Effect of Core Stability Training on Patients with Lumbar Degenerative Disease After Minimally Invasive Surgery

Abstract

Abstract: Objective To investigate the effect of core stability training in the treatment of lumbar degenerative diseases after percutaneous endoscopic discectomy. Methods A total of 60 patients with LDD, who were admitted to the spinal surgery department of hospital and received PELD treatment from October 2019 to December 2019, were selected as study subjects by the convenience sampling method. According to the methods of rehabilitation, 30 patients who received core stabilization training nursing after PELD surgery as the observation group and 30 patients who received routine nursing after PELD surgery as the control group. VAS and ODI scores of the two groups were compared before surgery, 1 week after surgery and 1 month after surgery, respectively. Results The VAS score and ODI score of the observation group were significantly lower than that of the control group (P<0.05). Conclusion The core stability training method can reduce the postoperative pain of LDD patients, improve the clinical efficacy, and is worthy to be clinically popularized.

Key words: lumbar microsurgery, lumbar degenerative diseases, rehabilitation

摘要： 目的探讨核心稳定性训练法对经皮内镜下腰椎间盘切除术治疗腰椎退行性疾病患者术后的应用效果。方法采用便利抽样法选取2019年10月~2019年12月在某院脊柱外科住院且行PELD治疗的60名LDD患者作为研究对象。根据接受康复护理方式的不同,将PELD术后进行核心稳定训练法护理的30名患者作为观察组,将PELD术后进行常规护理的30名患者作为对照组,分别比较手术前、术后1周、术后1个月两组患者的VAS评分、ODI评分。结果术后观察组的VAS评分及ODI评分均低于对照组,差异有统计学意义（P<0.05）。结论核心稳定性训练法能够减轻LDD患者术后疼痛,提高临床疗效,值得在临床推广。

关键词: 腰椎微创术, 腰椎退行性疾病, 康复

CLC Number:

R687

LIU Ke-wen, REN Yue-fei, ZHANG Xi, TIAN Jian-li. Effect of Core Stability Training on Patients with Lumbar Degenerative Disease After Minimally Invasive Surgery[J]. Journal of Chengde Medical University, 2021, 38(3): 209-211.

刘克温, 任悦菲, 张玺, 田建丽. 核心稳定性训练法对腰椎退行性疾病患者微创术后效果观察[J]. 承德医学院学报, 2021, 38(3): 209-211.

References

[1] van Uden S, Silva-Correia J, Oliveira JM, et al. Current strategies for treatment of intervertebral disc degeneration: substitution and regeneration possibilities[J]. Biomater Res, 2017, 21: 22.
[2] Binbin W, Shaobo Z, Qingquan L, et al.Lumbar Scoliosis Combined Lumbar Spinal Stenosis and Herniation Diagnosed Patient Was Treated with “U” Route Transforaminal Percutaneous Endoscopic Lumbar Discectomy[J]. Case Reports in Orthopedics, 2017: 1-6.
[3] 李鹏飞,丁任,石晓兵,等. 经皮椎间孔镜治疗老年性腰椎管狭窄症的疗效和安全性观察[J]. 内蒙古医学杂志,2017,49(9):1045-1047.
[4] 伊莉,陈丽言,唐蜜,等. 快速康复训练在高龄多节段退行性腰椎管狭窄症患者中的应用[J]. 齐鲁护理杂志,2019,25(10):70-73.
[5] Stuber KJ, Bruno P, Sajko S, et al.Core Stability Exercises for Low Back Pain in Athletes: A Systematic Review of the Literature[J]. Clinical Journal of Sport Medicine, 2014, 24(6): 448-456.
[6] Landow L, Haff GG.Use of Stability Balls in Strength and Conditioning[J]. Strength and Conditioning Journal, 2012, 34(1): 48-49.
[7] Malham GM, Parker RM.Early experience with lateral lumbar total disc replacement: Utility, complications and revision strategies[J]. Journal of Clinical Neuroscience, 2017, 39: 176-183.
[8] 郑光新,赵晓鸥,刘广林,等. Oswestry功能障碍指数评定腰痛患者的可信性[J]. 中国脊柱脊髓杂志,2002, 12(1):13-15.
[9] Kulig K, Beneck GJ, Selkowitz DM, et al.An Intensive, Progressive Exercise Program Reduces Disability and Improves Functional Performance in Patients After Single-Level Lumbar Microdiskectomy[J]. Physical Therapy, 2009, 89(11): 1145-1157.
[10] 赵政,杨琴,杨慧敏,等. 腰椎退行性病变疼痛患者恐动症现状及影响因素调查分析[J]. 中国卫生统计,2019,36(5):718-721.
[11] 孙宝莲. 个人护理配合功能锻炼对腰椎间盘突出症患者腰椎间盘功能及生活质量的影响[J]. 国际护理学杂志,2014,33(12):3507-3509.
[12] 李喆雯. Dynesys动态稳定系统治疗退行性腰椎管狭窄症的围手术期护理[J]. 中华现代护理杂志,2013,19(1):69-72.
[13] 徐宝山,常峰,赵刘军,等. 经皮椎间孔入路内镜下治疗腰椎管狭窄症术后再手术的临床报告[J]. 中华骨科杂志,2018,38(8):485-496.
[14] 胡海,张智长,连小峰,等. 主动直腿抬高试验的生物力学机制[J]. 国际骨科学杂志,2015,36(6):387-389.
[15] Natour J, Cazotti Lde A, Ribeiro LH, et al.Pilates improver pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial[J]. Clin Rehabil, 2015, 29(1): 59-68.
[16] 黄柏生. 腹肌锻炼对腰椎间盘突出症患者单侧MIS-TLIF术后的疗效观察[D]. 福建中医药大学,2017.
[17] Ishida H, Watanabe S.Maximum expiration activates the abdominal muscles during side bridge exercise[J]. J Back Musculoskelet Rehabil, 2015, 28: 81-84.
[18] 田照民,陈红梅,丁宇,等. 腰椎微创术后深层肌康复护理对腰椎管狭窄症患者的临床疗效研究[J]. 解放军护理杂志,2018,5(20): 50-53+58.
[19] 黄琪. 增强核心肌群稳定性训练预防腰痛的发生[J]. 医疗装备,2015,28(12): 75-76.
[20] 陈璟,王纯. 核心稳定性训练可改善背肌肌耐力及等速肌力峰值[J]. 中国组织工程研究,2018,22(36):5797-5802.