临床外科杂志 ›› 2021, Vol. 29 ›› Issue (4): 336-338.doi: 10.3969/j.issn.1005-6483.2021.04.011

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系统功能锻炼联合姜黄活血止痛膏对腰椎术后功能恢复的影响

  

  1. 湖北六七二中西医结合骨科医院骨科
  • 出版日期:2021-04-20 发布日期:2021-04-20

The effect of systemic functional exercise combined with Jianghuang Huoxue Zhitong plaster on the functional recovery in the postoperative patients undergoing lumbar fusion

  • Online:2021-04-20 Published:2021-04-20

摘要: 目的:观察系统功能锻炼联合姜黄活血止痛膏对腰椎融合术后功能恢复的影响。方法:腰椎融合术后病人100例,按就诊先后顺序用数字表法随机分为治疗组和对照组,每组各50例。治疗组采用系统功能锻炼联合姜黄活血止痛膏治疗,对照组采用系统系统功能锻炼治疗。术前及术后1天、7天、14天、30天时,采用疼痛视觉模拟评分(visual analogue score,VAS)、JOA腰痛疾患疗效评分标准评定临床疗效。结果:两组病人均成功随访,治疗后第1天,治疗组和对照组间VAS、JOA评分比较,差异无统计学意义(P>0.05)。治疗后7天、14天、30天治疗组治疗后JOA评分均优于对照组,神经功能恢复明显改善,差异有统计学意义(P<0.05);VAS评分低于对照组,疼痛程度减轻,差异有统计学意义(P<0.01)。结论:系统功能锻炼联合姜黄活血止痛膏对腰椎融合术后病人神经功能的恢复及疼痛的改善有促进作用,可提高病人的生活质量。

关键词: 系统功能锻炼, 姜黄活血止痛膏, 腰椎融合术

Abstract: Objective:To observe the effect of systemic functional exercise combined with Jianghuang Huoxue Zhitong plaster on the functional recovery in the postoperative patients undergoing lumbar fusion.Methods:100 patients undergoing lumbar fusion were randomly divided into treatment group(50 cases) and control group(50 cases).The treatment group was treated with systematic function exercise combined with Jianghuang Huoxue Zhitong plaster, while the control group was treated with systematic function exercise.Before and 1,7,14 and 30 days after operation,visual analog score(VAS) and JOA were used to evaluate the clinical effect.Result:The patients in both groups were followed up successfully.On the first day after treatment,there was no significant difference in VAS and JOA scores between the treatment group and the control group(P>0.05).After 7 days,14 days and 30 days,the JOA score of the treatment group was significantly higher than that of the control group,and the neurological recovery of the patients was significantly improved,the difference was statistically significant(P<0.05).VAS score was significantly lower than that of the control group,and the pain degree of the patients was significantly reduced.The difference was statistically significant(P<0.05).Conclusion:The combination of systemic functional exercise and Jianghuang Huoxue Zhitong plaster can significantly promote the recovery of nerve function and the improvement of pain in the postoperative patients undergoing lumbar fusion,and can improve the quality of life of the patients.

Key words: systemic functional exercise, Jianghuang Huoxue Zhitong plaster, lumbar fusion

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