中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2009年
3期
223-225
,共3页
康复护理%直腿抬高训练%满意度%残余腰腿痛%腰椎间盘突出症
康複護理%直腿抬高訓練%滿意度%殘餘腰腿痛%腰椎間盤突齣癥
강복호리%직퇴태고훈련%만의도%잔여요퇴통%요추간반돌출증
Rehabilitation nursing%Straight-leg raising training%Satisfaction%Remnant bacldeg pain%Lubar intervertebral disc protrusion
目的 探讨早期主动直腿抬高训练对腰椎间盘突出症术后患者近期疗效、远期疗效和情绪心理的影响.方法 将100例行腰椎间盘突出症髓核摘除手术患者随机分为早期主动训练组50例和常规训练组50例,术后分别给予早期主动直腿抬高训练和常规训练,于术后第2周评价两组疗效、焦虑和满意度,术后第4周、8周、1年及2年随访评价两组残余腰腿痛发生率、直腿抬高试验阳性率.结果 早期主动训练组总有效率为90.0%,焦虑发生率26.0%,满意度92.0%;常规训练组总有效率74.0%,焦虑发生率48.0%,满意度72.0%;早期主动训练组残余腰痛发生率在术后第4周、8周、1年和2年均低于常规训练组,残余腿痛发生率在术后第1年和第2年低于常规训练组,直腿抬高试验阳性率在术后第2年低于常规训练组(P<0.05).结论 腰椎间盘突出症髓核摘除术后早期主动直腿抬高训练可有效提高近期和远期疗效,改善焦虑状态,提高手术满意度.
目的 探討早期主動直腿抬高訓練對腰椎間盤突齣癥術後患者近期療效、遠期療效和情緒心理的影響.方法 將100例行腰椎間盤突齣癥髓覈摘除手術患者隨機分為早期主動訓練組50例和常規訓練組50例,術後分彆給予早期主動直腿抬高訓練和常規訓練,于術後第2週評價兩組療效、焦慮和滿意度,術後第4週、8週、1年及2年隨訪評價兩組殘餘腰腿痛髮生率、直腿抬高試驗暘性率.結果 早期主動訓練組總有效率為90.0%,焦慮髮生率26.0%,滿意度92.0%;常規訓練組總有效率74.0%,焦慮髮生率48.0%,滿意度72.0%;早期主動訓練組殘餘腰痛髮生率在術後第4週、8週、1年和2年均低于常規訓練組,殘餘腿痛髮生率在術後第1年和第2年低于常規訓練組,直腿抬高試驗暘性率在術後第2年低于常規訓練組(P<0.05).結論 腰椎間盤突齣癥髓覈摘除術後早期主動直腿抬高訓練可有效提高近期和遠期療效,改善焦慮狀態,提高手術滿意度.
목적 탐토조기주동직퇴태고훈련대요추간반돌출증술후환자근기료효、원기료효화정서심리적영향.방법 장100례행요추간반돌출증수핵적제수술환자수궤분위조기주동훈련조50례화상규훈련조50례,술후분별급여조기주동직퇴태고훈련화상규훈련,우술후제2주평개량조료효、초필화만의도,술후제4주、8주、1년급2년수방평개량조잔여요퇴통발생솔、직퇴태고시험양성솔.결과 조기주동훈련조총유효솔위90.0%,초필발생솔26.0%,만의도92.0%;상규훈련조총유효솔74.0%,초필발생솔48.0%,만의도72.0%;조기주동훈련조잔여요통발생솔재술후제4주、8주、1년화2년균저우상규훈련조,잔여퇴통발생솔재술후제1년화제2년저우상규훈련조,직퇴태고시험양성솔재술후제2년저우상규훈련조(P<0.05).결론 요추간반돌출증수핵적제술후조기주동직퇴태고훈련가유효제고근기화원기료효,개선초필상태,제고수술만의도.
Objective To explore the influence of early initiative straight-leg raising training on postoperative rehabilitation of patients with lubar intervertebral disc protrusionMcthods 100 lubar intervertebral disc protrusion cases received nucleus gelatinosus removal operation were randomly divided into early active training group ( n = 50 ) and routine training group ( n = 50), the former were treated by straightening and raising leg training, the latter were received routine method, the curative effect, anxiety and satisfaction were evaluated after 2 weeks operation. The incidence of backleg pain and straight-leg raising test were evaluated on the 4th and 8th week, first and second year after operation. Results In early active training group, the total effective rate was 90. 0%, the incidence of anxiety was 26.0% and the satisfication was 92.0%, while in routine group, their counterpart was 74.0%, 48.0% and 72.0%. The incidence of remnant back pain after 4 and 8 weeks, 1 and 2 years was lower than that in routine group, while the incidence of remnant skelalgia was lower after 1 and 2 years operation. The positive rate of straight-leg raising test was lower than routine group on the Second year after operation. Conclusions Early straight-leg raising training on patients with lubar intervertebral disc protrusion with nucleus gelatinosus removal operation is helpful to improve the shor and prostecdtive efficacy, anxious taanxious status and statisfaction.
