CAJ | 학술논문

目的探讨腰椎功能位X片活动度用于腰椎间盘突出症的疗效评价作用.方法对68例腰椎间盘突出症患者进行腰椎功能障碍指数(ODI)及腰椎功能位X片(左右侧屈、前后屈伸及左右旋转)测量,并进行分析比较,观察腰椎X片活动度测量与腰椎功能障碍改善的相关程度.结果 ①腰椎间盘突出症患者治疗前ODI评分为(31.18±6.96)分,治疗后为(7.74±7.26)分,治疗前后比较,差异有统计学意义(t=22.676,P＜0.01).②治疗前后前屈角度[分别为(17.40±6.46)°、(22.22 ±8.15)°]、后伸角度[分别为(11.49±6.45)°、(20.06±8.04°]、左侧屈角度[分别为(13.81±7.58)°、(21.31±7.25)°]、右侧屈角度[分别为(13.75±6.14)°、(21.06±6.67)°]、左旋角度[分别为(15.28±8.03)°、(16.63±8.06)°]比较,差异均有统计学意义(P＜0.01);右旋角度[分别为(16.87±9.21)°、(17.59±10.00)°]治疗前后比较,差异无统计学意义(P＞0.05).③经X片腰椎活动度差值与ODI评分差值的pearson相关分析认为,前屈活动度的改善与疗效密切相关.结论腰椎间盘突出症前屈活动度的改善是疗效评价的重要指标.
목적 탐토요추공능위X편활동도용우요추간반돌출증적료효평개작용.방법 대68례요추간반돌출증환자진행요추공능장애지수(ODI)급요추공능위X편(좌우측굴、전후굴신급좌우선전)측량,병진행분석비교,관찰요추X편활동도측량여요추공능장애개선적상관정도.결과 ①요추간반돌출증환자치료전ODI평분위(31.18±6.96)분,치료후위(7.74±7.26)분,치료전후비교,차이유통계학의의(t=22.676,P＜0.01).②치료전후전굴각도[분별위(17.40±6.46)°、(22.22 ±8.15)°]、후신각도[분별위(11.49±6.45)°、(20.06±8.04°]、좌측굴각도[분별위(13.81±7.58)°、(21.31±7.25)°]、우측굴각도[분별위(13.75±6.14)°、(21.06±6.67)°]、좌선각도[분별위(15.28±8.03)°、(16.63±8.06)°]비교,차이균유통계학의의(P＜0.01);우선각도[분별위(16.87±9.21)°、(17.59±10.00)°]치료전후비교,차이무통계학의의(P＞0.05).③경X편요추활동도차치여ODI평분차치적pearson상관분석인위,전굴활동도적개선여료효밀절상관.결론 요추간반돌출증전굴활동도적개선시료효평개적중요지표.
Objective To study lumbar functional X-ray films (flexion-extension,lateral flexion and rotation) in the evaluation of curative effect of Lumbar intervertebral disc herniation.Methods Lumbar dysfunction index (ODI) and lumbar functional X-ray films (flexion-extension,lateral flexion and rotation)were measured in 68 cases of patients with Lumbar intervertebral disc herniation.Statistical analysis and comparison were performed to observe the relationship between lumbar X-ray films activity measurement and lumbar dysfunction improvement.Results ① ODI score of lumbar disc herniation patients was (31.18±6.96)before treatment and (7.74 ± 7.26) after treatment,the difference was statistically significant (t=22.676,P＜0.01).② Anti-flexion angle,post-extension angle,left and right lateral flexion angle,left-roation angle showed statistical difference before and after the treatment (t=-9.262,-16.664,-14.445,-14.494,-20.012,P＜0.01); while difference of right-rotation angle before and after the treatment was not statistically significant (t=1.534,P＞0.05).③ X-ray lumbar spine mobility difference and ODI score difference of Pearson correlation analysis demonstrated that flexion range improvement was closely related with the therapeutic effect,it was an important index in the evaluation of curative effect.Conelusion lumbar disc herniation flexion range improvement is an important index in the evaluation of curative effect.