摘要
目的观察中医护理联合麦肯基疗法对腰椎间盘突出症患者康复效果及睡眠质量影响分析。方法将2022年1月至2023年1月龙岩市中医院收治的80例腰椎间盘突出患者纳入本研究,采用随机数字表分成两组,各40例,对照组行中医护理,研究组在对照组基础上联合麦肯基疗法。比较两组患者治疗前后腰椎功能以日本骨科协会评估分数(JOA)、VAS评分及匹兹堡睡眠质量指数(PSQI)评分,评价康复效果。结果在本研究中,在治疗后10 d、20 d和疗程结束时,两组JOA评分较治疗前提升,研究组高于对照组,而VAS评分较治疗前下降(P<0.05)。干预后,研究组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍和PSQI总分低于对照组(P<0.05)。干预后,研究组总体健康、精神健康、情感职能、生理职能、生理功能和社会功能得分高于对照组(P<0.05)。研究组治疗总有效率高于对照组(P<0.05)。结论腰椎间盘突出症患者以中医护理联合麦肯基疗法可显著的改善患者的腰椎功能、睡眠质量与生活质量,减轻患者的疼痛感。
Objective To observe the effects of combined traditional Chinese medicine(TCM)nursing and McKenzie therapy on the recovery and sleep quality of patients with lumbar disc herniation.Methods From January 2022 to January 2023,a total of 80 patients with lumbar disc herniation treated at Longyan City Traditional Chinese Medicine Hospital were included in this study.They were randomly divided into two groups of 40 each using a random number table.The control group received TCM nursing,while the study group received McKenzie therapy in addition to TCM nursing.The recovery effects were evaluated by comparing the Japanese Orthopedic Association(JOA)scores,Visual Analogue Scale(VAS)pain scores,and Pittsburgh Sleep Quality Index(PSQI)scores before and after treatment in both groups.Results In this study,after 10 days,20 days,and at the end of the treatment course,the JOA scores in both groups increased compared to before treatment,with the study group scoring higher than the control group,while the VAS scores decreased compared to before treatment(P<0.05).After the intervention,the study group had lower sleep quality,sleep onset time,sleep duration,sleep efficiency,sleep disturbances,hypnotic medication use,and daytime dysfunction scores compared to the control group(P<0.05).After the intervention,the study group had higher scores in general health,mental health,emotional functioning,physical functioning,and social functioning compared to the control group(P<0.05).The overall treatment effectiveness rate in the study group was higher than that in the control group(P<0.05).Conclusions The combination of TCM nursing and McKenzie therapy can significantly improve the lumbar function,sleep quality,and quality of life of patients with lumbar disc herniation,and reduce their pain.
作者
谢巧练
XIE Qiaolian(Department of Rehabilitation,Xiamen University Affiliated Longyan Traditional Chinese Medicine Hospital,Longyan 364000,China)
出处
《中国医药指南》
2024年第32期29-31,共3页
Guide of China Medicine
关键词
腰椎间盘突出症
麦肯基疗法
康复效果
睡眠
中医护理
Lumbar disc herniation
McKenzie therapy
Recovery effect
Sleep
Traditional Chinese medicine nursing