中医综合护理在颈椎病患者中的应用效果

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摘要目的探讨中医综合护理在颈椎病患者中的应用价值。方法选取2018年1月～2019年6月我院收治的60例颈椎病患者作为研究对象，采用随机数字表法分为对照组（n=30）和观察组（n=30）。对照组采用常规护理，观察组采用中医综合护理，共护理2周。比较两组颈椎活动度；视觉模拟量表（VAS）评分，匹兹堡睡眠质量指数（PSQI）；血清内皮素（ET）、前列环素（PGI2）水平。结果观察组护理2周后颈椎前屈活动度、右侧屈活动度、左侧屈活动度大于对照组，差异均有统计学意义（P<0.05）；观察组护理2周后VAS评分、PSQI评分低于对照组，差异均有统计学意义（P<0.05）；观察组焦虑自评量表（SAS）、抑郁自评量表（SDS）评分低于对照组，差异均有统计学意义（P<0.05）。结论中医综合护理可提高颈椎病患者颈椎活动度，减轻疼痛，提高睡眠质量，并减轻负面情绪。

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	谭上弟
	陈宝吟

关键词 ：中医综合护理, 颈椎病, 颈椎活动度, 睡眠质量, 负面情绪

Abstract：Objective To explore the application value of comprehensive nursing of traditional Chinese medicine in patients with cervical spondylosis.Methods A total of 60 patients with cervical spondylosis admitted to our hospital from January 2018 to June 2019 were selected as the research objects, the patients were divided into control group (n=30) and observation group (n=30) by random number table method.The patients in the control group received routine nursing, while the patients in the observation group received comprehensive nursing of traditional Chinese medicine for 2 weeks.The activity of cervical vertebrae, visual analogue scale (VAS), Pittsburgh sleep quality index (PSQI), serum endothelin (ET) and prostacyclin (PGI2) were compared between the two groups.Results After 2 weeks of nursing, the cervical flexion activity, right flexion activity and left flexion activity in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05).After 2 weeks of nursing, the VAS and PSQI scores of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05).After 2 weeks of nursing, the scores of self-rating anxiety scale (SAS) and self-rating depression scale(SDS) in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05).Conclusion Comprehensive nursing of traditional Chinese medicine can improve cervical spondylosis patients cervical range of motion, reduce pain, improve sleep quality, and reduce bad mood.

Key words： Comprehensive nursing of traditional Chinese medicine Cervical spondylopathy Cervical mobility Sleep quality Bad mood

引用本文:

谭上弟；陈宝吟. 中医综合护理在颈椎病患者中的应用效果[J]. 中国当代医药, 2020, 27(12): 231-233转237.
TAN Shang-di； CHEN Bao-yin. Application effect of comprehensive nursing of traditional Chinese medicine in patients with cervical spondylosis. 中国当代医药, 2020, 27(12): 231-233转237.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I12/231

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