穴位按摩联合早期功能锻炼对腰椎间盘突出症患者术后疼痛的影响

The effect of acupuncture point massage combined with early functional exercises on pain of lumbar disc herniation postoperative patients

目的探讨穴位按摩联合早期功能锻炼对腰椎间盘突出症患者术后疼痛的影响。方法采取简单随机对照法将50例腰椎间盘突出症术后患者分成两组,对照组采用术后常规护理、心理指导、分散注意力、适时应用镇痛药的方法,试验组在对照组方法的基础上采用穴位按摩和早期功能锻炼对术后疼痛进行护理,每6h对所有入组患者进行疼痛评估1次。比较两组患者疼痛程度和应用止痛药物的差别。结果术后0～6h,两组的疼痛指数差异无统计学意义(P>0.05),而在术后6～48h,试验组的疼痛指数较对照组低,使用止痛药的级别和例数均较对照组低,差异有统计学意义(P<0.05)。结论穴位按摩联合早期功能锻炼能有效减轻腰椎间盘突出症术后患者的疼痛,并可明显减少止痛药物的使用。

Objective To explore the effect of acupuncture point massage combined with early functional exercises on pain of lumbar disc herniation postoperative patients.Methods Using simple randomized controlled method,50 cases of lumbar disc herniation were divided into two groups.Patients in the control group received routine care,psychological and attention distraction guidance after surgery.Patients in the observation group received acupuncture point massage combined with early functional exercises for postoperative pain besides the care received in the control group.Pain was assessed every 6 hours for all enrolled patients.The pain level and the application of pain medication were compared between the two groups.Results Within 0-6 hours after surgery,the pain scores of both groups had no significant difference（P0.5）;during 6-48 hours,the pain scores of the observation group were less than the control group;the strength of pain medication and the number of cases using pain medication were low compared with the control group（P0.5）.Conclusion Acupuncture point massage combined with early functional exercises can relieve the pain of patients with lumbar disc herniation surgery effectively and reduce the use of pain medications significantly.