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目的探讨腰腹肌肌力训练对腰椎骨质疏松性压缩骨折术后康复的效果。方法将229例腰椎骨质疏松性压缩骨折患者,按照随机数字表法分为训练组115例和对照组114例。对照组采用常规术后康复护理。训练组在常规康复护理的基础上术后6h行腰腹肌肌力训练。比较两组术后疼痛程度及康复疗效。结果术后24h及术后48h训练组VAS评分明显低于对照组(P<0.05);术后8周,训练组康复疗效显著优于对照组(P<0.05)。结论腰腹肌肌力训练对骨质疏松性压缩骨折术后缓解疼痛、促进康复有着显著效果,具有较高的临床实用性。
Objective To investigate the effect of abdominal muscle strength training on postoperative rehabilitation of osteoporotic compression fractures of the lumbar spine. Methods 229 patients with osteoporotic lumbar fractures were divided into training group (n = 115) and control group (n = 114) according to the random number table. The control group received routine postoperative rehabilitation care. Training group in the conventional rehabilitation care based on the 6h after surgery abdominal muscle strength training. The postoperative pain and rehabilitation were compared between the two groups. Results The VAS score of training group was significantly lower than that of control group at 24h after operation and 48h after operation (P <0.05). After 8 weeks, the recovery of training group was significantly better than that of control group (P <0.05). Conclusion The strength training of lumbar abdominal muscles plays a significant role in relieving pain and promoting rehabilitation after osteoporotic compression fractures, and has high clinical utility.