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目的：研究腰背肌功能锻炼在腰椎间盘突出症(LDH)保守治疗中的作用。方法：将130例腰椎间盘突出症患者随机分成观察组与对照组，对照组采用卧硬板床休息、腰椎牵引、硬膜外封闭以及中药内服等治疗，观察组除采用上述综合保守治疗外，并于患者自觉疼痛减轻时进行腰背肌功能锻炼。结果：治疗3个月，观察组与对照组有效率统计无显著性差异( p>0.05)。随访1年，观察组年复发率低于对照组，有显著性差异( p0.05); 1 years of fol ow-up, the observation group year recurrence rate was lower than the control group, there were significant differences (p<0.05). Conclusion: Combined conservative treatment with the function of lumbar back muscle exercise can be effective in the treatment of LDH, the function of lumbar back muscle exercise can significantly reduce the recurrence rate of LDH, and play an important role in the consolidation of long-term efficacy of LDH.