中药熏蒸温度对骨质疏松不同证型腰背痛患者的影响
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R589.5

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Effect of Temperature of Chinese Herbal Fumigation on Osteoporosis Patients with Low Back Pain with Different Syndromes
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    摘要:

    目的:探讨中药熏蒸温度对骨质疏松不同证型腰背痛患者的影响。方法:选取骨质疏松腰背痛患者150例,其中肾阳虚血瘀证50例,肝肾阴虚血瘀证50例,脾肾气虚血瘀证50例。三种证型患者按随机数字表法分为高温组和中温组,每组25例。高温组:熏蒸床药液温度从55℃开始,5 min后调为60℃;中温组:温度从50℃开始,5 min后调为55℃。熏蒸治疗时间均为30 min。治疗前后采用NRS疼痛评分法进行疼痛评估,并对熏蒸过程中的安全性进行评价。结果:干预后3天,各组患者骨痛评分较干预前降低,但差异无统计学意义(P>0.05)。干预后7天、14天,各组患者骨痛评分较干预前降低,差异均有统计学意义(P<0.05)。肝肾阴虚血瘀证患者2种熏蒸温度疗效比较,高温组疗效优于中温组(χ2=11.307,P=0.03);肾阳虚血瘀证患者2种熏蒸温度疗效比较,中温组疗效优于高温组(χ2=13.609,P=0.01)。各证型患者中,中温组的Ⅱ级、Ⅲ级、Ⅳ级不良反应较高温组少,安全性优于高温组。结论:中药熏蒸温度对不同证型腰痛患者疼痛缓解时间和程度及患者感受等均有所不同,温度高低对疗效有一定影响。

    Abstract:

    Objective:To discuss the effect of the temperature of Chinese herbal fumigation on osteoporosis patients with low back pain with different syndromes.Methods:A total of 150 osteoporosis patients with low back pain were selected,among which 50 patients were with syndrome of kidney yang deficiency and blood stasis,50 with syndrome of liver-kidney yin deficiency and blood stasis,and 50 with syndrome of spleen-kidney qi deficiency and blood stasis.According to the random number table method,all patients were divided into the high-temperature group and the mediumtemperature group,with 25 cases in each group.In the high-temperature group,the temperature of Chinese herbal liquid of fumigation bed started from 55 and was adjusted to 60 after 5 minutes.In the medium-temperature group,the temperature started from 50 and was adjusted to 55 after 5 minutes.The fumigation time was 30 minutes.Before and after treatment,the pain was assessed by NRS,and the safety during fumigation was evaluated.Results:Three days after intervention,the score of bone pain in each group was decreased when compared with that before intervention respectively,there being no significant difference(P>0.05).On the 7thand 14thdays after intervention,the score of bone pain in each group was decreased when compared with that before intervention respectively,differences being significant(P<0.05).In the comparison of the temperature of Chinese herbal fumigation in patients with syndrome of liver-kidney yin deficiency and blood stasis,the therapeutic effect of the high-temperature group was better than that of the medium-temperature group(χ2=11.307,P=0.03).In the comparison of the temperature of Chinese herbal fumigation in patients with syndrome of kidney yang deficiency and blood stasis,the therapeutic effect of the medium-temperature group was better than that of the hightemperature group(χ2=13.609,P=0.01).In all patients,the medium-temperature group had less adverse reactions of ,and grade than the high-temperature group,and had greater safety.Conclusion:The temperature of Chinese herbal fumigation has different effects on the relief time and degree of pain and the feelings in patients with low back pain with different syndromes,and it also has effect on the therapeutic effect.

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李志红,李海婷,关妙艳,席世珍.中药熏蒸温度对骨质疏松不同证型腰背痛患者的影响[J].新中医,2020,52(2):145-148

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  • 在线发布日期: 2020-01-14
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