综合护理雷火灸治疗寒湿型腰肌劳损

The Nursing Experience of Thunder Fire Moxibustion Treatment of Cold and Dampness-type Lumbar Muscle Strain

［目的］观察综合护理雷火灸治疗寒湿型腰肌劳损效果。［方法］使用随机平行对照方法,将60例门诊患者按抽签方法简单随机分为两组。对照组30例艾灸,艾卷对准阿是穴、肾俞穴,距皮肤2 ～ 3cm熏烤,以局部温热感无灼痛至皮肤红晕为度,5 ～ 7min/穴,1次/d,。治疗组30例雷火灸,俯卧位,取阿是穴、肾俞穴,将雷火灸条折断点燃一端后置于灸盒内,同时取毛巾盖住灸盒,以减少灸烟冒出;调整灸盒至患者自觉温和舒适为宜,温度较高时用毛巾垫起灸盒下边;取灸盒时,用毛巾包裹灸盒整体取出;30min/次,1次/d。护理措施：灸前、灸中、灸后根据患者特点,心理引导,消除患者顾虑及恐惧感;选择合理治疗时间,保持环境安静和恒温,及时清除艾灸灰烬,预防不良反应、烫伤;配合运动疗法（仰卧、俯卧保健法）,巩固治疗效果和防止再发。连续治疗7d为1疗程。观测临床症状、VAS疼痛指数、不良反应。治疗1疗程,判定疗效。［结果］治疗组VAS疼痛指数优于对照组（P＜0.05）。［结论］综合护理雷火灸治疗寒湿型腰肌劳损,效果满意,无副作用,值得推广。

[ Objective ] To explore the curative effect and nursing of thunder fire moxibustion therapy on lumbar muscle strain of cold-dampness type. [ Methods] The use of random parallel control method, 60 patients were randomly divided into two groups according to the method. 30 cases of the control group with moxibustion therapy. The burning moxa sticks alignment Ashi points, shenshu Acupoint etc, about 2-3 cm from the skin, is fumigated.patient with local warm feeling without burning is appropriated, generally every moxibustion 5-7 minutes, 1 times every day with skin blush. The treatment group of 30 cases, prone position, take the Ashi point, shenshu point the thunder fire moxibustion broken lit end after moxibustion box, at the same time, towel moxibustion box, in order to reduce the moxibustion smoke. Adjust the moxibustion box to conscious patients with mild is appropriate, when the temperature is high with a towel moxibustion box below ; the moxibustion box, with a towel wrapped moxibustion box taken out as a whole. 30mins/time, 1 time /d. Continuous treatment with 7days for 1 courses. Observation of clinical symptoms, VAS pain index, adverse reaction. 1 course of treatment, evaluation of the efficacy. [ Results ] Treatment group is better than the control group of VAS pain index （ P〈0.05 ） . [ Conclusion ] The nursing thunder fire moxibustion treatment of cold dampness type strain of lumbar muscles satisfaction, Satisfactory effect, no side effect, is worth promoting.