八段锦操对腰椎间盘突出症射频消融术后患者康复效果的影响

目的 探讨八段锦操锻炼对腰椎间盘突出症（llumbar disc protrusion,LDP）射频消融术后患者康复效果的影响.方法 2010年7月至2011年4月,在上海市中医医院施行射频消融手术治疗的LDP患者80例,按入院先后将其分为对照组和观察组各40例,对照组采用临床常规的康复锻炼方法（即飞燕点水式及拱桥式的功能锻炼）,观察组采用八段锦操进行功能锻炼,观察期为4周,分别于术前、术后2周与术后4周采用日本矫形外科学会（Japanese Orthopedic Association,JOA）下腰痛评分表、直腿抬高试验,对两组患者术后康复效果进行评估.结果 观察组术后1个月JOA评分及直腿拾高的有效率均明显优于对照组（均P＜0.05）.结论 八段锦操锻炼能提高LDP射频消融术后患者的康复效果.

Effects of Ba Duan Jin Exercises on Postoperative Rehabilitation for Patients with Lumbar Disc Protrusion Treated by Radiofrequency Ablation

Objective To explore the effects of Ba Duan Jin Exercises on postoperative rehabilitation for patients with lumbar disc protrusion （LDP） treated by radiofrequency ablation.Methods Totally 80 patients with LDP treated by radiofrequency ablation were recruited and divided into observational group and control group.Patients in both groups were given mental nursing and health education,while patients in the observational group were given 4-week additional Ba Duan Jin Exercises and swallowed some water type and arch type of functional training.Effects of postoperative rehabilitation before surgery,2 weeks and 4 weeks after surgery were assessed by Japan Orthopaedic Institute （JOA） with low back pain rating scale,straight leg raising test.Results The straight leg raising efficiency JOA score was significantly better than the control group one month later（P＜0.05）.Conclusion Ba Duan Jin Exercises can improve the effects of rehabilitation for patients with lumbar herniation treated with radiofrequency catheter ablation.