摘要
目的探究核心肌群训练联合俯卧位牵引对腰椎间盘突出症腰腿疼痛、神经功能及炎性因子的影响,为临床提供理论参考。方法南部战区总医院2015年1月至2019年12月收治的100例腰椎间盘突出症患者,经随机数字表法分为对照组和观察组,每组50例。对照组采用俯卧位牵引治疗,观察组在对照组的基础上联合核心肌群训练。比较两组VAS评分、JOA评分、ODI评分、ASIA神经功能分级以及各炎性因子(CRP、IL-6、TNF-α)水平。结果观察组治疗后的VAS评分、ODI评分均低于治疗前并低于对照组,JOA评分高于治疗前和对照组(P<0.05)。观察组ASIA神经功能分级中,观察组治疗后的神经功能评级较治疗前有改善,且优于对照组(P<0.05)。观察组治疗后的CRP、IL-6、TNF-α各炎性因子水平均显著低于治疗前,且低于对照组(P<0.05)。结论核心肌群训练联合俯卧位牵引治疗,可减轻腰椎间盘突出症患者的疼痛症状,改善神经根受压迫,可抑制炎性因子的过度释放,具有较高的应用及推广价值。
Objective To investigate the effects of core muscle training plus traction in prone position on back and leg pain,neurological deficits and inflammatory factors in patients with lumbar disc herniation,so as to provide evidence for clinical practice.Methods A total of 100 patients with lumbar intervertebral disc herniation admitted to Southern Theater General Hospital between January 2015 and December 2019 were included and divided into the control group and study group by random number table(n=50 each).The control group was treated with traction in prone position,and the study group received core muscle training in addition to the traction given in the control group.Visual analog scale(VAS)score,Japanese Orthopaedic Association(JOA)score,Oswestry Disability Index(ODI),American Spinal Injury Association(ASIA)score and levels of inflammatory factors(CRP,IL-6,and TNF-α)were compared between the two groups.Results After treatment,the VAS and ODI scores in the study group were lowered,and the JOA score was higher,compared with baseline and those in the control group(P<0.05).By ASIA scores,the study group experienced improvement in grading of neurological deficits after treatment compared with baseline,and the improvement in the study group was also greater compared with the control group(P<0.05).After treatment,the CRP,IL-6,and TNF-αlevels were significantly lower in the study group compared with baseline and those in the control group(P<0.05).Conclusion Core muscle training plus traction in prone position can reduce the pain symptoms,ameliorate nerve root compression,and inhibit excessive production of inflammatory factors in patients with lumbar disc herniation,and therefore warrants widespread use in clinical settings.
作者
廖军锋
黄希照
龙桂花
黄皓
孙铭佩
吕晓宇
Liao Junfeng;Huang Xizhao;Long Guihua;Huang Hao;Sun Mingpei;Lv Xiaoyu(Department of Rehabilitation Medicine,Southern Theater General Hospital,Guangzhou 510010,China;Pain Unit,Guangdong Maternal and Children’s Hospital,Guangzhou 511400,China)
出处
《中华生物医学工程杂志》
CAS
2021年第4期409-413,共5页
Chinese Journal of Biomedical Engineering
基金
广州市科技计划(201804010346)。
关键词
腰椎间盘突出症
核心肌群训练
俯卧位牵引
疼痛
功能
炎性因子
Lumbar disc herniation
Core muscle training
Traction in prone position
Pain
Function
Inflammatory factor
