基于中医整脊思想构建慢病管理模式在退变性腰椎椎管狭窄症中的应用  

Application of Construction of Chronic Disease Management Model Based on Idea of Chinese Medicine Chiropractic for Degenerative Lumbar Spinal Stenosis

作　　者：郭俊彪[1] 管华[1] 陈文治[1] 王慧敏[1] 吴树旭 GUO Junbiao;GUAN Hua;CHEN Wenzhi;WANG Huimin;WU Shuxu(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Chinese Medicine),Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学第二附属医院(广东省中医院),广东广州510120

出　　处：《新中医》2023年第24期101-104,共4页New Chinese Medicine

基　　金：广州市民政局课题项目(2020MZK21);广东省中医院韦以宗名医工作室。

摘　　要：目的:基于中医整脊思想,构建腰椎椎管狭窄症的慢病管理模式,并观察该模式对退变性腰椎椎管狭窄症(DLSS)患者Oswestry功能障碍指数问卷表(ODI)及疼痛视觉模拟评分法(VAS)评分影响。方法:回顾性分析行整脊保守治疗的DLSS患者临床资料80例,根据不同的慢病管理方式,分为对照组38例和观察组42例。对照组给予常规随访管理,观察组给予中医整脊慢病管理。随访6个月,比较2组入组前后ODI及VAS评分。结果:入组前,2组VAS、ODI评分比较,差异无统计学意义(P>0.05)。入组6个月,观察组VAS、ODI评分呈较入组前及入组1个月明显下降(P<0.05),并呈下降趋势(P<0.05),且2项评分均低于对照组(P<0.05);而对照组VAS评分则与入组前及入组1个月比较变化不大(P>0.05),ODI评分则较入组前及入组1个月降低(P<0.05)。结论:构建中医整脊特色慢病管理模式并运用于DLSS患者随访管理中,在提高脊椎功能及减轻腰痛方面具有一定的优势。Objective:Based on the idea of Chinese medicine chiropractic,to construct a chronic disease management model,and to observe the effect of this model on scores of Oswestry Disability Index(ODI) and Visual Analogue Scale(VAS) in patients with degenerative lumbar spinal stenosis(DLSS).Methods:A total of 80 DLSS patient clinical data undergoing conservative treatment of chiropractic were given a retrospective analysis,and divided into the control group and the observation group according to their different chronic disease management methods,with 38 and 42 cases in each group respectively.The control group was given routine follow-up management,and the observation group was given chronic disease management of Chinese medicine chiropractic.Both groups were given 6 months follow-up,and the scores of ODI and VAS were compared before and after enrollment between the two groups.Results:Before enrollment,there was no significant difference being found in the comparison of scores of VAS and ODI between the two groups(P>0.05).Six months after enrollment,the scores of VAS and ODI in the observation group were lower than those before and after one month(P<0.05),and showed a downward trend,differences being significant(P<0.05),and the two scores were lower than those in the control group;there was no significant difference being found in the comparison of VAS scores before and after one month in the control group(P>0.05),and the ODI scores were decreased when compared with those before and after one month(P<0.05).Conclusion:Constructs a characteristic chronic disease management model of Chinese medicine chiropractic and applies it to the follow-up management of DLSS patients,which has certain advantages in improving spinal function and reducing lumbar pain.

关 键 词：退变性腰椎椎管狭窄症 中医整脊 慢病管理 Oswestry功能障碍指数问卷表 

分 类 号：R681.5[医药卫生—骨科学]