摘要
目的探讨中药熏蒸改善腰椎间盘突出症患者腰腿痛的效果。方法将60例符合诊断标准的腰椎间盘突出症患者按照随机数字表法分为观察组30例和对照组30例,对照组的患者采取常规护理方法,观察组在对照组的基础上增加中药熏蒸的方法进行护理;应用直线视觉模拟评分法(VAS)及JOA下腰痛评定表评价护理前后患者腰腿痛的效果。结果在VAS、JOA评分改善上,治疗后2周、4周两组比较差异有统计学意义(P<0.05)。观察组有效率为90%,对照组有效率为70%,两组比较差异有统计学意义(P<0.05)。结论中药熏蒸治疗腰椎间盘突出症患者的腰腿疼痛有显著的效果,且操作简便可行,值得临床推广。
Objective To explore effects of the traditional Chinese medicine fumigation to improve lumbar disc herniation in patients with lowback pain. Methods 60 cases of lumbar diagnosed disc herniation were randomly divided into observation group 30 cases and control group 30 cases,patients in the control group received routine nursing,the observation group in the control group received the method of traditional Chinese medicine fumigation nursing based on routine nursing.The VAS and JOA were used to evaluate the effect of patients with lumbocrural pain before and after nursing evaluation. Results There was a significant difference between the two groups in VAS and JOA after treatment for 2 weeks,4 weeks(P<0.05).The observation group was 90%,the control group was 70%,there was significant difference between two groups(P<0.05). Conclusion There was a significant effect of traditional Chinese medicine fumigation treatment of patients with lumbar disc herniation of the lumbar and leg pain.It is simple and feasible,worthy of promotion.
引文
[1] choenfeld AJ,Nelson JH,Burks R,et al.Incidence and risk factors for lumbar degenerative disc disease in the United States military 1999-2008[J].The Spine Journal,2012,12(9):873-873.
[2] Borenstein D G.Epidemiology,etiology,diagnostic evaluation,and treatment of low back pain[J].Curr Opin Rheumatol,1997,9(2):144-150.
[3] 钟树玉,刘颖,李灵珊,等.中药熏蒸配合温经散治疗在腰椎间盘突出症患者中的应用[J] 护理实践与研究,2017,14(10):146-148
[4] 国家中医药管理局医政司.护理人员中医技术使用手册[M].北京:中国中医药出版社,2015:47-49.
[5] 戴金花,张孝云.健腰导引十二式在腰椎间盘突出症患者术后康复锻炼中的应用研究[J].护士进修杂志,2015,30(24):2211-2213.
[6] 李永艳.中医护理技术在单纯膨出型腰椎间盘突出症保守治疗中的应用及疗效[J].当代护士(中旬刊),2017,9:85-87.
[7] 史国玉.中药熏蒸治疗腰颈肩疾病的疗效观察与护理要点[J].临床医学专集,2015:15-17.
[8] 岳辉.中药蒸汽对强直性脊柱炎患者疼痛的影响 [J].当代护士(中旬刊),2018,25(5):78-79.