中医特色健康管理模式联合中药热敷对腰突症患者疼痛及功能康复的影响  

Effects of Traditional Chinese Medicine Characteristic Health Management Model Combined with Traditional Chinese Medicine Hot Compress on Pain and Functional Rehabilitation in Patients with Protrusion of Lumbar Intervertebral Disc

作　　者：唐丽娟[1] 蒋仕银[1] 沈玬延 全俊霓 刘竹英 赖俊玉 TANG Lijuan;JIANG Shiyin;SHEN Danyan;QUAN Junni;LIU Zhuying;LAI Junyu(Department of Traditional Chinese Medicine,Affiliated Hospital of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院中医科,广西桂林541001

出　　处：《基层中医药》2024年第9期36-41,共6页Basic Traditional Chinese Medicine

基　　金：广西壮族自治区中医药管理局自筹科研项目(GXZYC20220294)。

摘　　要：目的研究探讨中医特色健康管理模式联合中药热敷对腰突症患者疼痛及功能康复的影响。方法选取2021年6月—2023年6月本院收治的100例腰突症患者为对象,随机数字表法分为观察组、对照组,每组50例。对照组以常规护理干预结合中药热敷干预,观察组在此基础上增加中医特色健康管理模式干预。评估对比两组中医症状评分、疼痛程度、康复效果、不良事件发生率。结果观察组在干预2、4、8、12周时中医症状评分低于对照组(P<0.05)。观察组在干预2、4、8、12周时视觉模拟评分低于对照组(P<0.05)。观察组在干预2、4、8、12周时日本骨科协会评估治疗评分低于对照组(P<0.05)。观察组不良事件发生率6.00%,低于对照组的22.00%(P<0.05)。结论中医特色健康管理模式联合中药热敷对腰突症效果良好,缓解中医症状和疼痛程度,恢复腰椎功能,降低各种不良事件发生。Objective To study the effects of traditional Chinese medicine(TCM)characteristic health management model combined with TCM hot compress on pain and functional rehabilitation in the patients with protrusion of lumbar intervertebral disc.Methods One hundred patients with protrusion of lumbar intervertebral disc treated in the Affiliated Hospital of Guilin Medical University from June 2021 to June 2023 were selected and assigned with the random number table method into an observation group(n=50)and a control group(n=50).The control group received routine nursing combined with TCM hot compress,while the observation group received TCM characteristic health management model on the basis of the therapy in the control group.The TCM symptom scores,pain degree,rehabilitation effect,and incidence of adverse events were compared between the two groups.Results The observation group had lower TCM symptom scores,visual analogue scale(VAS)score,and Japanese Orthopaedic Association(JOA)score than the control group at weeks 2,4,8,and 12 of intervention(P<0.05).The incidence of adverse events in the observation group was 6.00%,which was lower than that(22.00%)in the control group(P<0.05).Conclusion The combination of TCM characteristic health management model and TCM hot compress alleviates TCM symptoms and pain,restores the lumbar function,and reduces the occurrence of adverse events in treating protrusion of lumbar intervertebral disc.

关 键 词：腰突症 中药热敷 中医特色健康管理模式 中医症状 疼痛程度 康复效果 不良事件发生率 

分 类 号：R47[医药卫生—护理学]