温针灸联合牵引对腰椎间盘突出症患者的治疗效果及护理观察

Observation on treating and nursing lumbar disc herniation by warm acupuncture plus traction

目的:观察温针灸联合牵引对腰椎间盘突出症患者的治疗及护理疗效。方法:选择2016年6月-2017年9月在河南省洛阳正骨医院(河南省骨科医院)康复一科收治的腰椎间盘突出症患者120例,随机分为对照组与试验组各60例。对照组予常规药物治疗联合常规护理,试验组予对照组治疗护理基础上给予温针灸、牵引和康复护理。结果:试验组与对照组治疗护理前疼痛数字分级法(Numeric Rating Scale,NRS)积分别为(3.05±0.88)、(6.27±1.34)分,经统计学分析,差异无统计学意义,而治疗后两组NRS积分别为(1.36±0.58)、(3.23±1.05)分,差异有统计学意义(P<0.05);治疗完成后试验组总有效率96.7%而对照组仅为70.0%,经统计学分析其差异具有统计学意义;两组治疗前肿瘤坏死因子-α(Tumor Necrosis Factor,TNF-α)、白细胞介素(Interleukin,IL)-1β、IL-1水平组间比较,差异不具有统计学意义(P>0.05)。观察组治疗后TNF-α、IL-1β、IL-1水平低于对照组(P<0.05)。结论:温针灸联合牵引及康复护理能够减轻患者疼痛,提高该病的治愈率。

Objective:To observe the curative effect of warm acupuncture plus traction on lumbar disc herniation.Methods:120 cases were randomly divided into the control group and test group,60 cases in each.The control group was given routine medicine treatment plus routine nursing,the study group was given warm acupuncture,traction and rehabilitation nursing.Results:Before treatment and nursing,there was no statistically significant difference in NRS between groups.After treatment,the NRS was(1.36±0.58)in the study group,and(3.23±1.05)in the control group,with a statistically significant difference(P<0.05).The total efficiency was 96.7%in the study group and 70.0%in the control group(P<0.05).TNF-α、IL-1β、IL-1 in the study group were lower than the control group(P<0.05).Conclusion:Warm acupuncture plus traction and rehabilitation nursing can reduce the pain and improve the cure rate.