The effect of massage traction combined with lumbar and back muscle rehabilitation training and nursing on the intervention of patients with lumbar intervertebral disc protrusion
推拿牵引联合腰背肌康复训练护理对腰椎间盘突出症患者干预的效果

摘要

目的 将推拿牵引联合腰背肌康复训练护理用于腰椎间盘突出症（LDH）患者中，对其干预效果进行分析。方法 选取2024年2月-2025年2月本院收治的70例LDH患者，以随机数字表法分组，对照组35例行腰背肌康复训练护理，观察组在此基础上联合推拿牵引，对两组干预结果进行比较。结果 干预前，两组ODI、JOA、VAS评分比较，不具显著差异（P>0.05），干预后，观察组ODI、VAS评分更低，JOA评分更高（P<0.05）干预前，两组侧屈、伸展、屈曲活动度比较，不具显著差异（P>0.05），干预后，观察组各腰椎活动度更高（P<0.05）。结论 对LDH患者来说，实施推拿牵引、腰背肌康复训练联合方案可获得满意结果，一方面对改善腰椎功能及活动度有积极作用，另一方面还可减轻功能障碍，缓解疼痛，具有较高应用价值。

Abstract

Objective To apply massage and traction combined with lumbar and back muscle rehabilitation training nursing in patients with lumbar disc herniation (LDH), and to analyze its intervention effect.
Methods A total of 70 patients with LDH admitted to our hospital from February 2022 to February 2025.2 were selected and grouped by random number table method. 35 patients in the control group received rehabilitation training and care for the lumbar and back muscles, while the observation group was combined with massage and traction on this basis. The intervention results of the two groups were compared. Before the intervention, there was no significant difference in the ODI, JOA and VAS scores between the two groups (P>0.05). After the intervention, the ODI and VAS scores of the observation group were lower, and the JOA score was higher (P<0.05).
Results Before the intervention, there was no significant difference in the lateral flexion, extension and flexion range of motion between the two groups (P>0.05). After the intervention, The range of motion of each lumbar vertebra in the observation group was higher (P<0.05).
Conclusion   For patients with LDH, implementing a combined program of massage traction and lumbar and back muscle rehabilitation training can yield satisfactory results. On the one hand, it has a positive effect on improving lumbar function and range of motion. On the other hand, it can also alleviate functional disorders and relieve pain, thus having high application value.