李水莲，磨凌英，黄春明，雷新柳，黄燕芳广西横县中医医院，广西南宁　530300



腰背肌锻炼结合中医五音疗法对腰椎术后康复的应用研究

李水莲，磨凌英，黄春明，雷新柳，黄燕芳
广西横县中医医院，广西南宁530300

目的探讨在腰椎术后应用腰背肌锻炼结合中医五音疗法的康复效果，给患者术后康复提供合适方法。 方法选取2014年1月—2016年3月在该院进行腰椎术的60例患者作为研究对象，患者随机分成两组，观察组和对照组患者各30例，指导对照组应用腰背肌锻炼，给予锻炼组在对照组的基础上应用中医五音疗法，分析比较两组患者经不同锻炼方法后的治疗效果。结果锻炼组治疗的有效率为93.33%，对照组的治疗有效率为73.33%，锻炼组治疗有效率明显高于对照组，两组间差异有统计学意义（P＜0.05）；锻炼组VAS评分比对照组低，两组比较，差异有统计学意义；锻炼组持续疼痛的时间比对照组短，两组比较差异有统计学意义；锻炼组的护理满意度为93.33%，对照组的护理满意度为76.67%，锻炼组满意度高于对照组，差异有统计学意义。结论腰椎术后应用腰背肌锻炼结合中医五音疗法能有效改善患者术后的腰椎功能，降低患者的疼痛感，提高患者对护理质量的满意度，有效提高患者的生活质量，值得在临床康复治疗中推广使用。

腰背肌锻炼；中医五音疗法；腰椎术；术后康复；效果

［Abstract］Objective To study the rehabilitation effect of the application of lumbar back muscle exercises combined with five tones therapy of Chinese traditional medicine after lumbar surgery and provide suitable methods for postoperative rehabilitation of patients.Methods 60 cases of patents with lumbar surgery in our hospital from January 2014 to March 2016 were selected as the research objects and divided into two groups with 30 cases in each，the control group applied lumbar back muscle exercises，the exercise group applied five tones therapy of Chinese traditional medicine on the basis of the control group，and the treatment effects of the two groups after different exercise methods were compared and analyzed.Results The treatment effective rate in the exercise group was obviously higher than that in the control group and the difference between groups had statistical significance（93.33%vs 73.33%）（P＜0.05）；the VAS score in the exercise group was much lower than that in the control group and the difference had statistical significance by comparison；the continuous pain time in the exercise group was shorter than that in the control group and the difference had statistical significance by comparison；the nursing satisfactory degree in the exercise group was higher than that in the control group and the difference had statistical significance（93.33%vs 76.67%）.Conclusion The application of lumbar back muscle exercises combined with five tones therapy of Chinese traditional medicine after lumbar surgery can effectively improve the lumbar function after operation，reduce pains of patients，improve the satisfactory degree of patients to nursing quality and effectively improve the quality of life of patients，which is worth promotion and application in the clinical rehabilitation treatment.

［Key words］Lumbar back muscle exercises；Five tones therapy of Chinese traditional medicine；Lumbar surgery；Rehabilitation after operation；Effect

在平时工作和生活中长久坐着，容易发生腰椎类疾病［1］。腰椎间盘突出是一类常见的骨科类疾病，由于人体的椎间盘发生变性和损坏，导致脊柱内外力量出现失衡，压迫腰椎，该类疾病的发生给患者带来痛苦［2-3］。……