CAJ | 학술논문

目的：分析早期康复护理干预对腰椎间盘突出症（LD H ）术后恢复的效果。方法选取80例经手术治疗的LD H患者为研究对象，随机分为观察组和对照组各40例，对照组采用常规护理模式，观察组给予早期康复护理干预，比较两组患者术后疼痛，功能恢复情况。结果两组患者术前日本骨科学会（JOA ）下腰痛功能评分无显著性差异，术后2周至1年期间，观察组各时间点JOA 评分均显著高于对照组（P＜0．05）；术后4周比较两组患者的康复效果，观察组总有效率显著高于对照组（P＜0．05），术后1年，观察组残留腰痛、腿痛以及直腿抬高试验阳性率均显著低于对照组（P＜0．05）。结论腰椎间盘突出症术后早期进行康复护理干预有利于术后功能恢复，可长期维持治疗效果，避免腰痛、腿痛复发。
목적：분석조기강복호리간예대요추간반돌출증（LD H ）술후회복적효과。방법선취80례경수술치료적LD H환자위연구대상，수궤분위관찰조화대조조각40례，대조조채용상규호리모식，관찰조급여조기강복호리간예，비교량조환자술후동통，공능회복정황。결과량조환자술전일본골과학회（JOA ）하요통공능평분무현저성차이，술후2주지1년기간，관찰조각시간점JOA 평분균현저고우대조조（P＜0．05）；술후4주비교량조환자적강복효과，관찰조총유효솔현저고우대조조（P＜0．05），술후1년，관찰조잔류요통、퇴통이급직퇴태고시험양성솔균현저저우대조조（P＜0．05）。결론요추간반돌출증술후조기진행강복호리간예유리우술후공능회복，가장기유지치료효과，피면요통、퇴통복발。
Objective To study the clinical effect of early rehabilitation nursing intervention in the patients who underwent lum-bar intervertebral disc operation .Methods 80 patients with lumbar disc herniation were selected and divided them into observation group and control group randomly ,each group contains 40 patients .The control group received conventional nursing while the ob-servation group underwent early rehabilitation nursing intervention after operation .Comparison was made in respects of pain ,func-tion rebuild and clinical effect after operation between two groups .Results There was no significant difference in the preoperative Japanese Orthopaedic Association(JOA) score between two groups .The differences in postoperative JOA scores were significant from 2 weeks after operation to 1 year .The observation group has better clinical effect than that of control group .And the percent-age of back pain or leg pain ,the positive rate of straight leg raising in observation group was less than the control group in 12 months after operation .Conclusion The early rehabilitation nursing intervention can help lumbar disc operation patients recover faster ,maintain the clinical effect and prevent the postoperative complications .