摘要
目的探究中药热敷联合阶段性康复锻炼在腰椎间盘突出症患者中的应用效果。方法选取2023年1月至12月江西省中西医结合医院收治的114例腰椎间盘突出症患者作为研究对象,按照随机数字表法分为研究组(n=57)和对照组(n=57)。对照组采取阶段性康复锻炼,研究组在对照组基础上采取中药热敷。比较两组干预前后临床症状指标、腰椎功能、睡眠质量、生活质量。结果研究组干预后Oswestry功能障碍指数(ODI)评分、疼痛视觉模拟评分法(VAS)评分低于对照组,日本骨科学会下腰痛评分标准(JOA)评分高于对照组,差异有统计学意义(P<0.05);研究组干预后健康调查量表36(SF-36)各维度评分高于对照组,差异有统计学意义(P<0.05);研究组干预后匹兹堡睡眠质量指数量表(PSQI)各维度评分低于对照组,差异有统计学意义(P<0.05)。结论对腰椎间盘突出症患者采用中药热敷联合阶段性康复锻炼干预,能有效促进患者临床康复,显著改善睡眠质量与生活质量。
Objective To explore the application effect of traditional Chinese medicine hot compress combined with staged rehabilitation exercise in patients with lumbar disc herniation.Methods A total of 114 patients with lumbar disc herniation admitted to Jiangxi Provincial Hospital of Traditional Chinese and Western Medicine from January to December 2023 were selected as the research subjects and divided into the study group(n=57)and the control group(n=57)according to the random number table method.The control group received staged rehabilitation exercise,while the study group received traditional Chinese medicine hot compress on the basis of the control group.Clinical symptom indicators,lumbar spine function,sleep quality,and quality of life were compared between the two groups before and after intervention.Results After the intervention,the Oswestry disability index(ODI)score and visual analogue scale(VAS)score of the study group were lower than those of the control group,while the Japanese Orthopaedic Association(JOA)low back pain score was higher than that of the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the 36-item short form health survey(SF-36)in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the Pittsburgh sleep quality index(PSQI)in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The use of traditional Chinese medicine hot compress combined with staged rehabilitation exercise intervention for patients with lumbar disc herniation can effectively promote clinical rehabilitation,significantly improve sleep quality and quality of life.
作者
王丽萍
付莲英
吴蓉
WANG Liping;FU Lianying;WU Rong(The First Department of Rehabilitation,Jiangxi Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Jiangxi Province,Nanchang 330003,China;Department of Nursing,Jiangxi Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Jiangxi Province,Nanchang 330003,China;Department of General Surgery,Jiangxi Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Jiangxi Province,Nanchang 330003,China)
出处
《中国当代医药》
2025年第25期150-154,共5页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202311248)。
关键词
中药热敷
阶段性康复锻炼
腰椎盘突出症
睡眠质量
Traditional Chinese medicine hot compress
Staged rehabilitation exercises
Lumbar disc herniation
Sleep quality
