摘要
目的:探讨择时控温式中药热敷在腰椎间盘突出症气滞血瘀证患者中的应用效果。方法:将116例腰椎间盘突出症气滞血瘀证患者随机分为试验组和对照组各58例。两组患者均采用腰椎间盘突出症气滞血瘀证的常规治疗与护理,试验组患者采用择时中药热敷,治疗时间为申时(15:00:00—17:00:00),对照组患者采用常规中药热敷,治疗时间为申时之外的治疗时段(09:00:00—15:00:00),比较两组患者疼痛、腰椎功能、临床疗效。结果:两组患者干预后VAS评分均降低(P<0.05),且试验组患者干预后VAS评分低于对照组,差异有统计学意义(P<0.05);试验组患者疼痛疗效指数高于对照组,差异有统计学意义(P<0.05)。两组患者干预后JOA总分评分、主观症状评分、临床体征评分、日常生活动作评分均高于干预前(P<0.05),且试验组患者干预后JOA总分、主观症状评分、日常生活动作评分均高于对照组,差异均有统计学意义(P<0.05)。试验组患者JOA改善率高于对照组,差异有统计学意义(P<0.01);试验组总有效率为98.28%(57/58),对照组总有效率为89.66%(52/58);两组患者JOA改善率程度、总有效率比较,差异均无统计学意义(P>0.05)。两组患者的不良反应发生率比较,差异无统计学意义(P>0.05);两组均未发生烫伤等严重皮肤不良反应。结论:在子午流注理论指导下采用择时控温式中药热敷干预腰椎间盘突出症气滞血瘀证患者,能有效减轻疼痛,改善腰椎功能。
Objective: To explore the application effect of temperature-controlled traditional Chinese medicine hot compress based on timing in patients with Qi stagnation and blood stasis syndrome of lumbar disc herniation. Methods: A total of 116 patients with Qi stagnation and blood stasis syndrome of lumbar disc herniation were randomly divided into experimental group and control group, with 58 cases in each group. Both groups of patients were treated with routine treatment and nursing care of Qi stagnation and blood stasis syndrome of lumbar disc herniation. And both groups of patients were treated with hot compresses of Chinese herbal medicine, the experimental group of the treatment time was scheduled from 15:00:00 to 17:00:00, while the control group of the treatment time was set from 9:00:00 to 15:00:00. The pain, lumbar spine function and clinical efficacy were compared between the two groups. Results: VAS score of both groups was decreased after intervention(P<0.05).VAS score of the experimental group was lower than the control group after intervention, and the difference was statistically significant(P<0.05). The efficacy index of pain in experimental group was higher than that in control group, and the difference was statistically significant(P<0.05). JOA total score, subjective symptom score, clinical signs score and daily living motion score in two groups after intervention were higher than those before intervention(P<0.05). After intervention, JOA total score, subjective symptom score and daily living action score in experimental group were higher than those in control group, and the differences were statistically significant(P<0.05).The improvement rate of JOA in experimental group was higher than that in control group, and the difference was statistically significant(P<0.01). The total effective rate of experimental group was 98.28%(57/58), while that of control group was 89.66%(52/58). There were no statistically significant differences in the improvement rate of JOA and total effective rate between two gr
作者
谈晓红
崔屹
孟晓耘
程鑫
赵利
TAN Xiao-hong;CUI Yi;MENG Xiao-yun;CHENG Xin;ZHAO Li(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中医药导报》
2022年第3期77-82,共6页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
上海市卫生和计划生育委员会中医药科研基金课题(2014LP093A)
上海市医务工会理论研究重点课题(2021YGL03)。
关键词
腰椎间盘突出症
气滞血瘀证
中药热敷
子午流注理论
择时
疼痛
lumbar disc herniation
Qi stagnation and blood stasis syndrome
traditional Chinese medicine hot compress
midnight-noon ebb-flow theory
timing
pain
