中药烫熨治疗腰椎间盘突出症寒湿痹阻证的效果观察
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摘要
目的探讨温度和时间对中药烫熨治疗腰椎间盘突出症寒湿证患者临床护理效果的影响。方法选取2015年1月~2016年12月我院收治的64例腰椎间盘突出症寒湿证行中药烫熨治疗的患者,采用随机数字表法将其分为第一组(40~45℃,15 min)15例、第二组(40~45℃,30 min)(16例)、第三组(50~55℃,15 min)(16例)、第四组(50~55℃,30 min)(17例),分别观察在温度区域限定下,烫熨时间对疗效的影响;在时间限定条件下,温度对疗效的影响。结果治疗后,四组患者的VAS评分均低于治疗前,差异均无统计学意义(P>0.05);四组患者的VAS评分比较,差异均无统计学意义(P>0.05)。治疗后,第四组的总有效率高于其他三组,差异有统计学意义(P<0.01)。结论温度40~45℃或50~55℃、时间15 min或30 min的四种温度-时间组合的中药烫熨治疗,对腰椎间盘突出症寒湿证患者的VAS评分无明显影响,但50~55℃、30 min的烫熨治疗的有效率高于其他三组温度-时间组合。
Objective To explore the effect of temperature and time of pressing for the treatment of lumbar disc herniation patients with cold dampness syndrome clinical nursing effect of traditional Chinese Medicine. Methods Sixty-four patients with cold and dampness syndrome of lumbar disc herniation admitted to our hospital from January 2015 to December 2016 were selected and treated by traditional Chinese medicine ironing. They were divided into the first group(40-45℃, 15 min) 15 patients, the second group(40-45℃, 30 min) 16 patients, the third group(50-55℃, 15 min) 16 patients and the fourth group(50-55℃, 30 min) 17 patients by random number table method. the effects of ironing time on the curative effect were observed respectively under the limit of temperature range. The influence of temperature on curative effect under time-limited conditions. Results After treatment, VAS scores were lower than those before treatment, and there was no significant difference(P >0.05). After treatment, there was no significant difference in VAS scores among four groups(P>0.05); the total effective rate of the fourth group was higher than that of the other three groups, and the difference was statistically significant(P<0.01). Conclusion The temperature of 40-45℃ or 50-55℃and 15 min or 30 min, four kinds of temperature-time combination of the traditional Chinese medicine ironing therapy has no obvious effect on lumbar disc herniation in patients with cold dampness syndrome VAS score, however, the effective rate of ironing of the fourth group(50-55℃ and 30 min) was higher than that of the other three groups.
Objective To explore the effect of temperature and time of pressing for the treatment of lumbar disc herniation patients with cold dampness syndrome clinical nursing effect of traditional Chinese Medicine. Methods Sixty-four patients with cold and dampness syndrome of lumbar disc herniation admitted to our hospital from January 2015 to December 2016 were selected and treated by traditional Chinese medicine ironing. They were divided into the first group(40-45℃, 15 min) 15 patients, the second group(40-45℃, 30 min) 16 patients, the third group(50-55℃, 15 min) 16 patients and the fourth group(50-55℃, 30 min) 17 patients by random number table method. the effects of ironing time on the curative effect were observed respectively under the limit of temperature range. The influence of temperature on curative effect under time-limited conditions. Results After treatment, VAS scores were lower than those before treatment, and there was no significant difference(P >0.05). After treatment, there was no significant difference in VAS scores among four groups(P>0.05); the total effective rate of the fourth group was higher than that of the other three groups, and the difference was statistically significant(P<0.01). Conclusion The temperature of 40-45℃ or 50-55℃and 15 min or 30 min, four kinds of temperature-time combination of the traditional Chinese medicine ironing therapy has no obvious effect on lumbar disc herniation in patients with cold dampness syndrome VAS score, however, the effective rate of ironing of the fourth group(50-55℃ and 30 min) was higher than that of the other three groups.
引文
[1]上海市卫生局.上海市中医病症护理常规(第2版)[M].上海:上海中医药大学出版社,2004:446.
[2]玉锋,吴国林,何元诚.中药配合烫疗治疗腰椎间盘突出症的临床观察[J].右江民族医学院学报,2011,33(3):369-370.
[3]何元诚,公鑫,刘佰玲.牵引配合中药烫疗治疗腰椎间盘突出症120例[J].浙江中西医结合杂志,2009,19(7):425-426.
[4]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:201.
[5]李杰,吴红金,黎频,等.不同中医证候心力衰竭患者的心理状况分析[J].中华护理杂志,2007,42(1):17.
