality of life were investigated and compared between the two groups. Results The visual analogue scale (VAS) score and Oswetry disability index (ODI) score of the experimental group were (2.95±0.55) and (13.37±1.74) respectively, which were lower than (3.81±0.46) and (17.02±1.87) of the control group, and the Japanese Orthopaedic Association assessment of treatment (JOA) score was (26.80±1.45), which was higher than (22.18±1.39) of the control group (P<0.01). Three months after the operation, SF-36 physical pain (71.29±10.18), physiological function (79.24±13.15), vitality (78.12±10.24), general health (68.59±10.19), physiological function (73.30±9.64), mental health (62.79±9.17), emotional function (68.20±11.96), and social function (68.29±8.24) in experimental group were higher than the scores in the control group (P＜0.01). Conclusion The rehabilitation training under the guidance of rehabilitation pathway can reduce the degree of pain, promote the recovery of lumbar function, and improve the quality of life.