中药热敷干预联合小燕飞康复锻炼在腰椎间盘突出症患者中的应用

Application of Chinese medicine hot compress intervention combined with Xiaoyanfei rehabilitation exercise in patients with lumbar disc herniation

目的探究中药热敷干预联合小燕飞康复锻炼在腰椎间盘突出症(LDH)患者中的应用效果。方法选取新安县人民医院2019年9月至2020年9月LDH患者110例,根据入院顺序不同分为观察组、对照组,各55例。对照组给予常规护理干预联合小燕飞康复锻炼指导,观察组在对照组基础上,加用中药热敷干预。对比两组护理干预效果、生活质量、护理满意度以及干预前、干预1个月后、干预3个月后直腿抬高度(SLRT)、视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)、腰椎关节活动度(ROM)、日本骨科协会下腰痛评估量表(JOA)评分。结果观察组干预总有效率94.55%(52/55)、护理满意度98.18%(54/55)高于对照组80.00%(44/55)、83.64%(46/55),P<0.05;干预1个月、3个月后,观察组ODI指数、VAS评分低于对照组,生活质量评定量表(WHOQOL)、JOA各项评分高于对照组(P<0.05);干预1个月、3个月后与对照组相比,观察组ROM、SLRT较大(P<0.05)。结论中药热敷干预联合小燕飞康复锻炼可提高LDH患者治疗效果,缓解患者疼痛程度,促进腰椎功能恢复,从而改善生活质量,提高护理满意度。

Objective To explore the application effect of TCM hot compress intervention combined with Xiaoyanfei rehabilitation exercise in patients with lumbar disc herniation(LDH).Methods A total of 110 LDH patients in Xin’an County People’s Hospital from September 2019 to September 2020 were selected and divided into observation group and control group according to different admission order,with 55 cases in each group.The control group was given routine nursing intervention combined with Xiaoyanfei rehabilitation exercise guidance,and the observation group was given TCM hot compress intervention on the basis of the control group.The effects of nursing intervention,quality of life,nursing satisfaction,straight leg raising test(SLRT),visual analogue scale(VAS)score,Oswestry disability index(ODI),lumbar joint range of motion(ROM),and Japanese Orthopedic Association Low Back Pain Assessment Scale(JOA)scores before intervention,1 month after intervention,and 3 months after intervention were compared between the two groups.Results The total effective rate and nursing satisfaction of the observation group were 94.55%(52/55)and 98.18%(54/55),which were higher than those of the control group 80.00%(44/55)and83.64%(46/55),P<0.05.After 1 month and 3 months of intervention,the ODI index and VAS score of the observation group were lower than those of the control group,and the scores of World Health Organization Quality of Life rating scale(WHOQOL)and JOA were higher than those of the control group(P<0.05).After 1 month and 3months of intervention,ROM and SLRT in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Traditional Chinese medicine hot compress intervention combined with Xiaoyanfei rehabilitation exercise can improve the treatment effect of LDH patients,relieve the degree of pain,promote lumbar function recovery,so as to improve the quality of life and improve nursing satisfaction.