中医特色护理在重症脊髓型颈椎病康复中应用效果综合分析的研究  

Comprehensive Analysis of Effect of Characteristic Nursing of Traditional Chinese Medicine in Rehabilitation of Severe Cervical Spondylosis Myelopathy

作　　者：赵玉娟[1] 周丽[1] 余化龙[2] ZHAO Yu-juan;ZHOU Li;YU Hua-long(Department of Traditional Chinese Medicine,Dongfeng Hospital,Hubei University of Medicine,Shiyan 442000,China;不详)

机构地区：[1]湖北医药学院附属国药东风总医院中医科,湖北十堰442000 [2]湖北医药学院附属国药东风总医院骨科,湖北十堰442000

出　　处：《中国中西医结合外科杂志》2020年第1期142-146,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：2015年湖北省教育厅科学技术研究项目(B2015470)

摘　　要：目的:探讨中医特色护理在重症脊髓型颈椎病康复中的应用效果。方法:选取2014年5月—2018年5月在我院行康复治疗的74例重症脊髓型颈椎病患者,随机分为对照组37例与观察组37例,对照组给予常规基础护理,观察组在对照组护理的基础上给予中医特色护理,主要包括颈部牵引与推拿、理疗,护理观察时间为14 d;比较两组的疗效、日本骨科协会(JOA)评分、并发症及炎症因子水平。结果:观察组的总有效率显著高于对照组(97.3%vs.81.1%)。护理后,观察组和对照组的JOA评分分别为(21.42±3.19)分和(18.20±4.09)分,均显著高于护理前的(8.99±2.19)分和(8.72±1.89)分,且观察组也显著高于对照组(P<0.05)。观察组护理期间的尿路感染、伤口积液、应激性溃疡、肺部感染、脑脊液漏等并发症总发生率为10.8%,显著低于对照组的40.5%(P<0.05)。两组护理后的血清的细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平均显著低于护理前,且观察组显著低于对照组(P<0.05)。结论:中医特色护理在重症脊髓型颈椎病中应用能减轻继发性损伤和相关并发症,促进颈椎功能的改善,提高综合疗效,其作用机制可能与抑制炎症因子的表达有关。Objective To explore the application effects of traditional Chinese medicine(TCM)nursing in the treatment of severe cervical spondylosis of spinal cord.Methods From May 2014 to May 2018 in our hospital,74 patients with severe cervical spondylosis myelopathy(SCSM)were selected.All the patients were equally divided into observation group and control group based on the random number table method.The patients in control group were given routine nursing,the patients in observation group were given TCM based on the control group that mainly included cervical traction and massage,physiotherapy,and the nursing time in the two groups was 14 days.Results The total effective rates of the observation group and control group were 97.3%and 81.1%,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).The JOA scores in the observation group and control group after nursing were(21.42±3.19)and(18.20±4.09),which were significantly higher than those before nursing[(8.99±2.19)and(8.72±1.89)](P<0.05),and the JOA score in observation group was significantly higher than that in the control group(P<0.05).The incidence rate of urinary tract infection,wound fluid,stress ulcer,pulmonary infection,cerebrospinal fluid leakage and other complications in the observation group was 10.8%,while that in the control group was 40.5%,and the incidence rate in observation group was significantly less than that in the control group(P<0.05).The serum levels of IL-6 and TNF-αin the two groups were significantly lower than those before nursing(P<0.05),and the serum IL-6 and TNF-αin the observation group were significantly lower than those in the control group(P<0.05).Conclusion The TCM nursing in SCSM application can reduce secondary injury and related complications and improve the function of the cervical spine and comprehensive curative effect,and its mechanism may be related to inhibition of the expression of inflammatory cytokines.

关 键 词：中医特色护理 重症脊髓型颈椎病 炎症因子 并发症 颈椎功能 

分 类 号：R473.6[医药卫生—护理学]