使用大面积艾绒温灸器艾灸治疗寒湿型腰椎间盘突出症的临床护理观察

Clinical Nursing Observation of Using Large Area of Moxibustion in the Treatment of Cold Dampness Syndrome of Lumbar Disc Herniation

目的:观察大面积艾绒温灸器治疗寒湿型腰椎间盘突出症的临床护理效果。方法:选取符合纳入条件的寒湿型腰椎间盘突出症患者65例,随机分为治疗组32例和对照组33例,治疗组采用大面积艾绒温灸器治疗,并对温度、艾烟、药粉等方面存在的问题给予改善;对照组采用温针灸。治疗2周后比较临床疗效及JOA慢性腰痛评分、VAS疼痛评分以及患者满意度情况。结果:治疗组有效率96.9%,对照组有效率90.9%,两组比较,差异有统计学意义(P<0.05),治疗组患者JOA评分、VAS评分分别为24.4±3.1分、1.6±0.8分,对照组JOA评分、VAS评分分别为20.5±2.8分、2.5±1.0分,两组比较,JOA评分、JOA改良指数、VAS评分差异有统计学意义(P<0.05)。两组均未见明显不良反应。治疗组临床护理改良后,温度调节灵活,舒适度高,提高了患者的满意度。结论:大面积艾绒温灸器治疗寒湿型腰椎间盘突出症临床护理疗效确切,值得推广应用。

Objective： To explore the clinical nursing effect of the large area of moxibustion for cold dampness syndrome of lumbar disc herniation. Methods： 65 cases of cold dampness syndrome of lumbar disc herniation that accorded with the inclusive criteria were collected,all patients were randomly divided into treatment group（ 33 cases） and controlled group（ 33 cases）. The treatment group was treated with the large area of moxibustion. And improved the problems such as temperature,smoke of moxibustion,powder of drug. While the controlled group was treated with acupuncture and moxibustion. The clinical therapeutic effect,JOA,VAS and the satisfaction of patients after two weeks were compared. Results： The effective rate of the treatment group was 96. 9%,which was higher than 90. 6% of the controlled group（ P〈0. 05）. the JOA,VAS scores of the treatment group were（24. 4±3. 1）,（ 1. 6±0. 8） scores respectively,which were significantly better than the controlled group of（ 20. 5±2. 8）,（ 2. 5±1. 0） scores. The differences were statistically significant in the JOA,modified index of JOA,VAS scores of the two groups before and after treatment（ P〈0. 05）. The two groups had no obvious adverse reactions. After the nursing of the treatment group improved,the temperature control was more flexible,more comfortable,and the patients with more satisfied. Conclusion： The clinical nursing effect of the large area of moxibustion for cold dampness syndrome of lumbar disc herniation is significant,and worthy of clinical application.