腰椎间盘突出症患者燕飞式腰背伸锻炼与腰段多裂肌相关性研究

发布时间：2018-03-11 19:05

本文选题：腰段多裂肌　切入点：腰椎间盘突出症　出处：《河南中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察燕飞式腰背肌锻炼对腰椎间盘突出症患者的影响,以研究“腰背肌锻炼——腰段多裂肌”的相关性。方法:本研究选取河南省洛阳正骨医院河南省骨科医院郑州院区颈肩腰腿痛科2015年3月20日--2016年1月20日住院的腰椎间盘突出症患者40例作为研究对象。应用随机排列表分为治疗组20例,对照组20例。其中,治疗组除给予常规治疗外,再进行为期三个月的燕飞式腰背肌锻炼,对照组仅给予常规治疗。在常规治疗前,将治疗组和对照组的VAS、ODI以及腰段多裂肌A-P、Lat、CSA进行统计分析;在常规治疗三个月后,将治疗组与对照组的VAS、ODI、以及双侧多裂肌A-P、Lat、CSA用配对t检验进行治疗前与治疗后的统计分析,将治疗组与对照组的VAS、ODI、以及双侧多裂肌A-P、Lat、CSA用独立样本t检验进行治疗后组间统计分析。结果:本研究治疗组与对照组之间,在年龄、病程、体重、VAS评分、ODI指数、双侧多裂肌形态学(A-P、Lat、CSA)等方面差异无统计学意义(P0.05)。将治疗组与对照组患者的VAS评分,ODI指数,左侧多裂肌A-P、Lat、CSA,右侧多裂肌A-P、Lat、CSA用配对t检验进行治疗前与治疗后的比较分析。除双侧多裂肌Lat差异无统计学意义(P0.05)外,其余评价指标治疗前与治疗后对比差异有统计学意义(P0.05)。将治疗组与对照组患者的VAS评分,ODI指数,左侧多裂肌A-P、Lat、CSA,右侧多裂肌A-P、Lat、CSA用独立样本t检验进行治疗后组间比较分析。除右侧多裂肌Lat差异无统计学意义(P0.05)外,其余评价指标治疗组与对照组在治疗后进行比较分析,差异有统计学意义(P0.05)。结论:燕飞式腰背肌锻炼是有效的腰段多裂肌锻炼方式,能更好地缓解腰椎间盘突出症患者的疼痛和功能活动障碍;燕飞式腰背肌锻炼对腰段多裂肌横径无明显影响。
[Abstract]:Objective: to observe the effect of Yanfei exercise on lumbar disc herniation. To study the correlation of "lumbar dorsal muscle exercise-psoas polyfissure muscle". Methods: this study was conducted from March 20th 2015 to January 20th 2016 in the Department of neck, shoulder, low back and leg pain, Zhengzhou Hospital, Henan Orthopaedic Hospital, Luoyang Orthopaedic Hospital, Henan Province. Forty patients with lumbar disc herniation were divided into treatment group (n = 20) and treatment group (n = 20). There were 20 cases in the control group. In addition to routine treatment, the treatment group received three months of Yanfei psoas muscle exercise, while the control group only received routine treatment. After three months of routine treatment, the VASA ODI of the treatment group and the control group, and the pairing t test of the bilateral polychisis muscle A-PnP Latn CSA were used to analyze the statistics before and after the treatment, and after three months of routine treatment, the VASA ODI of the treatment group and the control group, and the bilateral polyfissure muscle A-Pia Latchus CSA were analyzed by pairing t test, and the results were compared with those of the control group and the control group. The VASA ODI of the treatment group and the control group, as well as the bilateral polyfissure muscle A-P Latanus CSA, were statistically analyzed after treatment with independent sample t test. Results: the age, course of disease, body weight, VAS score and ODI index of the treatment group and the control group were measured and compared with that of the control group. There was no significant difference in morphology of bilateral polyfissure muscle (P0.05A). The VAS scores of the patients in the treatment group and the control group were compared with those in the control group. The contrastive analysis was made between the left polyfissure muscle A-PnP Latus CSA and the right polyfissure muscle A-PLatn CSA before and after treatment, except that there was no significant difference in Lat between the bilateral polyfissure muscles (P0.05) and the bilateral polyfissure muscle (P0.05), with the exception of the bilateral polyfissure muscle (P0.05). There were significant differences in the other evaluation indexes before and after treatment (P 0.05). The VAS scores of the patients in the treatment group and the control group were compared with those in the control group. The left polyfissure muscle A-PnP Latanus CSA and the right polyfissure muscle A-PLatn CSA were compared with each other after treatment by independent sample t test. Except for the right polyfissure muscle with no significant difference in Lat (P0.05), the other evaluation indexes were compared between the treatment group and the control group after treatment. The difference was statistically significant (P 0.05). Conclusion: Yanfei type of lumbar dorsal muscle exercise is an effective way to exercise the lumbar segmental polyfissure muscle, which can better relieve the pain and dysfunction of patients with lumbar disc herniation. Yanfei type of lumbar dorsal muscle exercise had no significant effect on the transverse diameter of lumbar polyfissure muscle.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

【相似文献】