中药封包热熨联合循经火龙罐在腰椎骨折患者术后康复中的应用效果分析  

Clinical Efficacy of Traditional Chinese Medicine Hot Compress Combined with Meridian Fire Dragon Cupping in Postoperative Rehabilitation of Patients with Fracture of Lumbar Vertebrae

作　　者：王雪 王佳佳[1] WANG Xue;WANG Jiajia(Department of Traditional Chinese Medicine,Nanyang First People's Hospital,Nanyang,Henan 473000,China)

机构地区：[1]南阳市第一人民医院中医科,河南南阳473000

出　　处：《中国烧伤创疡杂志》2025年第2期147-151,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的分析中药封包热熨联合循经火龙罐在腰椎骨折患者术后康复中的应用效果。方法选取2022年3月至2023年1月南阳市第一人民医院收治的112例腰椎骨折后路减压椎间植骨融合术后患者作为研究对象,按照不同干预方法将其分为研究组(56例)与对照组(56例),研究组患者在常规康复锻炼基础上行中药封包热熨与循经火龙罐,对照组患者仅行常规康复锻炼,对比观察两组患者疼痛程度、腰椎功能及障碍程度。结果干预第7、14、21天,研究组患者疼痛程度均明显轻于对照组(t=5.481、7.278、6.635,P均<0.001);研究组患者干预3个月后日本骨科协会(JOA)评分明显高于对照组(t=7.309,P<0.001)、干预6个月后Oswestry功能障碍指数(ODI)评分明显低于对照组(t=5.236,P<0.001)。结论在常规康复锻练基础上应用中药封包热熨与循经火龙罐可有效减轻腰椎骨折患者后路减压椎间植骨融合术后疼痛程度,并提高腰椎功能恢复效果。Objective To analyze the clinical fficacy of traditional Chinese medicine hot compress combined with meridian fire dragon cupping in postoperative rehabilitation of patients with fracture of lumbar vertebrae.Methods 112 patients with fracture of lumbar vertebrae admitted to Nanyang First People's Hospital from March 2022 to January 2023,who received posterior decompression and interbody bone graft fusion for fracture of lumbar vertebrae,were enrolled as research subjects and divided into the study group(n=56)and the control group(n=56)according to dfferent intervention methods.Patients in the study group were treated with traditional Chinese medicine hot compress combined with meridian fire dragon cupping on the basis of conventional rehabilitation exercises,whereas patients in the control group received only conventional rehabilitation exercises.Pain levels,lumbar vertebrae function,and disability levels were compared between the two groups.Results Respectively on days 7,14 and 21 of intervention,the pain level of patients in the study group was significantly lower than that of the control group(t=5.481,7.278 and 6.635,all P<0.001).The Japanese Orthopaedic Association(JOA)score of the study group was significantly higher than that of the control group after 3 months of intervention(t=7.309,P<0.001).The Oswestry disability index(ODI)score of the study group was significantly lower than that of the control group(t=5.236,P<0.001)after 6 months of intervention.Conclusion On the basis of conventional rehabilitation exercises,the application of traditional Chinese medicine hot compress combined with meridian fire dragon cupping can effectively reduce the pain after posterior decompression and interbody bone graft fusion in patients with lumbar vertebral fractures and improve the function recovery of lumbar vertebral.

关 键 词：中药封包 循经火龙罐 腰椎骨折 术后康复 腰椎功能 

分 类 号：R68[医药卫生—骨科学]