摘要
目的 分析腰椎间盘突出症患者采取术后早期主动直腿抬高训练的价值。方法 选取本院2023年10月~2024年10月行手术治疗腰椎间盘突出症患者，将入组94例患者分为2组各47例。对照组实施常规康复护理，观察组在此基础开展早期主动直腿抬高训练。综合评价2组术后腰椎功能和疼痛度。结果 观察组术后24h、48h、72h的疼痛数字评分（NRS）相比对照组均减少（P＜0.05）。观察组术后2周日本骨科协会评估治疗分数（JOA）相比对照组增加，Oswestry功能障碍指数（ODI）相比对照组减少（P＜0.05）。结论 腰椎间盘突出症患者采取早期主动直腿抬高训练，有助于减轻术后疼痛感，促进腰椎功能康复。
关键词： 腰椎间盘突出症；早期主动直腿抬高训练；腰椎功能；疼痛
Abstract
Objective To analyze the value of early postoperative active leg raising training for patients with lumbar disc herniation. Methods 94 patients with lumbar disc herniation who underwent surgical treatment in our hospital from October 2023 to October 2024 were selected and divided into two groups of 47 each. The control group received routine rehabilitation nursing, while the observation group received early active leg raising training on this basis. Comprehensively evaluate the postoperative lumbar spine function and pain level of two groups. Results showed that the pain score (NRS) of the observation group decreased compared to the control group at 24 hours, 48 hours, and 72 hours after surgery (P<0.05). The treatment score (JOA) evaluated by the Japanese Orthopaedic Association in the observation group increased compared to the control group 2 weeks after surgery, and the Oswestry Disability Index (ODI) decreased compared to the control group (P<0.05). Conclusion Early active leg raising training for patients with lumbar disc herniation can help alleviate postoperative pain and promote lumbar functional recovery.
Key words： Lumbar disc herniation; Early active straight leg lifting training; Lumbar spine function; Pain
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