史鹏亮 朱景航 林一峰

    【摘 要】目的：探討健步强督方联合系统宣教法对腰椎间盘突出症患者症状复发的影响。方法：将80例腰椎间盘突出症患者随机分为治疗组和对照组，每组40例。治疗组使用健步强督方联合系统宣教法治疗，对照组予传统宣教方式联合甲钴胺注射液、塞来昔布胶囊治疗。研究分为2步进行，①观察患者出院时临床疗效指标和视觉模拟评分法(VAS)评分，对2组在院治疗效果进行评估；②对在院治疗评估为有效的患者，进行出院后16周的连续随访，分析健步强督方联合系统宣教法是否对患者腰椎间盘突出症的疾病复发产生影响。结果：①经住院治疗后，治疗组和对照组中各有1例患者症状加重，分别选择转院或手术治疗，治疗组显效率为65.00%，优于对照组的40.00%(P 0.05)；2组VAS评分均≤3分，差异无统计学意义(P > 0.05)。②随访后，治疗组复发人数、首次复发时间、复发次数和复发后治疗天数低于对照组(P 0.05);The VAS of the two groups were not more than three points，and the difference was not statistically significant(P > 0.05).②After follow-up，the number of patients suffering recurrence and the number of recurrence were smaller，and the time of first recurrence and the treatment days after recurrence were shorter in the observation group than those in the control group(P 0.05) ......