仿蛙泳泳姿的锻炼法在腰椎融合术后康复的运用

发布时间：2018-05-28 22:52

本文选题：高效三位一体疗法 + 腰椎融合　；参考：《山东大学》2013年硕士论文

【摘要】：目的：探讨一种以仿蛙泳下半身泳姿锻炼法(Frog Kick)为特点的结合理疗和药物疗法的现代化三位一体高时效性复合术后康复方案在成人腰椎融合术后康复(Rehabilitation of Postoperative Lumber Fusion)中的运用。方法：通过对比分析山东大学齐鲁医院2012年6月至12月90例行成人腰椎融合术的患者,随机分为2组,一组进行以仿蛙泳下半身泳姿锻炼法为特点,同期辅以辅以磁热振及低周波治疗；对照组采用传统直腿抬高及空中蹬脚踏车锻炼法行术后锻炼,锻炼前给予磁热振及低周波治疗。两组患者均运用鲑降钙素及七叶皂苷静滴治疗。对比出院评分及3月后腰椎JOA评分改善率,应用统计资料计算对比相对差异,以P0.05为显著性差异标准。结果：两组患者3月复查影像学资料均显示手术节段融合成功,同时无术后再出血及疼痛加重发生。传统锻炼组出院评分均值6.78,新的高时效性康复治疗组出院评分均值6.87,二者相对偏差1.32%,无明显统计学差异。传统康复治疗组的成人腰椎融合术后腰椎JOA评分平均改善率26.892%,高效复合指导康复治疗组的成人腰椎融合术后3月腰椎JOA评分平均改善率28.173%,相对偏差4.65%,证明二者均能保证术后有效康复,同时新的在院高效复合指导康复结合出院仿蛙泳下半身泳姿锻炼法(Frog Kick)术后3月腰椎JOA评分改善率略优于传统康复治疗小组,并具有高时效性。结论：新的仿蛙泳下半身泳姿锻炼法结合理疗及鲑降钙素、七叶皂苷药物治疗的三位一体疗法在缩短传统康复锻炼时间三根之二之下,获得的康复治疗效果不差于传统康复治疗,同时在腰椎融合失败率、术后并发症率上与传统方式无差异性,不啻为一种高效有效的康复治疗选择。
[Abstract]:Objective: to explore the application of a modern trinity combined with physical therapy and drug therapy in rehabilitation of Postoperative Lumber Fusion) of adult lumbar vertebrae fusion surgery, which is characterized by imitation breaststroke lower body swimming posture exercise method Frog Kick. Methods: 90 patients with adult lumbar fusion in Qilu Hospital of Shandong University from June to December 2012 were randomly divided into two groups. At the same time, the patients in the control group were treated with magnetothermal vibration and low Zhou Bo, while the control group were treated with traditional straight leg elevation and treadmill exercise, and were treated with magnetothermal vibration and low Zhou Bo before exercise. Both groups were treated with salmonet calcitonin and aescinate intravenous drip. The improvement rate of lumbar JOA score was compared with discharge score and three months later. The statistical data were used to calculate and compare the relative difference, with P0.05 as the significant difference standard. Results: the 3 month imaging data of the two groups showed that the segmental fusion was successful, and no postoperative rebleeding or pain exacerbation occurred. The average discharge score was 6.78 in the traditional exercise group and 6.87 in the new high-time-effective rehabilitation group. The relative deviation between the two groups was 1.32. There was no significant difference between the two groups. The average improvement rate of lumbar JOA score after lumbar fusion in traditional rehabilitation group was 26.892.The average improvement rate of lumbar spine JOA score in rehabilitation group was 28.173 3 months after lumbar fusion, and the relative deviation was 4.65. Both of them were proved to be both. To ensure effective recovery after surgery, At the same time, the improvement rate of JOA score of lumbar vertebrae 3 months after operation of the new high-efficient compound guidance rehabilitation method combined with discharge imitation breaststroke lower body swimming posture exercise method was slightly better than that of the traditional rehabilitation treatment group, and had high timeliness. Conclusion: the trinity therapy combined with physiotherapy, salmonet calcitonin and aescin drugs can shorten the time of traditional rehabilitation exercise by two thirds. The result of rehabilitation treatment is not worse than that of traditional rehabilitation treatment. At the same time, the failure rate of lumbar fusion and the rate of postoperative complications are not different from those of traditional methods, which is an efficient and effective choice of rehabilitation treatment.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R687.3;R455

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