【摘要】 目的 通过视觉模拟评分(VAS)与日本骨科协会评估治疗分数(JOA)评分来研究普拉提对新发腰椎间盘突出症疗养员疼痛症状和腰椎功能的影响。方法 将某中心 2020 年 1 月至 2023 年 1 月 108 例腰椎间盘突出症疗养员作为研究对象。双盲法分为对照组(实施康复理疗方法)及观察组(对照组基础上增加普拉提)，两组各 54 例。对比两组的腰背肌群生物力学指标、疼痛程度评分以及腰椎功能评分。结果 观察组在治疗后的腰背屈伸峰力矩大于对照组[(79.69±7.43)Nm VS (75.53±8.86)Nm，t=2.644，P=0.009]，腰背屈伸比低于对照组[(72.56±9.01)% VS (76.31±7.98)%，t=2.290，P=0.024)]，VAS 评分低于对照组，JOA 评分高于对照组，均差异有统计学意义(P<0.05)。结论 对腰椎间盘突出症疗养员在常规方法上增加普拉提，能有效改善疗养员的腰背肌群肌力，进一步缓解疼痛程度，并提升对腰椎功能的改善效果。

[Abstract]Objective: o study the improvement of VAS and JOA scores in newly diagnosed lumbar disc herniation convalescents treated with Pilates. Methods: A study was conducted on 108 patients with lumbar disc herniation who underwent rehabilitation at a certain nursing institution from January 2020 to January 2023. The double blind method was divided into a control group (implementing rehabilitation therapy) and an experimental group (adding Pilates to the control group), with 54 cases in each group. Compare the biomechanical indicators, pain severity scores, and lumbar function scores of the lumbar dorsal muscle group between the two groups.Results: After treatment, the peak moment of lumbar back flexion and extension in the experimental group was greater than that in the control group, the ratio of lumbar back flexion and extension was lower than that in the control group, the VAS score was lower than that in the control group, and the JOA was higher than that in the control group, with a statistically significant difference (P<0.05).Conclusion: Adding Pilates to the routine methods for convalescents with lumbar disc herniation can effectively improve the strength of the lumbar dorsal muscle group, further alleviate pain, and enhance the improvement effect on lumbar function.