Application of psychology in lumbar and leg pain caused by lumbar disc herniation
心理学在腰椎间盘突出症致腰腿疼痛中的应用

摘要

目的 探讨心理学在腰椎间盘突出症致腰腿疼痛中的应用效果。方法 选择腰椎间盘突出症致腰腿疼痛患者60例，采用随机数字表法将其分为两组各30例，两组均采用相同的干预措施，实验组在参考组的基础上加用心理学干预措施。比较两组的临床疗效。结果 参考组，治愈6例，好转10例，临床有效率53.3%；实验组，治愈21例，好转6例，临床有效率90.0%，实验组明显高于参考组，对比有明显差异（X2=14.03，P＜0.05）。治疗前，对照组生活质量Barthel评分1.5±0.1分，观察组1.4±0.2分，两组无显著统计差异，P＞0.05；治疗后，对照组Barthel评分3.3±0.3分，观察组7.1±1.1分，两组存在显著统计差异，t=10.24,P＜0.05。治疗前两组的疼痛评分无显著统计学差异，P＞0.05；治疗后，实验组的疼痛评分显著低于对照组，P＜0.05。结论 心理学结合康复干预措施在腰椎间盘突出症腰腿疼痛治疗中的效果突出，能够提高临床疗效，值得临床应用。

Abstract

Objective To explore the effect of psychology in the treatment of low back and leg pain caused by lumbar disc herniation.
Methods 60 patients with low back and leg pain caused by lumbar disc herniation were randomly divided into two groups with 30 cases in each group. The two groups were treated with the same intervention measures. The experimental group was treated with psychological intervention measures on the basis of the reference group. The clinical effects of the two groups were compared.
Results in the reference group, 6 cases were cured and 10 cases were improved. The clinical effective rate was 53.3%; In the experimental group, 21 cases were cured, 6 cases were improved, and the clinical effective rate was 90.0%. The experimental group was significantly higher than the reference group, with significant difference (x2=14.03, P < 0.05). Before treatment, Barthel score of quality of life in the control group was 1.5 ± 0.1, and that in the observation group was 1.4 ± 0.2. There was no significant difference between the two groups (P > 0.05); After treatment, Barthel score of the control group was 3.3 ± 0.3 and that of the observation group was 7.1 ± 1.1. There was significant statistical difference between the two groups, t=10.24, P < 0.05. There was no significant difference in pain scores between the two groups before treatment (P > 0.05); After treatment, the pain score of the experimental group was significantly lower than that of the control group
Conclusion   the effect of psychological and rehabilitation interventions in the treatment of lumbar intervertebral disc herniation pain is outstanding, which can improve the clinical efficacy and is worthy of clinical application.