The Influence Of Forepart Practice Skill On The Height Of Lumbar Vertebrae Interval In Postoperative And Rehabilitative Effect

Objective:In this thesis,we observe practice group and control group of Lumbar disc herniation posterior windowing postoperative patients, understanding the height of vertebrae interval and rehabilitative effect,and offer thereunder for the future lucubrate the forepart practice skill on keep the height of vertebrae interval and rehabilitative effect.Methods:We grouping the patient of operation in The First Affilated Hospital of Guangzhou Traditional Chinese Medicine University from 2007 March to October.We observe the different between practice group and control group onthe height of vertebrae interval and the Oswestry disability index(ODI) in preoperative,one month,six month.We analyse the different between practice group and control groupand correlative factor through statistics.Result:The height of lumbar vertebrae interval of all 41 cases have losing in various degree after operation(P＜0.05).Practice group lost fewer the height of lumbar vertebrae interval than control group on six month later (P＜0.05).And the most lost height 56%compared preoperative.ODI has reduced in postoperative,specially in the practice group(P＜0.05).After six month, there is the most negative relativity between the height of lumbar vertebrae interval and ODI(r=-0.423,P＜0.05).And there is not relationship between the height of operation vertebrae interval and the height of border upon vertebrae interval(P＞0.05).And the change of the height of operation vertebrae interval is not because of patients age and quantity of extirpated intervertebral disc(P＞0.05).Conclusion:Compared control group,forepart practice skill patients has lower ODI and better rehabilitative effect.Forepart practice skill should be spread widely,to make the rehabilitative effect better.The height of lumbar vertebrae interval of all have losing in various degree after operation. Forepart practice skill make actively on the reducedthe height losting.And the change of the height of operation vertebrae interval is not effected by patient's age and quantity of extirpated intervertebral disc.The losted height of vertebrae interval is one of the according for rehabilitative effect. There is not relationship between the height of operation vertebrae interval and the height of border upon vertebrae interval.The posterior windowing operation is a good method for lumbar disc herniation patients and the ODI is obviously cut down.