通络祛瘀药罐疗法应用于气滞血瘀型项痹病的护理研究

Nursing Study on the Application of Tongluo Quyu Medicine-cupping Therapy in Qi Stagnation and Blood Stasis Type of Cervical Spondylosis

目的:探讨通络祛瘀药罐疗法对气滞血瘀型项痹病的临床疗效。方法:选取2019年1月—2021年3月梧州市中医医院全科医疗科收治的80例均被诊断为气滞血瘀型项痹病患者作为研究对象,采用随机数表法分为对照组和试验组,每组各40例。对照组在综合治疗基础上采用火罐疗法进行护理,试验组在综合治疗基础上采用通络祛瘀药罐疗法进行护理。比较两组患者治疗前后疼痛程度及功能障碍情况[视觉模拟评分法(VAS)评分、颈椎功能障碍指数量表(NDI)评分]、日常生活能力[Barthel指数评分标准]、临床疗效。结果:治疗前,两组患者VAS评分及NDI指数评分比较,差异无统计学意义(t=1.789,-1.524,P>0.05);治疗后,试验组VAS评分及NDI指数评分均低于对照组,差异有统计学意义(t=-37.214、-24.242,P<0.05)。治疗前,两组患者Barthel指数评分比较,差异无统计学意义(t=0.825,P>0.05);治疗后,两组患者Barthel指数评分均高于治疗前,且试验组高于对照组,差异有统计学意义(t=45.282,P<0.05)。试验组总有效率为92.50%,明显高于对照组的75.00%,差异有统计学意义(Z=-2.024,χ2=4.501,P<0.05)。结论:通络祛瘀药罐疗法应用于气滞血瘀型项痹病患者护理中,能够改善患者疼痛状况,降低其颈椎功能障碍程度,提高其日常生活能力和临床疗效,促进其病情康复。

Objective:To explore the clinical effect of Tongluo Quyu cupping therapy on nape arthralgia of qi stagnation and blood stasis type.Methods:80 patients admitted to the hospital from January 2019 to March 2021 who were diagnosed with qi stagnation and blood stasis type collateral paralysis disease were selected as the study subjects and were divided into control and experimental groups using the random number table method,with 40 cases in each group.In the control group,fire jars were used on the basis of comprehensive treatment,and in the experimental group,medicinal jars of removing blood stasis were used on the basis of comprehensive treatment.The degree of pain and functional impairment[visual analogue scoring method(VAS)score,cervi⁃cal dysfunction index scale(NDI)score],daily living ability[Barthel index score scale],and clinical efficacy were compared be⁃tween the two groups before and after treatment.Results:Before treatment,there was no statistically significant difference between the VAS scores and NDI index scores of the two groups(t=1.789,-1.524,P>0.05).After treatment,VAS scores and NDI index scores were lower in the test group than in the control group,and the differences were statistically significant(t=-37.214,-24.242,P<0.05).Before treatment,there was no statistically significant difference between the Barthel index scores of the two groups(t=0.825,P>0.05).After treatment,Barthel index scores were higher in both groups than before treatment,and the test group was higher than the control group,with statistically significant differences(t=45.282,P<0.05).The total effective rate of the test group was 92.50%,which was significantly higher than the 75.00%of the control group,and the difference was statistically significant(Z=-2.024,χ2=4.501,P<0.05).Conclusion:The application of Tongluo Quyu medicine-cupping therapy in qi stagnation and blood stasis type of cervical spondylosis can improve the pain condition,reduce the degree of cervical spine dysfunction,improve daily living ability and clinical efficacy,and promote the recovery of the disease.