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| Rehabilitation after lumbar intervertebral disc operation of hypothermia plasma radio frequency |
| ZHAO Xiaoou, LI Wen, and BAI Yibing. |
| Hospital 309 of Chenese People’s Liberation Army, Beijing 100091, China |
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Abstract Objective To study the method and curative effect of rehabilitation in patients after hypothermia plasma radiofrequency current ablation nucleoplasty. Methods From June 2007 to June 2009，60 patients with definite diagnosis of lumbar intervertebral disc protrusion were randomly assigned to the treatment group（27 cases）and conventional group（33 cases）. On postoperative day 1, the patients in treatment group began to undergo rehabilitative treatment, including ultra-short wave，midband treatment，traction treatment and exercise treatment. On discharge from the hospital, patients were advised to take some precautions.Results The two groups showed some degree of recovery, with significant difference from the preoperative status. The pain of the waist and leg was markedly released or disappeared. The symptoms in the two groups were obviously ameliorated after operation. VAS dropped from 7.5 to 3.2 in the treatment group and from 7.8 to 3.7 points in the common group. Compression pain and local edema were serious in postoperative 3-7 days but were alleviated gradually. After three months, VAS decreased to 1.3 in the treatment group and symptoms were not aggravated obviously. Conclusions Postoperative rehabilitation management，including elimination of inflammation, detumescence, amelioration of blood circulation, relief of pain and exercise, can relieve and eliminate symptoms of edema of the nerve root, lessen local inflammatory reaction, promote recovery of the nerve and eliminate the pain. The rehabilitation management improves locomotive activity of the leg and waist, reinforces the surgical curative effect, and prevents relapse.
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Received: 20 September 2011
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KapuralL，NgA，DaltonJ，etal.Intervertebraldiscbiacuplastyforthetreatmentoflumbardiscogeniepain:resultsofasix-monthfollow-up［J］.PainMed，2008，9：60-67.［2］韩影，李静，林建,等.双极射频髓核成形术治疗腰椎间盘突出症［J］.临床麻醉学杂志，2010,6(26)：488.［3］焦引贤.电针+TDP+手法治疗腰椎间盘突出症的疗效观察［J］.中国医药学现代远程教育，2009,7（1）：106.［4］张恭逊，邓勇，费劲能，等.脊柱后路腰椎间盘镜下手术治疗腰椎间盘突出症17例［J］.武警医学，2011，11（11）：1009-1010.［5］张立生，刘小立.现代疼痛学［M］.石家庄：河北科学技术出版社，1999：1315.［6］乔志恒，范维铭.物理治疗全书［M］.北京：科学技术文献出版社，2001：453.［7］胡永善，刘世文.新编康复医学［M］.上海：复旦大学出版社，2005：125-126.［8］雷迈.腰背肌功能锻炼对预防腰椎间盘突出症复发的影响及作用［J］.中国社区医师，2008,10（21）：215.［9］陈于阳功能锻炼预防腰椎间盘突出症复发96例临床观察［J］.中国中医急症，2010,4(19)：604.
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| ［1］ |
KapuralL，NgA，DaltonJ，etal.Intervertebraldiscbiacuplastyforthetreatmentoflumbardiscogeniepain:resultsofasix-monthfollow-up［J］.PainMed，2008，9：60-67.［2］韩影，李静，林建,等.双极射频髓核成形术治疗腰椎间盘突出症［J］.临床麻醉学杂志，2010,6(26)：488.［3］焦引贤.电针+TDP+手法治疗腰椎间盘突出症的疗效观察［J］.中国医药学现代远程教育，2009,7（1）：106.［4］张恭逊，邓勇，费劲能，等.脊柱后路腰椎间盘镜下手术治疗腰椎间盘突出症17例［J］.武警医学，2011，11（11）：1009-1010.［5］张立生，刘小立.现代疼痛学［M］.石家庄：河北科学技术出版社，1999：1315.［6］乔志恒，范维铭.物理治疗全书［M］.北京：科学技术文献出版社，2001：453.［7］胡永善，刘世文.新编康复医学［M］.上海：复旦大学出版社，2005：125-126.［8］雷迈.腰背肌功能锻炼对预防腰椎间盘突出症复发的影响及作用［J］.中国社区医师，2008,10（21）：215.［9］陈于阳功能锻炼预防腰椎间盘突出症复发96例临床观察［J］.中国中医急症，2010,4(19)：604.
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