中药热熨与艾灸联合常规医护措施促进腰椎椎管狭窄症术后康复效果分析
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R681.5;R248.2

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Analysis of Effect of Hot Compress of Chinese Medicine and Moxibustion Combined with Routine Medical and Nursing Measures on Promoting Rehabilitation After Surgery of Lumbar Spinal Stenosis
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    摘要:

    目的:观察在常规术后医护措施基础上加用中药热熨联合艾灸干预腰椎椎管狭窄症(LSS) 椎板切除减压术后患者在促进康复方面的效果。方法:将108 例患者随机分为对照组和观察组各54 例。2 组均予注射用头孢曲松钠、甘露醇注射液、地塞米松磷酸钠注射液治疗3 d,并给予综合康复护理措施。观察组于术后第2 天开始予中药热熨和艾灸干预,2 组均连续干预10 d。于术后当天和治疗10 d 后以疼痛视觉模拟评分法(VAS) 评价疼痛程度,以日本骨科学会(JOA) 腰椎功能评分评价腰椎功能。出院时评价护理满意度。术后随访3 个月,记录术后残留症状(下肢麻木、下腰疼痛) 情况。结果:治疗后,观察组改善腰椎功能的疗效优于对照组(P<0.05)。2 组VAS 评分均较治疗前下降,JOA 评分均较治疗前升高,差异均有统计学意义(P<0.01);观察组VAS 评分低于对照组,JOA 评分高于对照组,差异均有统计学意义(P<0.01)。观察组护理满意度高于对照组(P<0.05)。术后3 个月,观察组下肢麻木残留率为12.96%,低于对照组的29.63%,差异有统计学意义(P<0.05);观察组下腰疼痛残留率为9.26%,低于对照组的24.07%,差异有统计学意义(P<0.05)。结论:在常规医护措施的基础上给予中药热熨和艾灸干预LSS 术后患者,可进一步减轻疼痛、改善腰椎功能,并可减少下肢麻木、下腰疼痛残留,临床疗效和护理满意度均优于单纯给予常规术后医护措施。

    Abstract:

    Abstract:Objective:To observe the intervention effect of hot compress of Chinese medicine and moxibustion based on routine medical and nursing measures on promoting rehabilitation of patients with lumbar spinal stenosis(LSS) after decompressive laminectomy. Methods:A total of 108 cases of patients were randomly divided into the control group and the observation group, 54 cases in each group. Both groups were treated with injection of ceftriaxone sodium, mannitol injection, and dexamethasone sodium phosphate injection for three days; both groups were also given comprehensive rehabilitation nursing measures. On the 2nd day after surgery,the observation group was additionally given intervention of hot compress of Chinese medicine and moxibustion;the intervention continuously lasted for ten days in the two groups. On the day after surgery and after ten- day treatment,pain degree was evaluated by Visual Analogue Scale(VAS),and the lumbar vertebra function was evaluated by Japanese Orthopedic Association(JOA). The nursing satisfaction was evaluated when discharge. Postoperative residual symptoms including numbness in the lower limbs and pain in the lower back were recorded during three- month follow- up after surgery. Results: After treatment, the curative effect of improvement of the lumbar vertebra function in the observation group was better than that in the control group(P<0.05). VAS scores in the two groups were decreased when compared with those before treatment,and JOA scores were increased,differences being significant (P<0.01). VAS score in the observation group was lower than that in the control group, and JOA score was higher, differences being significant(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). On the 3rd month after surgery, the residual rate of numbness in the lower limbs was 12.96% in the observation group, lower than that of 29.63% in the control group, the difference being significant(P<0.05). On the 3rd month after surgery, the residual rate of pain in the lower back was 9.26% in the observation group, lower than that of 24.07% in the control group, the difference being significant(P<0.05). Conclusion: Based on routine medical and nursing measures,the intervention of special nursing measures including hot compress of Chinese medicine and moxibustion on LSS patients after surgery can further relieve pain, improve the lumbar vertebra function, and reduce the residual symptoms including numbness in the lower limbs and pain in the lower back. Its clinical effect and nursing satisfaction were better than those of simple routine nursing measures after surgery.

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王海燕,孙科儿,徐芳玲.中药热熨与艾灸联合常规医护措施促进腰椎椎管狭窄症术后康复效果分析[J].新中医,2021,53(5):171-174

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  • 在线发布日期: 2021-03-15
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