中西医结合护理模式对腰椎间盘突出症非手术治疗效果的影响

Effect of combination of traditional Chinese and Western medicine nursing mode on the non-operative treatment of lumbar disc herniation

目的:探讨中西医结合护理模式对提高甲钴胺肌内注射联合中药内服治疗腰椎间盘突出症的临床疗效。方法:选择2010年6月～2012年6月在本院住院的腰椎间盘突出症患者235例,按就诊顺序随机分为两组,在甲钴胺肌内注射联合中药内服治疗的基础上,A组118例采用中西医结合护理,B组117例采用西医常规护理。观察两组临床疗效与JOA评分(日本骨科协会评估治疗分数)。结果:A组临床有效率高于B组,且差异具有统计学意义(P<0.05)。治疗后两组JOA评分均较治疗前有明显提高,且具有统计学意义(P<0.05);治疗后两组JOA评分比较,A组JOA评分高于B组,有统计学意义(P<0.05)。结论:中西医结合护理模式能提高甲钴胺肌内注射联合中药内服治疗腰椎间盘突出症的临床疗效。

Objective：To explore the improved clinical effeetion of lumbar disc herniation by nursing of combination of Chinese traditional end Western med- icine,treated with the muscle injection of armour ancient amine end oral administration of Chinese herb. Methods ：235 patients,who suffered from LDH from June 2010 to June 2012 ,were randomly divided into two groups. On the common therapeutic scheme of muscle injection of armour ancient amine combined with administration of Chinese herb, group A （118 patients） was used by the nursing of combination of Chinese traditional and Western medicine, end group B （ 117 patients） was just used the nursing routine of Western medicine. The positive function of the combined nursing was evaluated by the clinical effec- tiveness end JOA score. Results：The effective rate of group A was greater then group B ,and the difference had statistical meaning （P 〈0.05）. In the two groups,the JOA scores of post - treatment were obviously improved than those of pre - treatment, with statistical meaning （ P 〈 0. 05 ）. The JOA score of poet -treatment in group A was obviously sreater then that in group B,with remarkable difference in statistically （P 〈0.05）. Conclusion：The nursing of combination of Chinese traditional and Western medicine could improve the effectiveness of the treatment of LDH,which was managed by the muscle injec- tion of armour ancient amine end oral administration of Chinese herb.