持续、合理运动训练对中老年腰椎失稳椎间融合术后疗效观察

目的观察持续、合理的运动训练在中老年腰椎失稳椎间融合术后康复中的作用。方法将腰椎不稳行椎间融合术患者87例随机分为观察组46例，对照组41例。两组患者于术后第1天开始进行直腿抬高运动训练，术后第5、10天分别增加“五点式”仰卧抬臀运动训练和“飞燕式”脊柱后伸训练。观察组每天早、中、晚各训练1次，每组动作训练10min；对照组训练时间长短以患者自我感觉不劳累、不疼痛为依据。结果观察组功能恢复及疼痛改善均优于对照组，差异有统计学意义（P〈0．05或P〈0．01）。结论持续、合理的运动功能训练能有效增加腰椎失稳椎间融合术后腰背肌强度，促进功能恢复，减少术后腰腿疼痛。

Clinical observation of the curative effect for the sustained and reasonable exercise therapy in elderly lumbar spinal fusion surgery

Objective To observe the function of rehabilitation of the sustained and reasonable exercise therapy in aged lumbar spinal fusion surgery. Methods A total of 87 patients with lumbar instability illness of lumbar spine treated by lumbar fusion operation were randomly divided into the test group with 46 cases and control group with 41 cases. All of patients completed a prone straight leg raising after operation.After 5,10 days respectively increase ＂five point＂ carried on the hip movement after training and ＂swallows＂ spinal stretch training.In the test group,two exercises were completed for early,noon and night three times daily,and 10 minutes on one time.The exercises time length of control group was limited in no tired and no pain. Results The functional recovery and pain relief of observation in test group was superior to the control group,and there were significant differences between the two groups （P 〈 0.05 or P 〈 0.01）. Conclusion Sustained and reasonable exercise therapy can effectively increase the strength of lumbar mus- cles,promote the functional recovery and relieve low back pain in patients after lumbar fusion operation.