自制药酒湿敷联合神灯照射对脊柱疾病患者疼痛、腰椎功能、生活质量的影响

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摘要目的探讨自制药酒湿敷联合神灯照射对脊柱疾病患者疼痛、腰椎功能、生活质量的影响。方法选取2019年8月至2020年12月江西中医药大学附属医院收治的86 例腰椎间盘突出症（LDH）患者作为研究对象，按随机数字表法分为对照组（43 例）和观察组（43 例）。两组均予以常规治疗，对照组予以神灯照射治疗，观察组在对照组基础上加用自制药酒湿敷治疗。比较两组临床疗效、疼痛及腰椎功能、日常生活能力。结果观察组治疗总有效率高于对照组，差异有统计学意义（P＜0.05）；两组治疗前视觉模拟评分法（VAS）、日本骨科协会评估治疗分数（JOA）评分比较，差异无统计学意义（P＞0.05）；两组治疗后VAS 评分低于治疗前，JOA 评分高于治疗前，差异有统计学意义（P＜0.05）；观察组治疗后VAS 评分低于对照组，JOA 评分高于对照组，差异有统计学意义（P＜0.05）；两组治疗前日常生活能力（ADL）评分比较，差异无统计学意义（P＞0.05）；两组治疗后ADL 评分高于治疗前，差异有统计学意义（P＜0.05）；观察组治疗后ADL 评分高于对照组，差异有统计学差异（P＜0.05）。结论自制药酒湿敷联合神灯照射可减轻LDH 患者疼痛感，加快腰椎功能恢复，增强日常生活能力。

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	何婷
	谢宜静
	舒文杰

关键词 ：脊柱疾病, 自制药酒湿敷, 神灯照射, 疼痛, 腰椎功能

Abstract： Objective To explore the effect of self-made medicinal liquor wet compress combined with infrared radiation on pain, lumbar vertebral function and quality of life in patients with spinal diseases.Methods A total of 86 patients with lumbosacral disc herniation (LDH) who were admitted to the Affiliated Hospital of Jiangxi University of Chinese Medicine from August 2019 to December 2020 were selected as the research subjects.According to the random number table method, they were divided into a control group with 43 cases and an observation group with 43 cases.Both groups received conventional treatment.The control group was treated with infrared radiation, and the observation group was treated with self-made medicinal liquor wet compress on the basis of the control group.The clinical efficacy, pain,lumbar vertebral function, and ability of daily living were compared between the two groups.Results The total effectiveness rate of treatment in the observation group was higher than that in the control group, and the difference was statistically significant (P＜0.05).There was no statistically significant difference in the visual analogue scale (VAS)score or the Japanese Orthopedic Association (JOA) score before treatment between the two groups (P＞0.05).After treatment, the VAS scores of the two groups were lower than those before treatment, and the JOA scores were higher than those before treatment, with statistical significances (P＜0.05).After treatment, the VAS score of the observation group was lower than that of the control group, and the JOA score was higher than that of the control group, with statistical significances (P＜0.05).There was no statistically significant difference between the two groups in the ability of daily living (ADL) score before treatment (P＞0.05).The ADL scores of the two groups after treatment were higher than those before treatment,and the differences were statistically significant(P＜0.05).The ADL score of the observation group after treatment was higher than that of the control group, and the difference was statistically significant (P ＜0.05).Conclusion Self-made medicinal liquor wet compress combined with infrared radiation can reduce pain in patients with LDH, facilitate the recovery of lumbar vertebral function, and enhance the ability of daily living.

Key words： Spinal diseases Self -made medicinal liquor wet compress Infrared radiation Pain Lumbar vertebral function

基金资助:江西省卫生健康委科技计划项目（202131050）。

引用本文:

何婷；谢宜静；舒文杰. 自制药酒湿敷联合神灯照射对脊柱疾病患者疼痛、腰椎功能、生活质量的影响[J]. 中国当代医药, 2021, 28(29): 192-195.
HE Ting；XIE Yi-jing；SHU Wen-jie. Effect of self-made medicinal liquor wet compress combined with infrared radiation on pain, lumbar vertebral function and quality of life in patients with spinal diseases. 中国当代医药, 2021, 28(29): 192-195.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I29/192

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