Zhong Yu-Xian, Ding Yu, Liu Jin-Yu, Zhou Wei-Jin, Ma Guang-Hao, Zhu Xu, Wang Hai-Jun, Chen Hong-Mei, Liu Qian
Department of Rehabilitation Medicine, Navy General Hospital, Beijing 100048, China;
Department of Rehabilitation Medicine, Navy General Hospital, Beijing 100048, China.
Zhongguo Gu Shang. 2018 Apr 25;31(4):311-316. doi: 10.3969/j.issn.1003-0034.2018.04.004.
To explore the clinical effect of exercise rehabilitation during perioperative period on residual pain, gait and activities of daily living (ADL) in patients with lumbar spinal stenosis (LSS) after lumbar percutaneous transforaminal endoscopic discectomy(PTED).
The clinical data of 48 patients with LSS underwent PTED from December 2015 to December 2016 were retrospectively analyzed. Patients were divided into observation group and control group according to different rehabilitation patterns, being 24 cases in each group. The patients of observation group received exercise rehabilitation and the patients of control group received conventional rehabilitation. Visual analogue scale(VAS), Oswestry Disability Index (ODI) and the ratio of supporting phase were recorded before operation and 12 days, 6 months after operation. The correlation between the ratio of supporting phase and VAS, ODI was analyzed.
The ratio of supporting phase of observation group was significantly higher than that of control group at 12 days after operation(<0.05). The VAS and ODI in observation group were significantly lower than that of control group at 6 months after operation(<0.01). There was no correlation between the ratio of supporting phase and ODI or VAS in two groups (>0.05).
Lumbar percutaneous transforaminal endoscopic discectomy combined with exercise rehabilitation during the perioperative period can release or eliminate postoperative residual pain, improve gait balance, enable activities of daily living, and has a positive effect in patients with lumbar spinal stenosis.
探讨腰椎经皮椎间孔镜椎间盘切除术（PTED）围手术期运动康复对腰椎管狭窄症（LSS）患者残余疼痛、步态及日常生活活动能力（ADL）的临床效果。
回顾性分析2015年12月至2016年12月行PTED的48例LSS患者的临床资料。根据康复模式不同将患者分为观察组和对照组，每组24例。观察组患者接受运动康复，对照组患者接受传统康复。记录术前、术后12天、术后6个月的视觉模拟评分法（VAS）、Oswestry功能障碍指数（ODI）及支撑相比例。分析支撑相比例与VAS、ODI的相关性。
术后12天观察组支撑相比例显著高于对照组（<0.05）。术后6个月观察组VAS和ODI显著低于对照组（<0.01）。两组支撑相比例与ODI或VAS均无相关性（>0.05）。
腰椎经皮椎间孔镜椎间盘切除术联合围手术期运动康复可缓解或消除术后残余疼痛，改善步态平衡，促进日常生活活动，对腰椎管狭窄症患者有积极作用。
