摘要
目的 观察早期下床活动对腰椎退行性疾病患者术后康复的影响。方法 选择我院2013年1月至2014年2月收治的70 例腰椎退行性疾病患者,将其随机分为两组,各35例。两组患者均给予翻身、预防肺部感染等常规护理措施,对照组于 术后2周下床活动,实验组于术后3d下床活动,对比两组患者术后创伤恢复情况、术后腰腿疼痛评分与功能障碍指数。 结果 实验组术后创伤恢复情况明显优于对照组,差异显著(P<0.05);实验组术后腰腿疼痛评分与功能障碍指数分别为 (1.03±0.04)分、(18.74±3.52)分,均明显低于对照组的(3.89±0.21)分、(29.41±6.28)分,差异显著(P<0.05)。结 论 早期下床活动对腰椎退行性疾病患者术后康复具有十分积极的作用,可有效减轻疼痛,促进康复,减少并发症,值得 临床推广。
Objective To observe the effect of early stage bed activity on postoperative rehabilitation of lumbar degenerative disease. Methods In the 70 cases of lumbar degenerative disease treated by our hospital from January 2013 to February 2014, the patients were randomly divided into two groups, each with 35 cases. Two groups of patients were given to turn, conventional nursing measures such as prevention of lung infection, and the control group at 2 weeks after ambulation, the experimental group in 3 d after ambulation, compared two groups of patients with postoperative wound recovery, the waist and leg pain score index and dysfunction. Results The postoperative trauma recovery of the experimental group was significantly better than that of the control group (P<0.05). In the experimental group, the lumbar pain score and dysfunction index were (1.03+0.04) and (18.74+3.52) respectively, significantly lower than the control group (3.89+0.21), (29.41+0.21), and the difference was significant (P<0.05). Conclusion Early stage bed activity has a very positive effect on postoperative rehabilitation of lumbar degenerative diseases, which can effectively alleviate pain, promote rehabilitation, reduce complications and deserve clinical promotion.
【关键词】早期下床活动;腰椎退行性疾病;术后康复
【中图分类号】R323.3+3
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.06.023
前言
腰椎是支撑人体躯干进行活动的重要枢纽,所有 的躯体活动均会增加腰椎负担,而随着年龄的增长, 人体腰椎负荷承载力逐渐下降,加上长期过度劳损, 极易发生腰椎退行性疾病[1]。目前临床通常采用腰椎 间融合术治疗该病,其治疗效果已得到临床广泛认 可。相关研究表明[2],早期下床活动并进行功能锻炼 能够有效缓解疼痛,促进功能恢复,有助于增强手术 治疗效果。但部分患者由于缺乏对术后康复训练等相 关知识的认知,导致其不愿接受早期下床活动,术后 仍以卧床为主,影响其术后功能恢复与身体康复的进 程。为此我院深入探讨早期下床活动对腰椎退行性疾 病患者术后康复的影响,从而有利于临床推广应用。 报告如下。
罕少疾病杂志
第24卷, 第 6 期
2019年11月
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