中药蜡疗结合康复护理对气滞血瘀型腰椎间盘突出症患者腰椎功能的影响

目的 探讨中药蜡疗结合康复护理对气滞血瘀型腰椎间盘突出症患者腰椎功能的影响。方法 选择本院于2019年2月—2020年3月间收治的腰椎间盘突出症患者90例,按随机数字表法分为2组,各45例。对照组行常规康复护理联合单纯蜡泥外敷治疗,在此基础上,研究组行中药蜡疗干预。比较2组疼痛程度、腰椎功能、生活质量。结果 干预后,研究组视觉模拟评分法(VAS)评分(0.45±0.06)较对照组(0.85±0.10)低,腰椎日本骨科协会(JOA)评分(25.26±2.05)较对照组(20.68±3.09)高,差异有统计学意义(t=23.009、8.285,P<0.001);研究组躯体疼痛、生理职能、活力、总体健康、生理功能、社会功能评分(71.30±8.21、75.24±7.98、74.12±8.65、67.59±9.94、79.30±10.01、85.60±6.85)较对照组(62.20±7.28、57.54±6.20、58.89±7.02、49.01±8.04、72.23±8.32、79.15±5.85)高,差异有统计学意义(t=5.563、11.750、9.171、9.749、3.644、4.803,P<0.05)。结论 中药蜡疗结合康复护理可有效减轻气滞血瘀型腰椎间盘突出症患者疼痛程度,改善腰椎功能,提高生活质量。

Effect of traditional Chinese medicine wax therapy combined with rehabilitation nursing on lumbar function of patients with lumbar disc herniation of qi stagnation and blood stasis type

Objective To explore the effect of traditional Chinese medicine wax therapy combined with rehabilitation nursing on lumbar function of patients with lumbar disc herniation of qi stagnation and blood stasis type. Methods A total of 90 patients with lumbar disc herniation admitted to our hospital from February 2019 to March 2020 were randomly divided into two groups, with 45 cases in each group. The control group was treated with routine rehabilitation nursing combined with simple external application of wax paste. On this basis, the trial group was treated with traditional Chinese medicine wax therapy intervention. The pain degree, lumbar function and quality of life were investigated and compared between the two groups. Results After the intervention, the visual analogue scale (VAS) score (0.45±0.06) of the trial group was lower than that of the control group (0.85±0.10), and the JOA score (25.26±2.05) of the trial group was higher than that of the control group (20.68±3.09), and the differences were statistically significant (t=23.009, 8.285, both P<0.001). The scores of physical pain, physiological function, vitality, general health, physiological function and social function of the study group were higher than those of the control group , and the differences were statistically significant (t=5.563, 11.750, 9.171, 9.749, 3.644, 4.803, all P<0.05). Conclusions The traditional Chinese medicine wax therapy combined with rehabilitation nursing can effectively relieve the pain degree of patients with lumbar disc herniation of qi stagnation and blood stasis type, improve the lumbar function and improve the quality of life.