康复锻炼对促进腰椎间盘突出症患者术后恢复效果的研究

Study on the Effect of Rehabilitation Exercises on Promoting Postoperative Recovery in Patients with Lumbar Disc Herniation

摘要: 目的：了解康复锻炼对腰椎间盘突出症患者术后恢复促进情况，分析腰椎间盘突出症患者术后行有效功能锻炼的临床效果。方法：选取在2021年6月~2021年8月期间安徽省合肥市某三甲医院所收治的30例腰椎间盘突出症患者进行临床分析。采用随机法将患者分为实验组和对照组两组。对照组的患者给予常规护理干预，实验组的患者在常规护理的基础上增加护士在一旁功能锻炼指导。经过1周后用安徽省合肥市某三甲医院的满意度表，采用日本骨科协会(Japanese Orthopedic Association, JOA)来评估患者恢复效果。结果：根据安徽省某三甲医院脊柱外科30例患者的研究数据结果显示，t检验结果Sig. (双侧)为0.000，P < 0.05，说明两个组的满意度具有显著差异，实验组得分大于对照组。通过对实验组患者进行1周护理干预，t检验结果Sig. (双侧)为−0.041，P > 0.05，无统计学意义。因此患者术后1周功能锻炼对疾病恢复的效果不明显。但术后功能锻炼的干预提高了患者功能锻炼的依从性，也明显提高了患者对护理工作的满意度。结论：对腰椎间盘突出症患者术后进行康复锻炼的干预，结果显示干预对患者的康复速度影响不明显，但提高了患者功能锻炼的依从性，进而提高了病人满意度，值得进一步推广。

Abstract: Objective: To understand the promotion of rehabilitation exercises on postoperative recovery in patients with lumbar disc herniation, and to analyze the clinical effect of effective functional exer-cises after surgery in patients with lumbar disc herniation. Methods: From June 2021 to August 2021, 30 patients with lumbar disc herniation admitted to a top 3A hospital in Hefei, Anhui Prov-ince were selected as research objects. The patients were divided into experimental groups and control groups by randomization. Patients in the control group were given routine nursing inter-ventions, and patients in the experimental group added nurse guidance on the side function exer-cises on the basis of routine care. After 1 week, the Japanese Orthopedic Association (JOA) was used to evaluate the patient recovery effect using the satisfaction table of a tertiary hospital in Hefei, Anhui Province. Results: According to the research data of 30 patients in the spine surgery depart-ment of a tertiary hospital in Anhui Province, the results of the t-test were Sig. (bilateral) 0.000, P < 0.05, indicating that the satisfaction of the two groups was significantly different, the average re-sults were known, and the experimental group score was greater than that of the control group. Through the 1-week nursing intervention for patients in the experimental group, the t-test result Sig. (bilateral) was −0.041, and P > 0.05 was not statistically significant. Therefore, the effect of functional exercise in patients for 1 week after surgery is not obvious for disease recovery. However, the intervention of postoperative functional exercise improved the patient’s compliance with the functional exercise and significantly improved the patient’s satisfaction with the nursing work. Con-clusion: The intervention of postoperative rehabilitation exercises in patients with lumbar disc herniation showed that the intervention did not have a significant impact on the recovery speed of patients, but improve the compliance of patients with functional exercises, thereby improving pa-tient satisfaction, which is worth further promotion.