中药烫熨治疗腰椎间盘突出症的康复护理干预体会(1)
【摘要】 目的 探讨中药烫熨复合护理干预治疗腰椎间盘突出症的临床疗效。方法 80例腰椎间盘突出症患者， 采用信封法随机分为实验组和对照组， 各40例。对照组患者在治疗期间给予常规护理干预， 实验组在对照组的基础上应用中药烫熨复合护理干预。观察比较两组患者的治疗效果。结果 实验组患者的临床治疗总有效率为97.50%， 其中无效1例， 有效9例， 显效16例， 治愈14例；对照组患者的临床治疗总有效率为87.50%， 其中无效6例， 有效12例， 显效12例， 治愈10例；实验组患者的治疗总有效率高于对照组， 差异具有统计学意义(P<0.05)。结论 采用中药烫熨复合护理干预疗法治疗腰椎间盘突出症患者， 能有效提高临床治疗效果， 值得在临床上推广应用。
【关键词】 中药烫熨疗法；腰椎间盘突出症；康复护理体会
DOI：10.14163/j.cnki.11-5547/r.2017.31.084
【Abstract】 Objective To investigate the clinical efficacy of rehabilitation nursing intervention of Chinese medicine ironing in the treatment of prolapse of lumbar intervertebral disc. Methods A total of 80 patients with prolapse of lumbar intervertebral disc were divided by envelope method into experimental group and control group， with 40 cases in each group. The control group received conventional nursing intervention during treatment， and the experimental group received rehabilitation nursing intervention of Chinese medicine ironing on the basis of the control group. Treatment effect between two groups was observed and compared. Results The experimental group had total effective rate of clinical treatment as 97.50%， including 1 ineffective case， 9 effective cases，16 excellent cases and 14 cure cases. The control group had total effective rate of clinical treatment as 87.50%， including 6 ineffective cases， 12 effective cases， 12 excellent cases and 10 cure cases. The experimental group had higher total treatment effective rate than the control group， and the difference was statistically significant (P<0.05). Conclusion Rehabilitation nursing intervention of Chinese medicine ironing can effectively improve clinical treatment effect for the treatment of patients with prolapse of lumbar intervertebral disc， and it is worthy of clinical promotion and application.
【Key words】 Chinese medicine ironing therapy； Prolapse of lumbar intervertebral disc； Rehabilitation nursing experience
腰椎間盘突出症是临床发生率较高的一种腰部疾病， 属中医腰痛的范畴， 以L4～5、L5～S1间隙发病率最高， 约占90%～96%， 极大地影响了患者的生活、工作及学习[1]。西医治疗腰椎间盘突出症主要是应用脱水药物， 营养神经的药物， 调节骨代谢药物的治疗方法， 效果不理想。本科室应用中药烫熨复合护理干预治疗腰椎间盘突出症患者颇有效果， 现报告如下。
1 资料与方法
1. 1 一般资料 收集2016年6～12月大连市中医医院康复科病房收治的腰椎间盘突出症患者80例， 采用信封法将患者随机分为实验组和对照组， 每组40例。实验组中男20例， 女20例， 年龄23～73岁， 平均年龄(53.2±10.2)岁， 病程0.5～9.0年， 平均病程(4.6±0.7)年。对照组中男21例， 女19例， 年龄24～74岁， 平均年龄(54.1±10.1)岁， 病程0.5～8.0年， 平均病程(4.7±0.9)年。两组患者一般资料比较差异无统计学意义(P>0.05)， 可以进行比较。两组患者的腰椎间盘突出症的诊断标准均参照《中药新药研究指导原则》中关于腰椎间盘突出症的诊断[2-4]。
1. 2 方法 对照组患者在治疗期间采用一般护理方法。实验组在对照的组基础上应用中药烫熨复合护理干预， 具体如下。, http://www.100md.com(黄勤 车旭东 梁哲瑞)
【关键词】 中药烫熨疗法；腰椎间盘突出症；康复护理体会
DOI：10.14163/j.cnki.11-5547/r.2017.31.084
【Abstract】 Objective To investigate the clinical efficacy of rehabilitation nursing intervention of Chinese medicine ironing in the treatment of prolapse of lumbar intervertebral disc. Methods A total of 80 patients with prolapse of lumbar intervertebral disc were divided by envelope method into experimental group and control group， with 40 cases in each group. The control group received conventional nursing intervention during treatment， and the experimental group received rehabilitation nursing intervention of Chinese medicine ironing on the basis of the control group. Treatment effect between two groups was observed and compared. Results The experimental group had total effective rate of clinical treatment as 97.50%， including 1 ineffective case， 9 effective cases，16 excellent cases and 14 cure cases. The control group had total effective rate of clinical treatment as 87.50%， including 6 ineffective cases， 12 effective cases， 12 excellent cases and 10 cure cases. The experimental group had higher total treatment effective rate than the control group， and the difference was statistically significant (P<0.05). Conclusion Rehabilitation nursing intervention of Chinese medicine ironing can effectively improve clinical treatment effect for the treatment of patients with prolapse of lumbar intervertebral disc， and it is worthy of clinical promotion and application.
【Key words】 Chinese medicine ironing therapy； Prolapse of lumbar intervertebral disc； Rehabilitation nursing experience
腰椎間盘突出症是临床发生率较高的一种腰部疾病， 属中医腰痛的范畴， 以L4～5、L5～S1间隙发病率最高， 约占90%～96%， 极大地影响了患者的生活、工作及学习[1]。西医治疗腰椎间盘突出症主要是应用脱水药物， 营养神经的药物， 调节骨代谢药物的治疗方法， 效果不理想。本科室应用中药烫熨复合护理干预治疗腰椎间盘突出症患者颇有效果， 现报告如下。
1 资料与方法
1. 1 一般资料 收集2016年6～12月大连市中医医院康复科病房收治的腰椎间盘突出症患者80例， 采用信封法将患者随机分为实验组和对照组， 每组40例。实验组中男20例， 女20例， 年龄23～73岁， 平均年龄(53.2±10.2)岁， 病程0.5～9.0年， 平均病程(4.6±0.7)年。对照组中男21例， 女19例， 年龄24～74岁， 平均年龄(54.1±10.1)岁， 病程0.5～8.0年， 平均病程(4.7±0.9)年。两组患者一般资料比较差异无统计学意义(P>0.05)， 可以进行比较。两组患者的腰椎间盘突出症的诊断标准均参照《中药新药研究指导原则》中关于腰椎间盘突出症的诊断[2-4]。
1. 2 方法 对照组患者在治疗期间采用一般护理方法。实验组在对照的组基础上应用中药烫熨复合护理干预， 具体如下。, http://www.100md.com(黄勤 车旭东 梁哲瑞)