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中医五行情绪干预联合核心肌力练习对腰椎间盘突出症患者腰椎功能及自我感受负担的影响
引用本文:李琳,李如雪.中医五行情绪干预联合核心肌力练习对腰椎间盘突出症患者腰椎功能及自我感受负担的影响[J].临床心身疾病杂志,2021,27(2):116-121.
作者姓名:李琳  李如雪
作者单位:450002 河南·郑州 河南省中医院(河南中医药大学第二附属医院)
摘    要:目的 探讨中医五行情绪干预联合核心肌力练习对腰椎间盘突出症患者腰椎功能及自我感受负担的影响.方法 将80例腰椎间盘突出症患者按建档顺序分为两组,各40例.对照组采取常规护理及康复训练,观察组在对照组基础上采取五行情绪干预联合核心肌力练习.干预前后采用日本骨科学会评分系统、Oswestry腰椎功能障碍指数评定腰椎功能,焦...

关 键 词:腰椎间盘突出症  核心肌力练习  五行情绪干预  自我感受负担  腰椎功能

Effects of TCM five-element emotional intervention combined with core muscle exercise on functional rehabilitation and self-perceived burden in patients with lumber intervertebral disc herniation
Li Lin,Li Ruxue.Effects of TCM five-element emotional intervention combined with core muscle exercise on functional rehabilitation and self-perceived burden in patients with lumber intervertebral disc herniation[J].Journal of Clinical Psychosomatic Diseases,2021,27(2):116-121.
Authors:Li Lin  Li Ruxue
Institution:(Henan Province Hospital of TCM,Zhengzhou 450002,Henan,China)
Abstract:Objective To explore the effects of TCM five-element emotional intervention combined with core muscle exercise on functional rehabilitation and self-perceived burden in patients with lumber intervertebral disc herniation(LDH).Methods A total of 80 patients with LDH were divided into two groups according to the order of filing,with 40 cases in each group.The control group received routine nursing and rehabilitation training,and the observation group adopted the five-element emotional intervention and core strength exercises based on the control group.Before and after the intervention,the Japanese orthopaedic association scores(JOA)and Oswestry disability index(ODI)were used to evaluate lumbar function,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate bad mood,the visual analogue scale(VAS)was used to evaluate the degree of pain,the unilateral hip bridge endurance test(UHBE)was used to evaluate the core stability,and the self-perceived burden scale(SPBS)was used to assess self-perceived burden.After the intervention,the radiating pain of lower limbs and the improvement of lumbar spine activity were evaluated,and the satisfaction of intervention of the two groups was calculated.Results After the intervention,the SAS,SDS,VAS,ODI,and SPBS scores of the observation group were significantly lower than those of the control group(P<0.01),the JOA score and intervention satisfaction were significantly higher than the control group(P<0.01).The radiating pain in lower limbs and improvement of lumbar spine activity were significantly better than those of the control group(P<0.05),and the UHBE time was significantly longer than that of the control group(P<0.01).Conclusions The core strength exercise combined with the five-element emotional intervention can effectively improve mood state in patients with LDH,enhance core stability and lumbar function,reduce self-perceived burden,and improve intervention satisfaction.
Keywords:lumbar disc herniation  core muscle strength exercises  five-element emotional intervention  self-perceived burden  lumbar function
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