[6]熊春龙,李永清,刘晓英.中医推拿治疗腰椎间盘突出症的临床可行性[J].黑龙江医药科学,2016,39(4):128-129.
[7]覃秀英,黄颖.手法配合药物烫疗法治疗腰椎间盘突出症98例[J].江西中医药,2007,38(9):39.
[8]李权,林金国,王晓娴.超声波一微波协同提取香樟木质部提取物的响应面优化[J].福建农林大学学报(自然科学版),2013,42(6):665-670.
[9]徐永红.苏木汤外用治足跟痛103例[J].江西中医药,1998,29(4):39.
[10]陈常莲,泉山.蒙药材接骨木研究进展[J].中国民族医药杂志,2011(11):77-79.
[11]赵燕强,杨立新,张宪民.威灵仙的成分、药理活性和临床应用的研究进展[J].中药材,2008,31(3):465-470.
[12]况时祥.藤类药治疗中风病应用举隅[J].新中医,2005,37(11):87.
[13]章芸鸳.络石藤治疗腰部疾病验案3则[J].中国乡村医药,2015,22(4):52.
[14]邓家刚,梁宁,周程艳.鸡血藤药效及作用机理研究进展[J].广西中医药,2006,29(6):1-3.
[15]林志云,潘利明.伸筋草超临界提取精油的β-环糊精包合工艺研究[J].中药材,2007,30(8):1030-1031.
[16]尹靖先,彭玉华,张三印.花椒药用的研究进展[J].四川中医,2004,22(12):29-31.
[17]周英妮,黄莉,吴荣.自制温经散寒中药盐包烫熨治疗膝关节骨性关节炎72例[J].广西中医药,2011,34(5):11-12.
[18]黄锦军,雷龙鸣,庞军,等.社区内中医综合治疗腰椎间盘突出症293例[J].中医外治杂志,2012,21(6):14-15.
[19]吕晓玲,王懋成,马丽.中药烫熨疗法治疗腰腿痛的护理[J].当代护士(学术版),2014,(5):92-93.
[2]玉锋,吴国林,何元诚.中药配合烫疗治疗腰椎间盘突出症的临床观察[J].右江民族医学院学报,2011,33(3):369-370.
[3]何元诚,公鑫,刘佰玲.牵引配合中药烫疗治疗腰椎间盘突出症120例[J].浙江中西医结合杂志,2009,19(7):425-426.
[4]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:201.
[5]李杰,吴红金,黎频,等.不同中医证候心力衰竭患者的心理状况分析[J].中华护理杂志,2007,42(1):17.
[6]熊春龙,李永清,刘晓英.中医推拿治疗腰椎间盘突出症的临床可行性[J].黑龙江医药科学,2016,39(4):128-129.
[7]覃秀英,黄颖.手法配合药物烫疗法治疗腰椎间盘突出症98例[J].江西中医药,2007,38(9):39.
[8]李权,林金国,王晓娴.超声波一微波协同提取香樟木质部提取物的响应面优化[J].福建农林大学学报(自然科学版),2013,42(6):665-670.
[9]徐永红.苏木汤外用治足跟痛103例[J].江西中医药,1998,29(4):39.
[10]陈常莲,泉山.蒙药材接骨木研究进展[J].中国民族医药杂志,2011(11):77-79.
[11]赵燕强,杨立新,张宪民.威灵仙的成分、药理活性和临床应用的研究进展[J].中药材,2008,31(3):465-470.
[12]况时祥.藤类药治疗中风病应用举隅[J].新中医,2005,37(11):87.
[13]章芸鸳.络石藤治疗腰部疾病验案3则[J].中国乡村医药,2015,22(4):52.
[14]邓家刚,梁宁,周程艳.鸡血藤药效及作用机理研究进展[J].广西中医药,2006,29(6):1-3.
[15]林志云,潘利明.伸筋草超临界提取精油的β-环糊精包合工艺研究[J].中药材,2007,30(8):1030-1031.
[16]尹靖先,彭玉华,张三印.花椒药用的研究进展[J].四川中医,2004,22(12):29-31.
[17]周英妮,黄莉,吴荣.自制温经散寒中药盐包烫熨治疗膝关节骨性关节炎72例[J].广西中医药,2011,34(5):11-12.
[18]黄锦军,雷龙鸣,庞军,等.社区内中医综合治疗腰椎间盘突出症293例[J].中医外治杂志,2012,21(6):14-15.
[19]吕晓玲,王懋成,马丽.中药烫熨疗法治疗腰腿痛的护理[J].当代护士(学术版),2014,(5):92-93.