摘要
目的探讨渐进式康复训练联合情志护理在针刀治疗腰椎间盘突出中的效果。方法200例腰椎间盘突出患者,随机分成试验组与对照组,各100例。对照组给予针刀治疗,试验组在对照组基础上加用渐进式康复训练与情志护理联合治疗。比较两组临床疗效,前屈、后伸活动度,视觉模拟评分法(VAS)、日本骨科协会腰椎评估量表(JOA)、腰椎Oswetry功能障碍指数(ODI)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分及不良事件发生情况。结果试验组临床总有效率为89.00%,对照组的临床总有效率为78.00%,试验组高于对照组,差异显著(P<0.05)。治疗后,两组前屈、后伸活动度均显著升高,且试验组前屈活动度(83.51±4.21)°、后伸活动度(22.38±3.28)°高于对照组的(77.20±4.38)、(18.26±3.30)°,差异显著(P<0.05)。治疗后,两组JOA评分均显著升高,ODI及VAS评分均降低,且试验组JOA评分(26.85±1.34)分高于对照组的(21.08±1.60)分,ODI评分(12.56±2.18)分、VAS评分(1.14±0.31)分低于对照组的(15.45±2.91)、(1.56±0.40)分,差异显著(P<0.05)。治疗后,两组HAMA评分、HAMD评分均降低,且试验组HAMA评分(9.04±1.12)分、HAMD评分(10.05±1.26)分低于对照组的(12.92±1.08)、(12.35±1.35)分,差异显著(P<0.05)。两组不良事件发生率比较无显著差异(P>0.05)。结论在腰椎间盘突出患者行针刀治疗中实施渐进式康复训练与情志护理联合治疗有一定的效果,可有效改善患者腰椎功能、疼痛情况。
Objective To explore the effect of progressive rehabilitation training combined with emotional nursing on acupotomy treatment of lumbar disc herniation.Methods 200 patients with lumbar disc herniation were randomly divided into an experimental group and a control group,each with 100 cases.The control group was treated with acupotomy,and the experimental group was treated with progressive rehabilitation training and emotional nursing based on the control group.Both groups were compared in terms of clinical efficacy,anteflexion and extension range of motion,visual analog scale(VAS),Japanese Orthopaedic Association(JOA),Oswestry disability index(ODI),Hamilton anxiety scale(HAMA)score,Hamilton depression scale(HAMD)score and occurrence of adverse events.Results The total clinical effective rate of the experimental group was 89.00%,and that of the control group was 78.00%;the experimental group was higher than the control group,and the difference was significant(P<0.05).After treatment,the anteflexion and extension range of motion increased significantly in both groups;the anteflexion and extension range of motion in the experimental group were(83.51±4.21)°and(22.38±3.28)°,which were higher than(77.20±4.38)and(18.26±3.30)°in the control group;the difference was significant(P<0.05).After treatment,JOA score increased significantly in both groups,while ODI and VAS scores decreased;JOA score of(26.85±1.34)points in the experimental group was higher than(21.08±1.60)points in the control group;ODI score and VAS score in the experimental group were(12.56±2.18)and(1.14±0.31)points,which were lower than(15.45±2.91)and(1.56±0.40)points in the control group;the difference was significant(P<0.05).After treatment,HAMA score and HAMD score in both groups decreased;HAMA score and HAMD score in the experimental group were(9.04±1.12)and(10.05±1.26)points,which were lower than(12.92±1.08)and(12.35±1.35)points in the control group;the difference was significant(P<0.05).There was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion The combination of progressive rehabilitation training and emotional nursing has a certain effect in the comprehensive treatment of acupotomy for patients with lumbar disc herniation,which can effectively improve the lumbar function and pain.
作者
宣善俊
吴小宝
杨艳琴
陈晓君
叶爱琴
XUAN Shan-jun;WU Xiao-bao;YANG Yan-qin(Cadre Ward,the 907th Hospital of the Joint Logistics Support Force of the People's Liberation Army,Nanping 353000,China)
出处
《中国现代药物应用》
2024年第7期169-172,共4页
Chinese Journal of Modern Drug Application
基金
福建中医药大学校管科研课题(项目编号:XB2022197),项目名称:放松训练配合情志护理在针刀综合治疗腰椎间盘突出中的应用研究。
关键词
渐进式康复训练
情志护理
腰椎间盘突出
腰椎功能
疼痛情况
Progressive rehabilitation training
Emotional nursing
Lumbar disc herniation
Lumbar spine function
Pain condition
