[1]吴秀丽.中药湿热敷配合离子导入治疗腰椎间盘突出症的疗效及护理经验[J].西部中医药,2017,30(01):124-127.
 WU Xiuli.Clinical Effects of Herbal Hot-wet Compression Combined with Iontophoresis in Treating Lumbar Disc Herniation and Nursing Experience[J].Western Journal of Traditional Chinese Medicine,2017,30(01):124-127.
点击复制

中药湿热敷配合离子导入治疗腰椎间盘突出症的疗效及护理经验()
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年01期
页码:
124-127
栏目:
出版日期:
2017-01-15

文章信息/Info

Title:
Clinical Effects of Herbal Hot-wet Compression Combined with Iontophoresis in Treating Lumbar Disc Herniation and Nursing Experience
文章编号:
1004-6852(2017)01-0124-04
作者:
吴秀丽
天水市中西医结合医院骨科,甘肃 天水 741020
Author(s):
WU Xiuli
Bone Department of Tianshui Municipality Hospital of Integrative Traditional Chinese and Western Medicine, Tianshui 741020, China
关键词:
椎间盘移位腰椎中药离子导入中药湿热敷护理
Keywords:
intervertebral disk displacement lumbar disc herbal iontophoresis herbal hot-wet compression nursing
分类号:
R681.5
文献标志码:
B
摘要:
目的:观察中药离子导入配合中药湿热敷治疗腰椎间盘突出症的临床疗效,同时探讨其护理策略。方法:将腰椎间盘突出症患者62例随机分为观察组与对照组各31例,在其他系统性护理的基础上,对照组接受中药湿热敷治疗及对应护理,观察组在对照组基础上接受中药离子导入治疗及对应护理。结果:观察组临床总有效率达96.8%,高于对照组的80.6%,组间比较差异有统计学意义( χ2=23.147,P=0.000);治疗前2组患者的VAS评分比较差异无统计学意义(t=0.509,P=0.182),治疗后观察组VAS评分降低程度较对照组明显,组间比较差异有统计学意义(t=4.016,P=0.024)。结论:中药离子导入配合中药湿热敷治疗腰椎间盘突出症具有协同作用,完善的护理也是进一步保障疗效的重要因素。
Abstract:
Objective: To observe clinical effects of herbal iontophoresis combined with herbal hot-wet compression in treating lumbar disc herniation (LDH), and explore its nursing plans. Methods: All 62 LDH patients were randomized into the observation group and the control group, 31 cases each group, on the basis of systematic nursing, the control group were given herbal hot-wet compression and corresponding nursing, the observation group accepted herbal iontophoresis and its corresponding care on the foundation of systematic nursing. Results: Total effective rate of the observation group reached 96.8%, higher than 80.6% of the control group, and the difference presented statistical meaning ( χ2=23.147, P=0.000); The difference had no statistical meaning in the comparisons of VAS between both groups before treating (t=0.509, P=0.182), VAS decrease of the observation group was larger than that of the control group after treating (t=4.016, P=0.024). Conclusion: Herbal iontophoresis combined with herbal hot-wet compression in treating LDH presents synergistic action, and perfect nursing is the important factors of further ensuring clinical effects.

相似文献/References:

