社区护理干预对改善腰椎间盘突出症患者腰椎功能及预防复发的研究(1)
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【摘要】 目的：探讨应用社区护理干预腰腹肌肌力训练对改善腰椎间盘突出症患者腰椎功能，研究应用社区干预减少腰椎间盘患者复发的有效方法。方法：将56例经治疗并治愈和显效的腰椎间盘突出症患者按治疗结束的时间随机分为社区干预组和对照组，社区干预组进行腰腹肌肌力训练，对照组只进行腰部防护的健康知识教育。随访1年观察两组复发率，并分别于治疗后6和12个月进行腰椎功能评定。结果：社区干预组1年内的复发率明显低于对照组(x2=7.16，P<0.01)。两组患者治疗结果结束后即时的腰椎功能评分经t检验差异无显著性(t=0.70,P>0.05)社区干预组治疗后6个和12个月腰椎功能评分较治疗后即时增高，差异有显著性(t=1.86,1.89,P<0.05)，6和12个月的评分差异无显著性(t=0.73,P>0.048)；对照组治疗后6和12个月时的腰椎评分与治疗后即时相比差异不明显(t=2.09.1.79.P<0.05)。6和12个月的评分相比差异不明显(t=0.57,P>0.05)；社区干预组治疗后6和12个月的腰椎功能评分分别明显高于对照检查组同期评分，差异有非常显著性(t=2.69,2.56,P<0.01)。结论：进行腰腹肌肌力训练能有效改善腰椎间盘突出症患者腰椎功能、预防复发。
【关键词】腰椎；椎间盘移位；腰肌；腹肌；康复护理；复发
Community nursing intervention to improve lumbar function in patients with lumbar disc herniation and prevention of recurrence of
LiuShiJuan
【Abstract】 Objective: To evaluate community nursing intervention on the waist and abdominal strength training to improve lumbar function in patients with lumbar disc herniation, research and application of community intervention to reduce recurrence in patients with lumbar disc effective way. Methods: 56 cases treated and cured and markedly effective in patients with lumbar disc herniation at the time the end of treatment were randomly divided into community intervention and control groups, community intervention group lumbar abdominal strength training, the control group only for the waist protection health education. 1-year follow-up recurrence rates were observed, and after treatment were 6 and 12 months for assessment of lumbar function. Results: The community intervention group 1 year recurrence rate was significantly lower than the control group (x2 = 7.16, P <0.01). The results of two groups of patients immediately after the end of the lumbar spine functional score, t-test showed no significant (t = 0.70, P> 0.05) Community intervention group after 6 and 12 months after treatment, lumbar function score than the real-time increased, the difference significant (t = 1.86,1.89, P <0.05), 6 and 12 months of the score difference was not significant (t = 0.73, P> 0.048); in the control group after 6 and 12 months of the lumbar spine score and treatment was not significantly different compared to immediately after (t = 2 ......
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