摘要
目的 探讨序贯康复包对腰椎间盘突出症的有效性与安全性.方法 将130例腰椎间盘突出症患者,采用随机数字法分为观察组和对照组,观察组在给予基础治疗的同时接受透海散熏蒸结合序贯康复干预（60例）;对照组不予中药熏蒸,其他干预无先后次序,余同观察组,共60例.脱落病例10例.于治疗10 d、20d和3个月后采用腰痛疾患治疗成绩判定标准（JOA）、视觉模拟评分法（VAS）、SF-36简明健康调查问卷（SF-36）,评价其功能及生活质量改善情况.结果 治疗前两组患者JOA、VAS、SF-36评分比较差异均无统计学意义（P＞0.05）;治疗10 d观察组患者JOA、VAS评分分别为（22.850±2.392）,（2.250±0.628）分,对照组分别为（21.250±1.856）,（2.500 ±0.651）分,两组比较差异均有统计学意义（t值分别为16.754,4.585;P ＜0.05）;治疗20 d两组患者JOA、VAS评分比较差异均有统计学意义（P＜0.05）;但观察组的功能结果在治疗后3个月时与对照组相比,差异无统计学意义（P＞0.05）;治疗前后两组患者SF-36评分比较差异有统计学意义（t=25.997,P＜0.01）.结论 包括中药熏蒸在内的序贯康复干预对腰椎间盘突出症患者效果显著,安全可靠,疗效可持续,能明显提高患者的生活质量,值得在临床上推广应用.
Objective To discuss the efficacy and safety of sequential rehabilitation for patients with lumbar disc herniation.Methods 130 patients with lumbar disc herniation were randomly divided into two groups：the observation group and the control group.The observation group received TouHaiSan fumigation combined with sequential rehabilitation package intervention （treatment of 60 cases with basic cure）,while the control group had nointervention prioritieswithout medicine fumigation for a total of 60 cases.There were 10 cases of shedding.The scores ofJOA,SF-36 and VAS were used to evaluate its effect and improvement of life quality in 10 days,20 days and 3 months after treatment.Results Before treatments,the scores of JOA,SF-36,and VAS between the two groups were no significant difference （P 〉0.05）.In 10 days after treatment,the JOA and VAS scores in the observation group were （22.850 ±2.392） and （2.250 ±0.628）,compared to （21.250 ± 1.856） and （2.500 ± 0.651） in the control group,which showed a significant difference （t =16.754,4.585,respectively;P 〈0.05）.In 20 days after treatment,the JOA and VAS sores were all showed significantly improved between the two groups （P 〈 0.05）,while there was no statistically significant difference of function after 3 months （P 〉 0.05）.After treatment,the SF-36 score showed a significant difference between the two groups （t =25.997,P 〈 0.01）.Conclusions TouHaiSan fumigation combined with sequential rehabilitation package is effective,safe,reliable and sustainable,as well as can improve patients＆#39; quality of life,which is worthy of application.
出处
《中华现代护理杂志》
2014年第5期522-525,共4页
Chinese Journal of Modern Nursing
基金
杭州市卫生科技计划项目（2012A055）
关键词
腰椎间盘突出症
序贯康复
透海散
中药熏蒸
Lumbar disc herniation
Sequential treatments
Tou haisan
Fumigation
