“纾解式”自我情绪管理联合穴位按摩在气滞血瘀型腰椎间盘突出症中的应用效果被引量：7

Observation on the effect of'relief'self-emotion management combined with acupoint massage on preventing the recurrence of prolapse of lumbar intervertebral disc with Qi stagnation and blood stasis

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摘要目的:探讨“纾解式”自我情绪管理联合穴位按摩在气滞血瘀型腰椎间盘突出症(LDH)患者中的应用效果。方法:选择2018年7月—2020年1月收治的气滞血瘀型LDH患者80例,按随机数字表法分为对照组与观察组,每组40例。对照组采取常规护理,观察组在此基础上给予“纾解式”自我情绪管理联合穴位按摩。比较两组干预前及干预3个月后疼痛[疼痛数字评价量表(NRS)]、腰椎功能[日本骨科协会腰痛评价量表(JOA)]及心理状况[焦虑自评量表(SAS)和抑郁自评量表(SDS)]评分。结果:干预前两组NRS,JOA,SAS,SDS评分比较,差异无统计学意义(P>0.05)。干预后观察组NRS,SAS,SDS评分均低于对照组,JOA评分高于对照组,差异均有统计学意义(P<0.05)。结论:“纾解式”自我情绪管理联合穴位按摩能够促进气滞血瘀型LDH患者腰椎功能康复,减轻疼痛程度,利于缓解消极情绪。 Objective:To explore the application effect of'relief'self-emotion management combined with acupoint massage in patients with qi stagnation and blood stasis type lumbar disc herniation(LDH).Methods:A total of 80 patients with LDH of Qi stagnation and blood stasis type admitted to hospital from July 2018 to January 2020 were selected and divided into two groups according to the random number table method,each with 40 cases.The control group took routine nursing care,and the observation group added'relief'self-emotion management combined with acupoint massage on this basis.The pain[numerical pain rating scale(NRS)],lumbar spine function[japanese orthopaedic association low back pain rating scale(JOA)]and psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]were compared between the two groups before and after 3 months of intervention.Results:There was no statistically significant difference in NRS,JOA,SAS,SDS scores between the two groups before the intervention(P>0.05).The NRS,SAS and SDS scores of the observation group were lower than those of the control group after intervention,and the JOA scores were higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:'Relief'self-emotion management combined with acupoint massage can promote the recovery of lumbar spine function in patients with qi stagnation and blood stasis type LDH,reduce pain and help relieve negative emotions.

作者李元金钟平俞丹丹 LI Yuanjin;ZHONG Ping;YU Dandan(Traditional Chinese Medicine Hospital of Ganzhou City,Ganzhou 341000,China)

机构地区赣州市中医院

出处《临床医药实践》 2021年第10期787-790,共4页 Proceeding of Clinical Medicine

基金江西省卫生和计划生育委员会科技计划项目(项目编号:20197397)。

关键词腰椎间盘突出症气滞血瘀型自我情绪管理穴位按摩腰椎功能 lumbar intervertebral disc herniation qi stagnation and blood stasis type self emotional management acupoint massage lumbar function

分类号 R47 [医药卫生—护理学]