摘要
[目的]观察综合护理腰椎间盘突出症急性期疗效。[方法]使用随机平行对照方法,将96例门诊及住院患者按就诊顺序编号法简单随机分为两组。对照组48例常规护理：体位护理、疼痛护理、牵引护理。治疗组48例综合护理：针灸、按摩、中药离子导入及心理护理;针灸护理：选穴腰夹脊（双侧）、肾俞、膀胱俞、环跳、秩边、委中、阴陵泉,1.5～2寸毫针,用捻转补泻手法针刺穴位,若腰部受风受寒,有刺痛感,可加艾灸祛风散寒,以阿是穴为主;30min/次,1次/d;按摩护理：以推拿、滚揉等手法,按摩腰部酸痛处,以耐受度为准,手臂肘部点按环跳穴,以局部温热感为宜,15～30min/次,1～2次/d;中药离子导入：散寒通经活络药物红花、乳香、没药、伸筋草、肉桂,加补肾吴茱萸、桑寄生,水煎熬30min后取汁,药垫浸汁放于腰部疼痛处,接通电源,缓慢增大电流至患者耐受度,30min/次,1次/d;心理护理：“百病生于气”,患者承受痛苦的同时易烦躁焦虑,耐心疏导沟通,讲解中医护理重要性、流程及注意事项,引导其消除紧张焦虑心理,保持放松;家属配合做好心理工作辅导。连续治疗14d为1疗程。观测临床症状、腰部活动功能、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组痊愈28例,有效18例,无效2例,总有效率95.83%。对照组痊愈20例,有效17例,无效11例,总有效率77.08%。治疗组疗效优于对照组（P〈0.05）。[结论]综合护理腰椎间盘突出症急性期效果显著,值得推广。
[ Objective ] To observe acupuncture, massage, Chinese medicine iontophoresis and psychological effects of nursing interventions in acute lumbar disc herniation. [ Methods ] Random parallel control method, 96 cases of outpatient and inpatient treatment order ID Act simply were randomly divided into two groups. Routine care control group of 48 patients： postural care, pain care, traction care. TCM treatment group, 48 cases of integrated care： acupuncture, massage, Chinese medicine iontophoresis and psychological care. Acupuncture treatments： Point Selection waist jiaji （bilateral）, Shenshu, bladder shu, Huantiao, rank edge points, Venezuela, yinlingquan, 1.5 to 2 inch needle, twisting reinforcing and reducing method using acupuncture point, if the waist wind chills, tingling, can moxibuxtion comfortable and easy to Ashi-based; 30min/times, 1 times/ d. Massage treatments： a massage, tumbling and other techniques, massage at the lower back pain to tolerance prevail, arms elbow tap Huantiao to local warm feeling is appropriate, 15-30min/times, 1 to 2 times/d. Chinese medicine iontophoresis： cold medicines through Honghua,Ruxiang,Meiyao,Shenjincao,Rougui, kidney Evodia plus, Wuzhuyu,Sangjisheng after 30min juice, juice soaked pad put in place back pain, turned power, slowly increase the current to patient tolerance, 30min/times, 1 times/d. Psychological care： TCM believes that ＂riddled Born gas＂, while patients suffering anxiety and easy irritability, patient counseling to communicate, to explain the importance of traditional Chinese medicine treatments, procedures and precautions to guide its elimination of tension anxiety, stay relaxed; families with doing Good job counseling psychology. 14d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. Continuous treatment for 3 courses, to determine efficacy. [ Results ] The cure in 28 cases, effective in 18 cases, 2 cases, the total efficiency of 95.83%. The control group healed in 20 cases, effective in 17 cases, 11 ca
出处
《实用中医内科杂志》
2014年第11期165-166,185,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
腰椎间盘突出症急性期
针灸
按摩
中药离子导入
心理护理
体位护理
疼痛护理
牵引护理
中医药综合护理
随机平行对照研究
A randomized controlled trial in parallel
Acute lumbar disc herniation of massage
Medicineiontophoresis
Acupuncture and psychological care
Postural care
Pain care
Traction nursing
TraditionalChinese medicine integrated care
