腰腹肌肌力训练护理对腰椎骨质疏松性压缩骨折术后患者康复效果的影响

目的 探讨腰腹肌肌力训练护理方案对腰椎骨质疏松性压缩骨折术后患者康复效果、疼痛程度和腰腹肌耐力的影响.方法 选取2014年10月～2016年10月收治的腰椎骨质疏松性压缩骨折患者134例,根据入院编号分为两组,单号纳入对照组(67例),行术后常规护理;双号纳入干预组(67例),行术后腰腹肌肌力训练护理.观察并记录两组康复效果、护理前后疼痛程度和出院前后腰腹肌肌耐力情况,并进行对比分析.结果①康复效果:干预组康复优良率高于对照组,差异有统计学意义(P<0.05).②疼痛程度:两组护理后疼痛程度均轻于护理前,干预组护理后疼痛程度轻于对照组,差异有统计学意义(P<0.05).③腰腹肌肌耐力:干预组出院前、出院后4周腰腹肌肌耐力评分均优于对照组,差异有统计学意义(均P<0.05).结论 腰腹肌肌力训练护理方案应用于腰椎骨质疏松性压缩骨折术后可显著提高患者的康复效果,减轻其术后疼痛程度,增强患者腰腹肌肌耐力,具有一定临床价值.

Influence of waist and abdominal muscle force training nursing on the rehabilitation effect of postoperative patients of lumbar vertebra osteoporosis compression fracture

Objective To explore the influence of waist and abdominal muscle force training nursing scheme on the rehabilitation effect, pain degree, waist and abdominal muscle endurance of postoperative patients of lumbar ver-tebra osteoporosis compression fracture. Methods A total of 134 patients of lumbar vertebra osteoporosis compression fracture received from October, 2014 to October, 2016 were selected, and divided into two groups according to admis-sion number. Odd numbers were applied to control group (67 cases) to have postoperative usual nursing and even num-bers were applied to intervention group (67 cases) to have waist and abdominal muscle force training nursing. The re-habilitation effect, pain degree before and after nursing, waist and abdominal muscle endurance before and after dis-charge of both groups was observed and recorded to have comparison and analysis. Results ①Rehabilitation effect:the excellent rate of rehabilitation of intervention was higher than control group ( P<0. 05 ) . ②Pain degree:the pain de-gree of both groups after nursing was milder than it before nursing, and the pain degree of intervention group after nurs-ing was milder than control group ( P<0. 05 ) . ③Waist and abdominal muscle endurance: the score of waist and ab-dominal muscle endurance of intervention group was superior to control group 4 weeks before and and after discharge ( P<0. 05 ) . Conclusions Waist and abdominal muscle force training scheme applied to the postoperative patients of lumbar vertebra osteoporosis compression fracture can significantly improve the rehabilitation effect, relieve postoperative pain degree and strengthen patients' waist and abdominal muscle endurance, which has some clinical value.