药熏按摩与规范腰部活动对腰椎间盘脱出症患者症状改善的影响  

Effects of Herbal Fumigation and Massage Combined with Standard Lumbar Activity on the Improvement of Symptoms of Patients with Lumbar Intervertebral Disc Herniation

作　　者：卢彬 杨佳生 曾秀芳 邝秋群 吴佳芳 

机构地区：[1]广州市荔湾区骨伤科医院,广东广州510140

出　　处：《临床医学工程》2017年第12期1747-1748,共2页Clinical Medicine & Engineering

基　　金：广州市荔湾区科技和信息化局资助项目(20151217089)

摘　　要：目的探讨药熏按摩和规范腰部活动对改善腰椎间盘脱出症患者症状的影响。方法选择80例腰椎间盘脱出症患者,随机分为两组各40例。对照组给予牵引、穴位按摩、药熏腰骶部等物理治疗,观察组在此基础上给予腰部正确活动指引和腰部保护技能培训,加强腰部行为规范管理。结果观察组的疼痛评分显著低于对照组,直腿抬高角度显著高于对照组(P<0.05)。观察组的腰椎间盘脱出护理知识得分、配戴护腰依从性和护理服务满意度均显著高于对照组(P<0.05)。结论药熏按摩结合规范腰部活动和加强自我行为管理,能提高患者对腰椎间盘脱出的防护意识,减轻腰椎间盘脱出患者的疼痛程度,促进症状改善。Objective To explore the effect of herbal fumigation and massage combined with standard lumbar activity on the improvement of symptoms of patients with lumbar intervertebral disc hemiation. Methods 80 cases ofpatients with lumbar intervertebral disc herniation were selected and randomly divided into the control group and the observation group equally. All cases were given physical therapy including traction, acupoint massage and herbal fumigation on lumbosacral region; in addition, the observation group received guidance of c^rrect^umbaractivity^training^f~umbarpr^tecti^ns^d~~s^andenhancedmanagem^nt^f~umbarbehavi^r.Results The pain score ofobservation group was significantly lower than that of control group, and the straight-leg-raising angle was significantly higher than that of control group （P 〈0.05）. The score of nursing knowledge of lumbar intervertebral disc herniation, compliance of wearing waistband, and satisfaction degree to nursing service of observation group were significantly higher than those of control group （P 〈0.05）. Conclusions Herbal fumigation and massage combined with standard lumbar activity and enhanced self-behavior management can improve patients＇ protection awareness of lumbar intervertebral disc herniation, relieve pain degree and promote the improvement of symptoms of lumbar intervertebral disc herniation.

关 键 词：药熏 按摩 腰部活动 腰椎间盘脱出症 影响 

分 类 号：R248.2[医药卫生—中医临床基础]