[1]张海清,赵继荣△,陈文.腰椎间盘突出症的中医药治疗概述[J].西部中医药,2012,25(12):124.
 ZHANG Hai-qing,ZHAO Ji-rong,CHEN Wen.On TCM Therapy for Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(01):124.
[2]吴建民,李红梅,蔡英,等.浅析调脊-盆-髋手法在腰椎间盘突出症中的应用[J].西部中医药,2013,26(03):92.
 WU Jianmin,LI Hongmei,CAI Ying,et al.On Manipulation of Adjusting Spine-pelvis-hip Applied to Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2013,26(01):92.
[3]柳直,李盛华△.中医体质类型对腰椎间盘突出症 臭氧髓核消融术的疗效影响[J].西部中医药,2013,26(04):79.
 LIU Zhi,LI Shenghua.Effects of TCM Constitution Types on Clinical Efficacy of Ozone Nucleus Pulposus Ablation in Treating Patients with Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2013,26(01):79.
[4]徐斌,张华.过伸复位手法在胸腰段骨折内固定术中的应用[J].西部中医药,2012,25(05):66.
 XU Bin,ZHANG Hua.Application of Hyper-extensive Reduction to Internal Fixation of Thoracolumbar Fracture[J].Western Journal of Traditional Chinese Medicine,2012,25(01):66.
[5]黄继升,谢小强.阿是穴合谷刺配合推拿治疗腰椎间盘突出症临床观察[J].西部中医药,2013,26(11):111.
 HUANG Jisheng,XIE Xiaoqiang.Clinical Observation on AShi Acupoint HeGu Needling Combined with Massage in Treating Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2013,26(01):111.
[6]王想福,石瑞芳,王兴盛,等.独活寄生汤联合经皮激光椎间盘减压治疗腰椎间盘突出症138例[J].西部中医药,2013,26(12):105.
 WANG Xiangfu,SHI Ruifang,WANG Xingsheng,et al.DuHuo JiSheng Tang and PLDD in Treating 138 Cases of Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2013,26(01):105.
[7]杨学峰.补阳还五汤加减治疗腰椎间盘突出症 50 例[J].西部中医药,2014,27(08):75.
[8]汪芝芳.针刺牵引配合骨刺定内服外敷治疗腰椎间盘突出症 196 例[J].西部中医药,2014,27(08):121.
[9]陈晓飞,周晟,汪新柱,等.腰椎数字化X线摄影焦片距120 cm与焦片距200 cm的成像对比[J].西部中医药,2015,28(03):133.
[10]朱换平,赵继荣△,邓强.杜仲腰痛丸对腰椎间盘突出症患者血清TNF-α、IL-1β的影响[J].西部中医药,2015,28(04):103.
[11]王想福,王兴盛,石瑞芳.保守疗法治疗腰椎间盘突出症120例[J].西部中医药,2012,25(12):77.
 WANG Xiang-fu,WANG Xing-sheng,SHI Rui-fang.Comprehensive Conservative Therapy for 120 Cases of Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(01):77.
[12]黄德鹏,涂世玉,王永铭,等.中医辨证分型结合臭氧消融术治疗腰椎间盘突出症145例疗效观察[J].西部中医药,2013,26(02):96.
 HUANG Depeng,TU Shiyu,WANG Yongming,et al.Clinical Observation on Syndrome Differentiation and Ozone Ablation in Treating 145 Cases of Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2013,26(01):96.
[13]张君亮,王兆江,姜益常△.选择性钉棒系统内固定及腰背肌功能锻炼治疗腰椎间盘突出症临床观察[J].西部中医药,2013,26(05):111.
 ZHANG Junliang,WANG Zhaojiang,JIANG Yichang.On Internal Fixation of Selective Screw-rod System and Functional Exercise of Lumbar Muscle in the Treatment for Lumbar Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2013,26(01):111.
[14]杨轶杰.矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察[J].西部中医药,2012,25(09):31.
 YANG Yi-jie.Matrix Acupuncture Therapy Combined with Reduction Method of Massage and Tendon-regulation in the Treatment for 62 Cases of Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(01):31.
[15]叶尚志,蔡玮,魏宁.电针结合椎旁神经阻滞治疗高位腰椎间盘突出症临床观察[J].西部中医药,2012,25(08):98.
 YE Shang-zhi,CAI Wei,WEI Ning.Clinical Observation on Electro-acupuncture and Para Spinal Nerve Block in the Treatment of Upper Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(01):98.
[16]张沛桃.推拿结合旋转复位手法治疗腰椎间盘突出症的临床观察[J].西部中医药,2012,25(07):98.
 ZHANG Pei-tao.Clinical Observation on TuiNa and Rotatory Manual Reduction in Treating Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2012,25(01):98.
[17]孙勇军,杜渐.腰椎间盘突出症手术的围手术期中西医结合护理体会[J].西部中医药,2012,25(07):119.
 SUN Yong-jun,DU Jian.Nursing Patients undergoing Surgery of Lumbar Disc Herniation with Integrated Traditional Chinese and Western Medicine[J].Western Journal of Traditional Chinese Medicine,2012,25(01):119.
[18]张胜金.壮腰祛风镇痛汤联合石拍疗法治疗腰椎间盘突出症60例[J].西部中医药,2012,25(05):68.
 ZHANG Sheng-jin.Curative Effects of ZhuangYao QuFeng ZhenTongTang and Stone-Beat Method in Treating 60 Cases of Lumbar Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(01):68.
[19]窦花园.辨证施护对腰椎间盘突出症患者护理满意度的影响[J].西部中医药,2012,25(05):101.
 DOU Hua-yuan.Influence of Syndrome Differentiation and Nursing on Satisfaction in Patients with Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(01):101.
[20]管琳君.腰椎间盘减压术联合胶原酶溶解术术后护理体会[J].西部中医药,2013,26(09):133.
 GUAN Linjun.Nursing Experience of the Patients Undergone Lumbar Intervertebral Disc Decompression and Collagenase Chemonucleolysis[J].Western Journal of Traditional Chinese Medicine,2013,26(01):133.

备注/Memo

备注/Memo:
收稿日期:2016-03-20作者简介:吴秀丽(1974—),女,主管护师。研究方向:骨科疾病的护理。
更新日期/Last Update: 2017-01-15