Proxomed Tergumed用于椎间孔镜术后早期康复的临床效果分析

目的:探讨Proxomed Tergumed系统用于腰椎间盘突出症椎间孔镜术后早期康复的治疗效果。方法:按照纳入和排除标准,选择2016年6月至2017年6月在我科明确诊断为腰椎间盘突出症并进行腰椎间孔镜手术的63例患者进行回顾性分析。按照是否进行系统的Proxomed Tergumed脊柱功能训练,将其分为功能训练组实验组(28例)与对照组(35例)。比较两组患者在术前、术后1周、术后3月及术后6月的疼痛(VAS)、功能评分(ODI)、相关肌肉力量及术后并发症的发生情况。结果:两组患者术后的VAS评分及ODI评分均较术前明显降低(P0.05)。术后1周时,两组VAS评分及ODI评分比较差异无统计学意义(P0.05)。术后3月及6月,实验组VAS评分和ODI评分均显著低于对照组(P0.05)。术后6个月,实验组肌力恢复显著优于对照组(P0.05)。术后6月,实验组各肌肉群力量与术前相比均无显著差异(P0.05),而对照组肌肉群力量仍较术前显著降低(P0.05)。结论:Proxomed Tergumed系统在腰椎间盘突出症椎间孔镜术后的康复中可以有效的降低患者的术后疼痛,改善患者的腰椎功能,相对于传统的术后康复训练而言有其明显的优势,且并无显著的安全性差异。

Application of Proxomed Tergumed for the Early Rehabilitation of Percutaneous Transforaminal Endoscopic Discectomy after Operation

ABSTRACT Objective: To explore the clinical effect and safety of percutaneous endoscopic lumbar discectomy (PELD) using Proxomed Tergumed in the treatment of patients with lumbar disc herniation. Methods: From June 2016 to June 2017, 63 cases of patients who were diagnosed as lumbar disc herniation and operated in our hospital were retrospectively analyzed. All the patients were divided into the experimental group (Proxomed Tergumed group) and the control group (tradition group). The clinical outcomes were evaluated by visual analogue scale (VAS) and Oswestry Disability Index (ODI) score, muscular power and complications at 1 week, 3 months and 6 months after operation. Results: The VAS score and ODI score of both groups were significantly lower than those preoperation. There was no obvious difference in the VAS and ODI score at the the first week after operation between two groups(P>0.05), while the VAS and ODI core of experimental group at 3 and 6 months after operation were significantly lower than those of the control group(P<0.05). Compared with the preoperative muscular power, there was statistical differences at 6 months after operation(P<0.05). There was no obvious difference in each muscle strength at 6 months after operation in the experimental group(P>0.05), which were significantly lower in control group(P<0.05). Conclusion: As a part of early rehabilitation training for patients who have undergone treated with percutaneous endoscopic lumbar discectomy, Proxomed Tergumed can effectively reduce the possibility of postoperative complications, relief postoperative pain and reduce the time of postoperative recovery, which has its obvious advantage comparing with traditional postoperative rehabilitation training.