敷药蜡疗结合推拿手法对气滞血瘀证腰椎间盘突出患者的临床疗效分析  

Clinical Efficacy Analysis of Applying Wax Therapy Combined with Massage Techniques in Patients with Lumbar Disc Herniation of Qi Stagnation and Blood Stasis Syndrome

作　　者：刘华 陈苑楠 朱丽丽 LIU Hua;CHEN Yuannan;ZHU Lili(Acupuncture and moxibustion Department of Meizhou Traditional Chinese Medicine Hospital,Meizhou,Guangdong,514000,China)

机构地区：[1]梅州市中医医院针灸科,广东梅州514000

出　　处：《中外医疗》2024年第29期186-189,共4页China & Foreign Medical Treatment

基　　金：2021年度梅州市社会发展科技计划项目基金(211202102050356)。

摘　　要：目的分析敷药蜡疗结合推拿按摩在气滞血瘀证腰椎间盘突出症患者中的应用价值。方法回顾性选取2021年11月—2023年11月梅州市中医医院收治的80例腰椎间盘突出患者的临床资料,根据护理方法不同分为两组,各40例。对照组应用推拿按摩,观察组在对照组基础上增加敷药蜡疗。比较两组护理前后视觉模拟评分法(Visual Analogue Scale,VAS)、日本骨科协会评估治疗分数(Japanese Orthopaedic Assoiation Scores for the Lubar Spine,JOA)、生活质量简表(World Health Organization Quality of Life-100,WHOQOL-100)评分及护理效果。结果护理前,两组患者VAS、JOA、WHOQOL-100评分比较,差异无统计学意义(P均>0.05);护理后,观察组VAS评分为(2.29±0.53)分,低于对照组的(5.64±0.73),差异有统计学意义(t=23.486,P<0.05);护理后,观察组JOA评分为(23.47±3.57)分,优于对照组的(19.34±3.46)分,差异有统计学意义(t=5.254,P<0.05)。观察组护理效果优于对照组,差异有统计学意义(P<0.05)。观察组WHOQOL-100评分高于对照组,差异有统计学意义(P<0.05)。结论推拿按摩与敷药蜡疗在气滞血瘀证腰椎间盘突出症患者的护理中展现出显著协同作用,两种方法联合应用,能够相互增强,提高效果,帮助患者缓解疼痛程度,改善腰椎功能,提高护理效果与生活质量。Objective To analyze the application value of wax therapy and tuina massage in patients with lumbar inter⁃vertebral disc herniation with qi stagnation and blood stasis evidence.Methods The clinical data of 80 patients with lumbar disc herniation admitted to Meizhou Hospital of Traditional Chinese Medicine from November 2021 to Novem⁃ber 2023 were retrospectively selected and divided into two groups with 40 cases each according to different nursing methods.The control group was treated with massage,and the observation group was treated with wax therapy based on the control group.Visual Analogue Scale(VAS)and Japanese Orthopaedic Assoiation Scores for the Lubar Spine(JOA),World Health Organization Quality of Life-100 items(WHOQOL-100)and nursing outcomes were compared between the two groups.Results Before nursing,there was no significant difference in VAS,JOA and WHOQOL-100 scores between the two groups(all P>0.05).After nursing,the VAS score of the observation group was(2.29±0.53)points,which was lower than that of the control group(5.64±0.73)points,the difference was statistically significant(t=23.486,P<0.05);after nursing,the JOA score of the observation group was(23.47±3.57)points,which was better than that of the control group(19.34±3.46)points,and the difference was statistically significant(t=5.254,P<0.05).The nursing effect of the observation group was better than that of the control group,the difference was statistically signifi⁃cant(P<0.05).The WHOQOL-100 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Massage massage and waxtherapy show significant syner⁃gistic effect in the nursing of patients with lumbar disc herniation caused by qi stagnation and blood stasis.The com⁃bined application of the two methods can enhance each other,improve the effect,help patients relieve pain,improve lumbar function,and improve the nursing effect and quality of life.

关 键 词：敷药蜡疗 推拿按摩 气滞血瘀证 腰椎间盘突出 腰椎功能 疼痛程度 护理效果 

分 类 号：R274.9[医药卫生—中西医结合]