發(fā)布時(shí)間：2018-05-28 22:52

  本文選題：高效三位一體療法 + 腰椎融合��； 參考：《山東大學(xué)》2013年碩士論文

【摘要】：目的：探討一種以仿蛙泳下半身泳姿鍛煉法(Frog Kick)為特點(diǎn)的結(jié)合理療和藥物療法的現(xiàn)代化三位一體高時(shí)效性復(fù)合術(shù)后康復(fù)方案在成人腰椎融合術(shù)后康復(fù)(Rehabilitation of Postoperative Lumber Fusion)中的運(yùn)用。 方法：通過對(duì)比分析山東大學(xué)齊魯醫(yī)院2012年6月至12月90例行成人腰椎融合術(shù)的患者,隨機(jī)分為2組,一組進(jìn)行以仿蛙泳下半身泳姿鍛煉法為特點(diǎn),同期輔以輔以磁熱振及低周波治療；對(duì)照組采用傳統(tǒng)直腿抬高及空中蹬腳踏車鍛煉法行術(shù)后鍛煉,鍛煉前給予磁熱振及低周波治療。兩組患者均運(yùn)用鮭降鈣素及七葉皂苷靜滴治療。對(duì)比出院評(píng)分及3月后腰椎JOA評(píng)分改善率,應(yīng)用統(tǒng)計(jì)資料計(jì)算對(duì)比相對(duì)差異,以P0.05為顯著性差異標(biāo)準(zhǔn)。結(jié)果：兩組患者3月復(fù)查影像學(xué)資料均顯示手術(shù)節(jié)段融合成功,同時(shí)無術(shù)后再出血及疼痛加重發(fā)生。傳統(tǒng)鍛煉組出院評(píng)分均值6.78,新的高時(shí)效性康復(fù)治療組出院評(píng)分均值6.87,二者相對(duì)偏差1.32%,無明顯統(tǒng)計(jì)學(xué)差異。傳統(tǒng)康復(fù)治療組的成人腰椎融合術(shù)后腰椎JOA評(píng)分平均改善率26.892%,高效復(fù)合指導(dǎo)康復(fù)治療組的成人腰椎融合術(shù)后3月腰椎JOA評(píng)分平均改善率28.173%,相對(duì)偏差4.65%,證明二者均能保證術(shù)后有效康復(fù),同時(shí)新的在院高效復(fù)合指導(dǎo)康復(fù)結(jié)合出院仿蛙泳下半身泳姿鍛煉法(Frog Kick)術(shù)后3月腰椎JOA評(píng)分改善率略優(yōu)于傳統(tǒng)康復(fù)治療小組,并具有高時(shí)效性。 結(jié)論：新的仿蛙泳下半身泳姿鍛煉法結(jié)合理療及鮭降鈣素、七葉皂苷藥物治療的三位一體療法在縮短傳統(tǒng)康復(fù)鍛煉時(shí)間三根之二之下,獲得的康復(fù)治療效果不差于傳統(tǒng)康復(fù)治療,同時(shí)在腰椎融合失敗率、術(shù)后并發(fā)癥率上與傳統(tǒng)方式無差異性,不啻為一種高效有效的康復(fù)治療選擇。
[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.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R687.3;R455

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