德克萨斯脊柱康复计划对腰椎术后患者的影响
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(赣州市人民医院,江西 赣州 341000)

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丁毅,男,住院医师,主要研究方向是脊柱相关疾病。

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R 681.5+ 3

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The Impact of the Texas Spine Rehabilitation Program on Patients after lumbar Spine Surgery
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(Ganzhou People's Hospital, Jiangxi Ganzhou 341000)

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    摘要:

    〔摘 要〕 目的:探讨德克萨斯脊柱康复计划对腰椎术后患者疼痛及功能障碍恢复情况的影响。方法:选取赣州市人民 医院 2018 年 1 月至 2020 年 12 月收治的 586 例腰椎间盘突出症(LDH)患者为研究对象,随机将患者均分成对照组和观 察组,各 293 例。其中对照组患者接受常规护理干预,观察组患者接受德克萨斯脊柱康复计划。保持对患者随访 3 个月, 比较患者干预后视觉模拟评分法(VAS)、日本骨科协会评估治疗分数(JOA)、Oswestry 功能障碍指数(ODI)评分的变 化,同时比较患者生活质量变化和干预满意度。结果:干预前,两组患者 VAS、JOA、ODI 评分比较,差异无统计学意义 (P > 0.05);干预 1 周后、干预 3 个月后,观察组患者 VAS、ODI 评分均低于对照组,JOA 高于对照组,差异均具有统 计学意义(P < 0.05)。干预前与干预 1 周,两组患者生活质量评分比较,差异无统计学意义(P > 0.05);干预 3 个月后, 观察组患者生活质量评分高于对照组,差异具有统计学意义(P < 0.05)。结论:德克萨斯脊柱康复计划能帮助 LDH 患者 脊柱功能快速恢复,并可显著缓解患者疼痛,使患者生活质量得到提升。

    Abstract:

    〔Abstract〕 Objective To explore the recovery of pain and dysfunction index of patients after lumbar spine surgery by Texas Spine Rehabilitation Program. Methods A total of 586 patients with lumbar intervertebral disc herniation (LDH) admitted to Ganzhou People's Hospital from January 2018 to December 2020 were selected as the research objects. The patients were randomly divided into two groups, with 293 cases each in the control group and the observation group. Patients in the control group received routine nursing interventions, and patients in the observation group received the Texas Spinal Rehabilitation Program. The patients were followed up for 3 months to compare the visual analogue scale (VAS), the Japanese Orthopedic Association Assessment Treatment Score (JOA), and the Oswestry Dysfunction Index (ODI) scores after the intervention. At the same time, the changes in the quality of life of the patients and the satisfaction of the intervention were compared. Spend. Results Before recovery, the difference in VAS, JOA, ODI scores between the two groups of patients was not statistically significant (P > 0.05); after 1 week of intervention and 3 months of intervention, the observation group’s VAS and ODI scores were lower than those of the control group , JOA was higher than the control group, the difference was statistically significant (P < 0.05). Before recovery, there was no significant difference in the quality of life scores between the two groups of patients (P > 0.05); after 3 months of intervention, the quality of life scores of the observation group were higher than those of the control group, and the difference was statistically significant (P < 0.05). Conclusion The Texas Spine Rehabilitation Program can help patients with LDH quickly recover their spinal function, and can significantly alleviate the pain of the patient, and improve the quality of life of the patient.

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  • 收稿日期:2021-05-25
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  • 在线发布日期: 2021-11-10
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