中药蜡疗护理对气滞血瘀型腰椎间盘突出症患者生活质量的影响

Effect of Chinese medicine keritherapy on quality of life in patients with TCM qi stagnation and blood stasis type lumbar disc herniation

目的探讨分析中药蜡疗护理对气滞血瘀型腰椎间盘突出症患者生活质量的影响及其临床价值。方法选取梧州市中医医院2014年3月—2016年3月气滞血瘀型腰椎间盘突出患者158例,分为对照组、试验组2组,每组患者79例,对照组采用常规的治疗护理方式,试验组在对照组的基础上给予中药蜡疗干预,对比分析2组患者经治疗护理干预后的生活质量和腰椎间盘功能以及治疗后皮肤温度和炎症状况。结果治疗护理前2组患者的生活质量健康调查评分差异无统计学意义(P>0.05);治疗护理后2组患者的生活质量健康调查评分和腰椎间盘功能相对比,试验组显著升高,2组生活质量健康调查评分升高幅度和腰椎间盘改善幅度差异具有统计学意义(P<0.01);试验组患者接受治疗后皮肤温度显著降低、炎性反应显著减轻,差异具有统计学意义(P<0.01)。结论对气滞血瘀型腰椎间盘突出症患者在常规治疗护理的基础上给予中药蜡疗干预,能够有效提升患者的生活质量,改善患者的腰椎间盘功能,减轻炎性反应,值得在临床应用推广。

Objective To explore the effect of Chinese medicine keritherapy on quality of life in patients with TCM qi stagnation and blood stasis type lumbar disc herniation, and its value of clinical application. Methods Total 158 cases of TCM qi stagnation and blood stasis type lumbar disc herniation in our hospital from March,2014 to March,2016 were en- rolled and divided into control and experimental group according to the methods of treatment and nursing with 79 cases in each group. The control group received the conventional treatment and nursing,while the experimental group received ad- ditional Chinese medicine keritherapy intervention. The improvement of quality of life and lumbar intervertebral disc func- tion, and the skin temperature and inflammation state were compared and analyzed. Results There were no significant difference in SF-36 score between the two groups before the treatment and nursing （ P 〉 0.05 ） ; After the treatment and nursing, SF-36 score and lumbar intervertebral disc function were improved more obviously, the difference between the two groups was significant （ P 〈 0.01 ） ; after the treatment, the skin temperature of experimental group significantly decreased, the inflammatory reaction significantly reduced, the difference between the two groups had statistically significant （P 〈 0. O1 ）. Conclusion The Chinese medicine keritherapy based on the routine nursing care can reduce the inflammatory reaction and improve the quality of life and lumbar intervertebral disc function in patients with TCM qi stagnation and blood stasis type lumbar disc herniation.