脊柱微调整脊手法配合中药熏药在椎间盘源性腰痛康复中的应用  

Application of Spinal Fine Tuning and Spinal Manipulation Combined with Traditional Chinese Medicine Fumigation in the Rehabilitation of Discogenic Low Back Pain

作　　者：黄燕虹 何晓辉 张金旋 巫依屏 HUANG Yanhong;HE Xiaohui;ZHANG Jinxuan;WU Yiping(Puning Hospital of Traditional Chinese Medicine,Puning 515300,China;不详)

机构地区：[1]普宁市中医医院,广东普宁515300

出　　处：《中外医学研究》2023年第36期143-146,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨脊柱微调整脊手法配合中药熏药在椎间盘源性腰痛康复中的应用效果。方法:回顾性选取2022年1月—2023年2月在普宁市中医医院就诊的80例椎间盘源性腰痛患者进行研究,按照护理方法不同将上述患者中使用常规西医护理方法进行康复护理的48例患者设为西医护理组,使用脊柱微调整脊手法联合中药熏药进行康复护理的32例患者设为中医护理组。比较两组干预前后腰椎功能评分[Oswestry功能障碍指数(ODI)、改良日本骨科协会下腰疼痛指数量表(M-JOA)]、疼痛缓解情况[视觉模拟评分法(VAS)、疼痛评估数字等级评定量表(NRS)]、腰椎活动度(侧屈活动度、旋转活动度)及不良反应发生情况。结果:干预前,两组ODI评分、M-JOA评分、VAS评分、NRS评分、侧屈活动度、旋转活动度比较,差异无统计学意义(P>0.05);干预后,两组ODI评分、M-JOA评分、VAS评分、NRS评分低于干预前,且中医护理组低于西医护理组,两组侧屈活动度、旋转活动度大于干预前,且中医护理组大于西医护理组,差异有统计学意义(P<0.05)。中医护理组不良反应发生率为9.38%,低于西医护理组的29.17%,差异有统计学意义(P<0.05)。结论:脊柱微调整脊手法配合中药熏药在椎间盘源性腰痛患者康复中的效果良好,可改善腰椎功能与腰椎活动度,降低疼痛感,且安全性良好。Objective:To explore the application effect of spinal fine tuning and spinal manipulation combined with traditional Chinese medicine fumigation in the rehabilitation of discogenic low back pain.Method:A total of 80 patients with discogenic low back pain who treated in Puning Hospital of Traditional Chinese Medicine from January 2022 to February 2023 were retrospectively selected for study,according to different nursing methods,48 patients who used conventional western medicine nursing methods for rehabilitation nursing were set as western medicine nursing group,and 32 patients who used spinal fine tuning and spinal manipulation combined with traditional Chinese medicine fumigation for rehabilitation nursing were set as traditional Chinese medicine nursing group.The lumbar function scores[Oswestry disability index(ODI),modified Japanese orthopaedic association low back pain index(M-JOA)],pain relief[visual analogue scale(VAS),numerical rating scale(NRS)],lumbar activity angle(lateral flexion angle,rotation angle)before and after intervention and adverse reactions were compared between two groups.Result:Before intervention,there were no significant differences in ODI score,M-JOA score,VAS score,NRS score,lateral flexion angle and rotation angle between two groups(P>0.05);after intervention,the ODI score,M-JOA score,VAS score and NRS score of two groups were lower than those before intervention,and those of the traditional Chinese medicine nursing group were lower than those of the western medicine nursing group,the lateral flexion angle and rotation angle of two groups were bigger than those before intervention,and those of the traditional Chinese medicine nursing group were bigger than those of the western medicine nursing group,the differences were statistically significant(P<0.05).The adverse reaction rate in the traditional Chinese medicine nursing group was 9.38%,which was lower than 29.17%in the western medicine nursing group,the difference was statistically significant(P<0.05).Conclusion:Spinal fine tuning a

关 键 词：脊柱微调整脊手法 中药熏药 椎间盘源性腰痛 康复效果 

分 类 号：R274.9[医药卫生—中西医结合]