基于“快速康复理念”探讨火龙罐综合灸疗法在腰椎融合术后的效用  

To Explore the Effect of Fire-Dragon Pot Moxibustion after Lumbar Fusion Based on“Rapid Rehabilitation Concept”

作　　者：李春蓉[1] 黄英苗[1] 林诗婷 马子君 Li Chunrong(Zhuhai Hospital,Guangdong Hospital of Traditional Chinese Medicine,Zhuhai Guangdong 519015)

机构地区：[1]广东省中医院珠海医院,广东珠海519015

出　　处：《黑龙江医药》2024年第4期800-803,共4页Heilongjiang Medicine journal

基　　金：2023年度珠海市医学科研项目(项目编号:2220009000284)。

摘　　要：目的:基于“快速康复理念”探讨火龙罐综合灸疗法在腰椎融合术后的应用效果,以期为临床早期康复方案的选择提供参考。方法:选择2022年2月至2023年2月于广东省中医院珠海医院脊柱科进行腰椎融合术治疗的126例患者,采用随机数字表法均分为观察组与对照组。对照组术后应用常规康复管理,观察组基于“快速康复理念”实施火龙罐综合灸疗法干预。比较两组康复效果、不良反应发生情况、术后各时间点腹痛程度、干预前后胃肠功能指标水平、临床干预满意度。结果:观察组胃肠功能指标恢复时间短于对照组(P<0.05);观察组术后腹胀腹痛及恶心呕吐总发生率为6.00%,低于对照组的20.00%(P<0.05)。术后8h、32h、56h,观察组VAS评分均低于对照组(P<0.05)。术后3天、术后5天,观察组胃肠激素指标高于对照组(P<0.05)。观察组满意率为96.00%,高于对照组的80.00%(P<0.05)。结论:火龙罐综合灸疗法干预能够显著提升腰椎融合术后患者康复速度,降低不良反应发生风险,同时对患者疼痛反应、胃肠道功能有持续改善作用,患者满意度较高,临床价值显著。Objective:Based on the"rapid rehabilitation concept",to explore the application effect of fire-dragon pot comprehensive moxibustion therapy after lumbar fusion,in order to provide reference for the selection of early clinical rehabilitation program.Methods:126 patients who underwent lumbar fusion in the Department of Spine,Zhuhai Hospital,Guangdong Hospital of Traditional Chinese Medicine from February 2022 to February 2023 were selected and divided into observation group and control group by random number table method.The control group was treated with routine rehabilitation management after operation,while the observation group was treated with fire-dragon pot comprehensive moxibustion therapy based on“rapid rehabilitation concept”.The rehabilitation effect,the occurrence of adverse reactions,the degree of abdominal pain at each time point after surgery,the level of gastrointestinal function indexes before and after intervention,and the satisfaction of clinical intervention were compared between the two groups.Results:The recovery time of gastrointestinal function index in observation group was shorter than that in control group(P<0.05).The total incidence of abdominal distension,abdominal pain,nausea and vomiting was 6.00%in the observation group,which was lower than 20.00%in the control group(P<0.05).VAS scores in the observation group were lower than those in the control group at 8h,32h and 56h after operation(P<0.05).At 3 and 5 days after operation,gastrointestinal hormone indexes in observation group were higher than those in control group(P<0.05).The satisfaction rate of observation group was 96.00%,higher than that of control group 80.00%(P<0.05).Conclusion:Fire-dragon pot comprehensive moxibustion therapy can significantly improve the recovery speed of patients after lumbar fusion,reduce the risk of adverse reactions,and have continuous improvement effects on patients'pain response and gastrointestinal function,with high patient satisfaction and significant clinical value.

关 键 词：快速康复理念 火龙罐综合灸疗法 腰椎融合术 胃肠功能 腹痛程度 

分 类 号：R245[医药卫生—针灸推拿学]