中医特色护理配合康复训练在保守治疗腰椎间盘突出症患者中的应用OACSTPCD
Application of traditional Chinese medicine characteristic nursing combined with rehabilitation training in conserva-tive treatment of patients with lumbar disc herniation
目的:中医特色护理配合康复训练在保守治疗腰椎间盘突出症(LDH)患者中的应用.方法:选取2022年1月~2023年1月于本院康复科诊治的88例LDH患者为研究对象,按非随机临床同期对照研究及患者自愿原则分为对照组和中医护理组各44例.对照组予以常规康复训练干预,中医护理组在对照组的基础上予以中医特色护理干预.比较两组患者干预14d后临床疗效,并对比两组患者干预前、干预14d后中医症候积分、腰椎功能情况、疼痛程度和健康生命质量.结果:干预14d后中医护理组临床总有效率为93.18%高于对照组77.27%(P<0.05);干预14d后中医护理组腰部刺痛、腰僵如板、俯仰不利、腰酸膝软、四肢寒凉和神疲力乏积分,Oswestry功能障碍(ODI)和视觉模拟(VAS)评分相比于对照组均显著更低(P<0.05);干预14d后中医护理组日本骨科协会评估治疗(JOA)、生理功能(PF)、躯体疼痛(BP)、总体健康(GH)、社会功能(SF)和精神健康(MH)评分均显著更高(P<0.05).结论:中医特色护理配合康复训练可显著增强LDH保守治疗效果,可改善中医症候,促进腰椎功能恢复,减轻疼痛程度,并提高健康生命质量.
Objective:To investigate the application of traditional Chinese medicine(TCM)characteristic nursing combined with rehabilitation training in conservative treatment of patients with lumbar disc herniation(LDH).Methods:A total of 88patients with LDH who were diagnosed and treated in the hospital from January 2022to January 2023were selected as the re-search subjects.They were divided into the control group and the TCM nursing group according to the non-randomized clinical concurrent control study and voluntary principle,with 44patients in each group.The control group received routine rehabilitation training,while.the TCM nursing group received TCM characteristic nursing intervention on the basis of the control group.The two groups were compared in terms of clinical effects after 14days of intervention,TCM symptom scores,lumbar function,pain degree and quality of life before intervention and after 14days of intervention.Results:After 14days of intervention,the total clinical ef-fective rate in the TCM nursing group was 93.18%,higher than 77.27%in the control group(P<0.05).After 14days of inter-vention,the scores for lower back stabbing pain,lumbar stiffness,limitation of motion,soreness and weakness of waist and knees,cold limbs and fatigue,Oswestry Disability Index(ODI)scores and Visual Analogue Scale(VAS)scores of the TCM nursing group were lower than those of the control group(P<0.05).After 14days of intervention,the TCM nursing group had sig-nificantly higher scores than the control group in terms of intervention effect[Japanese Orthopaedic Association(JOA)],physi-ological function(PF),body pain(BP),general health(GH),social function(SF)and mental health(MH)(P<0.05).Conclusion:TCM characteristic nursing combined with rehabilitation training can significantly enhance the therapeutic effect of conservative management on LDH,improve TCM symptoms,promote the recovery of lumbar function,relieve pain,and improve the quality of life.
董丽丽;程倩;李凤
阜阳市妇女儿童医院康复科,安徽阜阳 236000
中医学
腰椎间盘突出症中医特色护理康复训练临床疗效中医症候腰椎功能疼痛程度健康生命质量
Lumbar disc herniationTraditional Chinese medicine characteristic nursingRehabilitation trainingClinical efficacyTraditional Chinese medicine symptomLumbar functionPain degreeQuality of life
《四川中医》 2024 (003)
208-213 / 6
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