DMRE并骶管疗法对腰椎间盘突出症的康复效果

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[关键词] 椎间盘移位；腰椎；腰骶丛；骶管注射；运动疗法；治疗结果[中图分类号]R681.53；R455 [文献标志码]A [文章编号] 2096-5532（2025）05-0753-05doi：10.11712/jms.2096-5532.2025.61.165 [开放科学（资源服务）标识码（OSID）][网络出版] https：//link.cnki.net/urlid/37.1517.R.20251118.1710.004; 2025-11-1915：40：09

Eficacyof deepmusclerehabitationexercisecombinedwithsacralcanaltherapyintherehabilitationoflumbardischerniation WANG Aihong，LILi，GUO Keke，DUGuijuan（Department 2of Neck，Shoulder，Waist，andLeg Pain（Massage），Luoyang Orthopedic Hospital（Henan Orthopedic Hospital），Luoyang 47looo，China）

[Abstract]ObjectiveTo investigate the effectof deep muscle rehabilitation exercise （DMRE）combined with sacral canal therapyontherehabiationoutcomeofpatients withlumbardischerniation（LDH）．MethodsAtotalof76patients withLDH who wereadmited toHenanLuoyangOrthopedic Hospitalfom September 202 toSeptember2024 wereenrolldassubjects，and they were dividedintocontrol groupand observation groupusingarandomized controledtrial design，with 38patients in each group.Thepatients inthecontrolgroupreceived sacralcanaltherapy，whilethoseintheobservationgroupreceivedsacralcanal therapycombinedwithDMRE.Thetwogroupswerecomparedintermsofclinicaltreatmentoutcome，degreeofpainbeforeandaftertreatment（Visual Analog Scale（VAS）score），Barthel Index foractivities of dailyliving，Oswestry Disability Index（ODI for lumbarfunction，and spinal nerve function（Japanese Orthopaedic Asociation（JOA）score）．ResultsTheobservation group had a significantly higher overall response rate than the control group 92.1% us 73.7% ， χ2=4.547，P<0.05） .After treatment， both groups had significant reductions in VAS and ODI and significant increases in Barthel Index and JOA score （ 20.601，P<0.05） ，and the observation group had significantly greater changes than the control group （t=2.774-16.270，P< 0.05）．ConclusionSacralcanaltherapycombined withDMREcan efectively enhancelumbarfunctionandneurological function，aleviatepain，andimprovetheactivitiesofdailylivinginpatientswithLDH，andtherefore，itasarelativelyhighiical application value.

[Key words]intervertebraldisc displacement;lumbar vertebrae;lumbosacral plexus;caudal epidural injection;exercise therapy；treatment outcome

腰椎间盘突出症（LDH）是临床常见的脊柱疾病，受老龄化、久坐久站等不良因素影响，其发病率逐年上升[1-2]。（剩余11130字）