非手术脊柱减压系统配合中医护理干预对腰椎间盘突出症的临床观察

Non-operative Spinal Decompression System Coordinated with Chinese Medicine(CM) Nursing Intervention on Patients with Lumbar Disc Herniation

目的:观察非手术脊柱减压系统配合中医护理干预对腰椎间盘突出症患者下腰痛、疾病不确定感因素和心理状态的影响。方法:将60例腰椎间盘突出症患者随机分为对照组和观察组各30例。对照组进行非手术脊柱减压系统治疗,观察组在对照组的治疗基础上进行中医护理干预。结果:干预前,2组日本骨科协会(JOA)下腰痛评分、疾病不确定感量表(MUIS)各项评分及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异均无统计学意义(P>0.05)。干预后,2组JOA下腰痛评分均较干预前升高(P<0.05),MUIS各项评分及SDS、SAS评分均较干预前降低;观察组的JOA下腰痛评分均高于对照组(P<0.05),MUIS各项评分及SDS、SAS评分均低于对照组(P<0.05)。结论:非手术脊柱减压系统配合中医护理干预,能有效缓解腰椎间盘突出症患者的下腰痛症状,降低患者对疾病的不确定感,改善其焦虑和抑郁状况。

Objective：To observe the effect of non-operative spinal decompression system coordinated with Chinese Medicine（CM） nursing intervention on low back pain,uncertainty of illness and psychological state in 30 cases of patients with lumbar disc herniation.Methods：Divided 60 cases of patients with lumbar disc herniation into the control group and the observation group randomly,30 cases in each group.The therapy of non-operative spinal decompression system was given to both groups,and the observation group received additional CM nursing intervention.Results：Before the intervention,compared Japanese Orthopaedic Association（JOA） low back pain score,Mishe 1 uncertainty in illness scale（MUIS） scores,self-rating depression scale（SDS） score and self-rating anxiety scale（SAS） score in both groups,there was no significance in difference（P〈0.05）.After the intervention,JOA low back pain scores in both groups were increased（P〈0.05）,MUIS scores,SDS scores and SAS scores in two groups were all declined（P〈0.05）.In the observation group,JOA low back pain scores were higher than those in the control group（P〈0.05）,while MUIS scores,SDS scores and SAS scores were lower than those in the control group（P〈0.05）.Conclusion：The therapy of non-operative spinal decompression system coordinated with CM nursing intervention can improve the symptom of low back pain,reduce the uncertainty of illness and improve anxious and depressed state in patients with lumbar discherniation.