| 王丽娜,王冰珊.核心肌群训练联合八段锦对腰椎间盘突出症的干预效果[J].中国康复,2025,40(9):540-543 |
| 核心肌群训练联合八段锦对腰椎间盘突出症的干预效果 |
| The intervention effect of core muscle group training combined with Baduanjin on lumbar disc herniation |
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| DOI：10.3870/zgkf.2025.09.006 |
| 中文关键词: 核心肌群训练 八段锦 腰椎间盘突出症 血液流变学 生活质量 |
| 英文关键词: core muscle group training Baduanjin lumbar disc herniation hemorheology quality of life |
| 基金项目:西安市科技创新能力支撑计划医学研究项目（23YXYJ0124） |
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| 中文摘要: |
| 目的：探讨核心肌群训练联合八段锦对腰椎间盘突出症（LDH）的干预效果。方法：选择92例LDH患者，将其随机分成对照组（n=44，实施常规干预+核心肌群训练）和观察组（n=43，在对照组基础上联合八段锦训练）。比较2组干预前、干预8周后血液流变学指标［血浆黏度（PV）、血细胞比容（Hct）、红细胞聚集指数（RCAI）］、腰椎功能［日本骨科协会（JOA）评分量表］、腰椎活动度、生活质量［简明健康状况调查表（SF-36）］情况。结果：干预8周后，2组PV、Hct、RCAI均低于干预前（P＜0.05），且观察组均低于对照组（P＜0.05）。干预8周后，2组JOA评分及SF-36中6项得分均高于干预前（P＜0.05），且观察组均高于对照组（P＜0.05）；干预8周后，2组腰椎前屈度、后伸度均大于干预前（P＜0.05），且观察组均大于对照组（P＜0.05）。结论：对LDH患者实施核心肌群训练联合八段锦干预，可有效调节血液流变学，明显改善腰椎功能及生活质量。 |
| 英文摘要: |
| Objective: To explore the intervention effect of core muscle group training combined with Baduanjin on lumbar disc herniation (LDH). Methods: All 92 patients with LDH admitted to our hospital were assigned into a control group (n=44, receiving routine intervention and core muscle group training) and an observation group (n=43, receiving Badianjin training in addition to the control group) randomly. Before and after 8 weeks of intervention, two groups were compared for their hemorheology indicators, including plasma viscosity (PV), hematocrit (Hct), red blood cell aggregation index (RCAI), lumbar spine function ［evaluated using the Japanese Orthopaedic Association (JOA) scoring scale］, lumbar spine mobility, and quality of life ［evaluated using the Short Form Health Survey (SF-36)］. Results: After 8 weeks of intervention, the PV, Hct, and RCAI in both groups were lower than before intervention (P<0.05), and those in the observation group were lower than in the control group (P<0.05). After 8 weeks of intervention, the JOA scores and scores of 6 items of SF-36 in both groups were higher than before intervention (P<0.05), and those in the observation group were higher than in the control group (P<0.05). After 8 weeks of intervention, the lumbar flexion and extension of both groups were greater than before intervention (P<0.05), and those in the observation group were greater than in the control group (P<0.05). Conclusion: Implementing core muscle group training combined with Baduanjin intervention on LDH can effectively regulate hemorheology, greatly improve lumbar spine function and quality of life. |
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