艾灸联合腰痛散药烫治疗寒湿型腰椎间盘突出症的临床护理

目的 探讨艾灸联合腰痛散药烫治疗寒湿型腰椎间盘突出症的临床护理效果。方法 选取2012年3月～2013年3月在广东省韶关市中医院住院的寒湿型腰痛患者120例，随机分为治疗组和对照组各60例。对照组予艾灸疗法及常规护理，治疗组予艾灸联合腰痛散药烫及综合护理干预。比较两组的临床疗效及疼痛视觉模拟评分法（VAS）、数字评分法（NRS）、腰椎功能评定情况。结果 治疗组有效率为91．67％，对照组为81．67％，两组比较，差异有统计学意义（P〈0．05）。两组VAS评分治疗后与治疗前比较，差异有统计学意义（P〈0．05）；治疗后，治疗组的VAS评分为（2．34±0．57）分，对照组为（3．07±0．83）分，治疗组显著低于对照组，两组比较，差异有统计学意义（P〈0．05）。两组NRS评分治疗后与治疗前比较，差异有统计学意义（P〈0．05）；治疗后，治疗组的NRS评分为（3．21±0．87）分，对照组为（4．23±0．89）分，治疗组显著低于对照组，两组比较，差异有统计学意义（P〈0．05）。治疗后治疗组患者的疼痛程度较冶疗前均得到改善，屈曲伸直比明显减小，中位频率斜率明显增大；腰椎功能评定指标比较，治疗组均明显优于对照组，差异有统计学意义（P〈0．05）。两组均未见明显不良反应。结论 艾灸联合腰痛散药烫治疗寒湿型腰椎间盘突出症临床护理效果显著，值得在临床推广应用。

Observation on clinical nursing effect of moxibustion combined with Yaotong Powder medicine hot treatment for cold dampness syndrome of lumbar disc herniation

Objective To explore the clinical nursing effect of moxibustion combined with Yaotong Powder medicine hot treatment for cold dampness syndrome of lumbar disc herniation. Methods 120 cases of cold dampness syndrome of lumbar disc herniation from March 2012 to March 2013 in Shaoguan Hospital of Traditional Chinese Medicine were collected, all patients were randomly divided into treatment group and control group with 60 cases in each. The control group was treated with moxibustion and routine nursing, while the treatment group was treated with moxibustion combined with Yaotong Powder medicine hot treatment and integrated nursing intervention. The clinical therapeutic effect, VAS, NRS score and lumbar function assessment of two groups were compared. Results The effective rate of treatment group was 91.67%, which was higher than 81.67% of control group （P 〈 0.05）. The differences were statistically significant in the VAS, NRS scores of the two groups before and after treatment （P 〈 0.05）; after treatment, the VAS, NRS scores of treatment group were （2.34±0.57）, （3.21±0.87） scores respectively, which were significantly lower than control group of （3.07±0.83）, （4.23±0.89） scores, the differences were statistically significant （P 〈 0.05）. The degree of pain in treatment group were improved after treatment, flexion extension ratio were decreased, median frequency slope were increased; the lumbar function assessment indexes of treatment group were significantly better than those of control group （P 〈 0.05）. The two groups had no obvious adverse reactions. Conclusion The clinical nursing effect of moxibustion combined with Yaotong Powder medicine hot treatment for cold dampness syndrome of lumbar disc herniation is significant, and worthy of clinical application.