中药热奄包外敷治疗腹腔镜子宫肌瘤术后腰痛临床研究  

Clinical Study on External Application of Chinese Medicine Hot Packages for Low Back Pain After Laparoscopic Myomectomy

作　　者：陈红美 吴晓艳 杨思翼 CHEN Hongmei;WU Xiaoyan;YANG Siyi(Department of Gynecology,Huzhou Maternity and Child Health Care Hospital,Huzhou Zhejiang 313000,China)

机构地区：[1]湖州市妇幼保健院妇科,浙江湖州313000

出　　处：《新中医》2024年第5期128-132,共5页New Chinese Medicine

摘　　要：目的:观察中药热奄包外敷治疗腹腔镜子宫肌瘤术后腰痛的临床效果。方法:将104例行腹腔镜子宫肌瘤术后腰痛的患者作为研究对象,以随机数字表法分为观察组与对照组各52例。对照组术后给予常规对症治疗,观察组在对照组基础上给予中药热奄包外敷治疗。比较2组治疗前后腰部疼痛视觉模拟评分法(VAS)评分、功能障碍指数(ODI)评分、腰部活动度及生活质量(SF-36)评分,比较2组临床疗效。结果:治疗后,2组VAS评分、ODI评分均降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后,2组腰部前屈、侧弯、后伸活动度均增大(P<0.05),且观察组大于对照组(P<0.05)。治疗后,2组SF-36各维度评分均升高(P<0.05),且观察组高于对照组(P<0.05)。观察组治疗总有效率92.31%,高于对照组75.00%(P<0.05)。结论:采用中药热奄包外敷治疗腹腔镜子宫肌瘤术后腰痛疗效显著,可减轻疼痛程度,改善腰部功能障碍及活动度,提高患者生活质量。Objective: To observe the clinical effect of external application of Chinese medicine hot packages on low back pain after laparoscopic myomectomy. Methods:A total of 104 patients with low back pain after receiving laparoscopic myomectomy were selected as the study subjects,and divided into the observation group and the control group according to the random number table method,with 52 cases in each group. The control group was given routine symptomatic treatment after surgery,and the observation group was additionally treated with external application of Chinese medicine hot packages based on the treatment of the control group. The scores of Visual Analogue Scale(VAS) of low back pain, scores of Oswestry Disability Index(ODI),range of motion of lumbar and scores of 36-Item Short-Form(SF-36)were compared between the two groups before and after treatment, and the clinical effects were compared between the two groups. Results: After treatment, the scores of VAS and ODI in the two groups were decreased(P<0.05), and the above two scores in the observation group were lower than those in the control group(P<0.05). After treatment,the range of motion of anteflexion,side bend and backward extension of lumbar in the two groups was increased(P<0.05), and the range of motion of anteflexion,side bend and backward extension of lumbar in the observation group was greater than that in the control group(P<0.05). After treatment,the SF-36 score of each dimension in the two groups was increased(P<0.05),and the SF-36 score of each dimension in the observation group was higher than that in the control group(P<0.05). The total effective rate was 92.31% in the observation group,higher than that of 75.00% in the control group(P<0.05). Conclusion:The external application of Chinese medicine hot packages has a significant curative effect on low back pain after laparoscopic myomectomy, which can mitigate the degree of pain,improve the lumbar dysfunction and range of motion of lumbar,and enhance the quality of life of patients.

关 键 词：腰痛 腹腔镜 子宫肌瘤术 中药热奄包外敷法 疼痛程度 生活质量 

分 类 号：R473.73[医药卫生—护理学]