中药热敷联合情志干预对腰椎间盘突出症保守治疗患者疼痛状况、腰椎功能的影响分析

Analysis of Chinese medicine hot compress combined with emotional intervention on pain status and lumbar function in conservative treatment for lumbar disc herniation

目的观察中药热敷联合情志干预在腰椎间盘突出症保守治疗患者中的应用效果。方法将100例腰椎间盘突出症保守治疗患者根据随机单盲原则进行分组,对照组50例予常规干预,观察组50例予中药热敷联合情志干预,2周后对2组患者的干预效果、症状积分、疼痛状况与腰椎功能、安全性进行比较。结果干预后,观察组患者的干预总有效率是96.00%,高于对照组的78.00%(P<0.05);观察组患者的症状积分低于对照组(P<0.05);观察组患者的疼痛视觉模拟评分(VAS)评分低于对照组(P<0.05),而观察组日本骨科协会评估治疗分数(JOA)评分高于对照组(P<0.05);观察组患者中并发症的发生率是8.00%,对照组是6.00%,组间比较差异无统计学(P>0.05)。结论中药热敷联合情志干预在腰椎间盘突出症保守治疗患者中的应用效果显著,不仅能提高其干预效果,降低症状积分,而且还能改善疼痛状况与腰椎功能,同时安全性有保障。

Objective To analyze the effect of Chinese medicine hot compress combined with emotional intervention in conservative treatment for lumbar disc herniation.Methods A total of 100 patients with lumbar disc herniation underwent conservative treatment who admitted to our hospital from July 2021 to July 2022 were enrolled,and they were grouped according to the principle of single-blind-random.Patients in the control group(n=50)were given routine intervention,and those in the observation group(n=50)were given Chinese medicine hot compress plus emotional intervention.After 2 weeks,the intervention effect,symptom score,pain status,lumbar function,and safety were compared between the two groups.Results After intervention,the total effective rate was significantly higher than that of the control group(96.00%vs 78.00%,P<0.05).The TCM symptom scores in the observation group were significantly lower than those of the control group(P<0.05).The visual analogue scale(VAS)score in the observation group was significantly lower than that of the control group(P<0.05),while the Japanese Orthopaedic Association(JOA)in the observation group was significantly higher than that of the control group(P<0.05).The complication rate in the observation group was comparable to that in the control group(8.00%vs 6.00%,P>0.05).Conclusion The application of Chinese medicine hot compress combined with emotional intervention in conservative treatment for lumbar disc herniation can achieve significant results,which can not only improve the intervention effect and reduce symptom scores,but also improve the pain status and lumbar function,and the safety is guaranteed.