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The Study Of Rehabilitation Therapy To Perioperative Severe Lumbar Disc Herniation Based On Association Of Activity And Inertia Theory

Posted on:2017-11-18Degree:MasterType:Thesis
Country:ChinaCandidate:L WangFull Text:PDF
GTID:2334330488963346Subject:Fractures of TCM science
Abstract/Summary:PDF Full Text Request
Objective: This study mainly discuss in TCM traumatology movement with theoretical guidance to explore lumbar fusion peri operative rehabilitation of optimal solution,and to observe the clinical effect.Methods: 1.randomly divided into two groups,parallel to the design of the experimental program.2.experimental methods:All patients were taught rehabilitation function training methods,using the same surgical treatment.Research group: according to the theory of static and dynamic combination of personalized guidance in patients with rehabilitation exercises,and with traditional Chinese medicine conditioning.Control group: the use of routine guidance in patients with functional exercise and routine treatment.3.various indicators of observation:(1)improvement of clinical symptoms;(2)the time of the patients and the postoperative infection rate;(3)postoperative imaging data.4.statistical analysisAfter the end of the experiment by using SPSS13.0 statistical software was used to analyze the data,grade data using Ridit test,count data using chi square test,measurement data were to?± s said significant test using t-test,correlation analysis using a linear related and regression analysis,obtains the research results.Result:(1)The two groups of patients before and after 1 week,after the operation 1 months,postoperative pain and dysfunction 6 months before surgery were greatly improved,the difference is statistically significant(P<0.05)and treatment group in postoperative 1 week,3 months,6 months significantly improved than that of the control group was more significantly(P<0.05).Two groups of patients in the treatment of traditional Chinese medicine symptoms were significantly improved,the difference was statistically significant(P<0.05),and the treatment group improved significantly more than the control group(P<0.05).(2)Two groups of patients had no postoperative infection;treatment group compared with the control group,time in bed is shorter,with statistical difference(P<0.05)(3)Two groups of patients with adjacent lumbar mobile contrast: treatment group and control group near the lumbar spine mobility in the postoperative 1 months showed no significant difference(P>0.05);6 months after the operation,control group lumbar mobile degree higher than the treatment group,with statistical difference(P<0.05).Two groups of patients before and after 1 month,after 6 months of waist muscle diameter than before surgery were increased,the difference is statistically significant(P<0.05)and treatment group in postoperative 1 month,6 months significantly improved than that of the control group was more significantly(P<0.05).Conclusion:Customized functional exercise is helpful for patients with low back and lower limb muscle strength recovery,which can not only create favorable conditions for patients in the early stage,but also enhance the stability of the spine.For patients with preoperative weak parts of intensive training,do have a definite object in view,promote the corresponding segment of nerve repair;traditional Chinese medicine conditioning contributes to the improvement of postoperative numbness,pain,dyschezia symptoms,reduce the pain of patients.Dynamic and static combination theory to guide the rehabilitation treatment is worthy of clinical promotion.
Keywords/Search Tags:Severe lumbar disc herniation, Lumbar interbody Fusion, association of activity and inertia theory, Rehabilitation therapy
PDF Full Text Request
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