早期主动直腿抬高训练对腰椎间盘突出症术后康复的影响

目的探讨早期主动直腿抬高训练对腰椎间盘突出症术后患者近期疗效、远期疗效和情绪心理的影响。方法将100例行腰椎间盘突出症髓核摘除手术患者随机分为早期主动训练组50例和常规训练组50例，术后分别给予早期主动直腿抬高训练和常规训练，于术后第2周评价两组疗效、焦虑和满意度，术后第4周、8周、1年及2年随访评价两组残余腰腿痛发生率、直腿抬高试验阳性率。结果早期主动训练组总有效率为90．0％，焦虑发生率26．0％，满意度92．0％；常规训练组总有效率74．0％，焦虑发生率48．0％，满意度72．0％；早期主动训练组残余腰痛发生率在术后第4周、8周、1年和2年均低于常规训练组，残余腿痛发生率在术后第1年和第2年低于常规训练组，直腿抬高试验阳性率在术后第2年低于常规训练组（P〈0．05）。结论腰椎间盘突出症髓核摘除术后早期主动直腿抬高训练可有效提高近期和远期疗效，改善焦虑状态，提高手术满意度。

The influence of early Initiative straight-leg raising training on postoperative rehabilitation of patients with lubar intervertebrai disc protrusion

Objective To explore the influence of early initiative straight-leg raising training on postoperative rehabilitation of patients with lubar intervertebral disc protrusionMcthods 100 lubar intervertebral disc protrusion cases received nucleus gelatinosus removal operation were randomly divided into early active training group ( n = 50 ) and routine training group ( n = 50), the former were treated by straightening and raising leg training, the latter were received routine method, the curative effect, anxiety and satisfaction were evaluated after 2 weeks operation. The incidence of backleg pain and straight-leg raising test were evaluated on the 4th and 8th week, first and second year after operation. Results In early active training group, the total effective rate was 90. 0%, the incidence of anxiety was 26.0% and the satisfication was 92.0%, while in routine group, their counterpart was 74.0%, 48.0% and 72.0%. The incidence of remnant back pain after 4 and 8 weeks, 1 and 2 years was lower than that in routine group, while the incidence of remnant skelalgia was lower after 1 and 2 years operation. The positive rate of straight-leg raising test was lower than routine group on the Second year after operation. Conclusions Early straight-leg raising training on patients with lubar intervertebral disc protrusion with nucleus gelatinosus removal operation is helpful to improve the shor and prostecdtive efficacy, anxious taanxious status and statisfaction.