[1]孙凤歧,温少瑾,廖锡龙,等.核心稳定训练在经皮内镜下腰椎髓核摘除术后患者康复中的应用[J].西部中医药,2026,39(04):121-126.[doi:10.12174/j.issn.2096-9600.2026.04.26]
　SUN Fengqi,WEN Shaojin,LIAO Xilong,et al.Application of Core Stability Training in the Recovery of Patients after Percutaneous Endoscopic Lumbar Discectomy[J].Western Journal of Traditional Chinese Medicine,2026,39(04):121-126.[doi:10.12174/j.issn.2096-9600.2026.04.26]
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核心稳定训练在经皮内镜下腰椎髓核摘除术后患者康复中的应用()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年04期
页码:
121-126
栏目:
特色医疗
出版日期:
2026-04-15

文章信息/Info

Title:
Application of Core Stability Training in the Recovery of Patients after Percutaneous Endoscopic Lumbar Discectomy
作者:
孙凤歧1, 温少瑾1, 廖锡龙2, 范有福1, 陈伟国1, 张万乾1
1.甘肃省中医院，甘肃 兰州 730050
2.甘肃中医药大学，甘肃 兰州 730000
Author(s):
SUN Fengqi1, WEN Shaojin1, LIAO Xilong2, FAN Youfu1, CHEN Weiguo1, ZHANG Wanqian1
1.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
2.Gansu University of Chinese Medicine, Lanzhou 730000, China
关键词:
腰椎间盘突出症; 核心稳定训练; 经皮内镜下腰椎髓核摘除术; 术后康复
Keywords:
LDH; core stability training; PELD; postoperative recovery
分类号:
R247.9
DOI:
10.12174/j.issn.2096-9600.2026.04.26
文献标志码:
B
摘要:
目的观察核心稳定训练方案在腰椎间盘突出症（lumbar disc herniation，LDH）患者行经皮内镜下腰椎髓核摘除术（percutaneous endoscopic lumbar discectomy，PELD）术后康复中的效果，探讨中西医结合模式对术后残余症状的改善作用。 方法选取100例LDH患者作为研究对象，按随机数字表法分为对照组和观察组，每组50例。对照组术后行12个月常规康复训练，观察组术后在对照组基础上增加系统核心稳定训练。比较两组患者治疗前后视觉模拟评分（visual analogue scale，VAS）、腰椎Oswestry功能障碍指数（oswestry dysfunction index of the lumbar spine，ODI）、Berg平衡量表（berg balance scale，BBS）评分及计时起立-行走测试（time up and go test，TUGT）时间，同时对比不良反应发生情况。 结果两组术前VAS评分、ODI指数比较，差异无统计学意义（P＞0.05）。观察组术后1、3、12个月VAS评分、ODI指数及TUGT时间均低于对照组，差异有统计学意义（P＜0.05）；观察组术后1、3、12个月BBS评分均高于对照组，差异有统计学意义（P＜0.05）；观察组总并发症发生率低于对照组，差异有统计学意义（P＜0.05）。 结论核心稳定训练应用于LDH患者PELD术后康复，可减轻术后疼痛、麻木及无力等残余症状，提高平衡能力与腰椎功能，促进患者快速康复并提升手术满意度。核心稳定训练联合中医综合疗法可进一步缓解术后疼痛、改善气血运行、促进腰椎功能恢复，彰显中西医结合康复的优势。
Abstract:
ObjectiveTo observe the effects of core stability training program in the rehabilitation of LDH patients after PELD, and to discuss the improvements of the model of integrating traditional Chinese and Western medicine on postoperative residual symptoms. MethodsA total of 100 LDH patients were selected as the subjects, divided into the control group and the observation group according to random number table method with 50 cases in each. The control group accepted routine rehabilitation training for 12 months after surgery, and core stability training was given to the observation group based on the therapy of the control group. To compare VAS scores, ODI and BBS scales, TUGT before and after the treatment in the two groups, and meanwhile to compare the incidence of the adverse reactions. ResultsThe difference had no statistical meaning in VAS scores and ODI indexes before the operation between the two groups (P>0.05). VAS scores, ODI indexes and TUGT of the observation group were lower than these of the control group 1, 3 and 12 months after the operation, and the difference had statistical meaning (P<0.05); the observation group was higher than the control group in BBS scores 1, 3 and 12 months after the operation, and the difference was statistically significant (P<0.05); total incidence of the complications of the observation group was lower than that of the control group, and a significant difference existed (P<0.05). ConclusionCore stability training applied in the recovery of LDH patients after PELD could relieve postoperative residual symptoms including pain, numbness and weakness, improve balance ability and lumbar function, promote the rapid rehabilitation of the patients and lift the patients’ satisfaction with operation. Core stability training joined with TCM comprehensive therapy could further mitigate postoperative pain, improve the circulation of Qi and blood, and boost the recovery of lumbar function, embodying the advantages of integrative medicine rehabilitation.

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备注/Memo

备注/Memo:
甘肃省自然科学基金（22JR5RA623，23JRRA1681）；甘肃省卫生健康行业科研计划项目（GSWSKY2022-20）。孙凤歧（1980—），男，硕士学位，硕士研究生导师，副主任医师。研究方向：脊柱疾病的微创治疗及研究。Email：sunfengqi2001@163.com。
更新日期/Last Update: 2026-04-15