中医推拿联合康复锻炼对腰椎间盘突出症患者自我管理行为的影响被引量：5

Effect of Traditional Chinese Medicine Massage Combined with Rehabilitation Exercise on Self-management Behavior of Patients with Lumbar Disc Herniation

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摘要目的:探讨中医推拿联合康复锻炼在腰椎间盘突出症患者中的应用效果及对自我管理行为的影响。方法:选择2018年12月-2019年12月腰椎间盘突出症患者200例作为研究对象,将其随机分为对照组(n=100)和观察组(n=100)。对照组采用常规康复锻炼,观察组在对照组基础上联合中医推拿。比较两组视觉模拟疼痛(VAS)、Wswestry功能障碍指数(ODI)、日本骨科协会评估治疗分数(JOA)评分及自我管理行为。结果:干预后1个月,观察组VAS、ODI评分均低于对照组,JOA评分高于对照组,差异均有统计学意义(P<0.05)。干预后1个月,观察组饮食、运动、站姿、坐姿及劳动姿势评分均高于对照组,差异均有统计学意义(P<0.05)。结论:中医推拿联合康复锻炼用于腰椎间盘突出症患者中能减轻患者疼痛,改善患者肢体功能,有助于提高患者自我管理行为,值得推广应用。 Objective:To explore the effect of traditional Chinese medicine massage combined with rehabilitation exercise in patients with lumbar disc herniation and its effect on self-management behavior.Method:A total of 200 patients with lumbar disc herniation from December 2018 to December 2019 were selected as the research subjects,and they were randomly divided into the control group(n=100)and the observation group(n=100).The control group used routine rehabilitation exercises,and the observation group combined with traditional Chinese medicine massage on the basis of the control group.The visual analog pain(VAS),Wswestry Dysfunction Index(ODI),Japanese Orthopaedic Association Evaluation Treatment Score(JOA)score and self-management behavior were compared between the two groups.Result:One month after intervention,VAS and ODI scores in the observation group were lower than those in the control group,and JOA score was higher than that in the control group,the differences were statistically significant(P<0.05).One month after intervention,the diet,exercise,standing posture,sitting posture and labor posture score in the observation group were all higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Traditional Chinese medicine massage combined with rehabilitation exercise for patients with lumbar disc herniation can relieve patients’pain,improve patients’limb function,help improve patients’self-management behavior,and is worthy of popularization and application.

作者徐雪娣陈木娇江炜霞 XU Xuedi;CHEN Mujiao;JIANG Weixia(Sihui Traditional Chinese Medicine Hospital,Sihui 526200,China;不详)

机构地区四会市中医院

出处《中外医学研究》 2020年第20期186-188,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH

关键词中医推拿康复锻炼腰椎间盘突出症肢体功能自我管理行为 Traditional Chinese medicine massage Rehabilitation exercise Lumbar disc herniation Limb function Self-management behavior

分类号 R248.2 [医药卫生—中医临床基础]