扶阳罐以罐代手循经温推与推拿对腰椎间盘突出症的护理效果及腰椎功能影响

摘要/Abstract

摘要： 目的探讨扶阳罐以罐代手循经温推与推拿对腰椎间盘突出症的护理效果及腰椎功能影响。方法选取2021年1月—2022年12月柳州市柳铁中心医院收治的90例腰椎间盘突出症患者作为研究对象,应用随机数表法将所有受试者分为对照组和研究组,每组45例。对照组实施一般推拿手法治疗,观察组实施扶阳罐以罐代手循经温推治疗,比较两组患者临床护理疗效、护理前与护理7 d后的疼痛情况和腰椎功能以及护理前与护理1个月后的生活质量。结果观察组临床护理总有效率明显高于对照组,差异有统计学意义（P<0.05）;两组患者护理前日本骨科协会评估治疗（JOA）评分、Osweatry功能障碍（ODI）指数、视觉模拟疼痛量表（VAS）评分比较,差异无统计学意义（P>0.05）。护理后,两组患者JOA评分均升高,且观察组高于对照组,ODI指数、VAS评分均降低,且观察组低于对照组,差异有统计学意义（P<0.05）;两组患者护理后生活质量相关评分均升高,且观察组高于对照组,差异有统计学意义（P<0.05）。结论扶阳罐以罐代手循经温推与常规推拿相比能够改善腰椎间盘突出症患者的临床护理效果,减轻患者疼痛程度,进一步提升腰椎功能,改善患者生活质量。

关键词: 扶阳罐, 循经温推, 推拿, 腰椎间盘突出症, 腰椎功能

Abstract: Objective To explore the nursing effect and lumbar function impact of warm massage and massage along the meridian with Fuyang cupping instead of cupping on lumbar disc herniation. Methods 90 patients with lumbar disc herniation admitted to Liuzhou Liutie Central Hospital from January 2021 to December 2022 were selected as the study subjects. All subjects were divided into groups according to a 1:1 ratio using a random number table method, with 45 patients in each group. The control group was treated with general massage manipulation, while the observation group was treated with Fuyang cupping instead of hand warming massage along the meridian. The clinical nursing efficacy of the two groups was compared, and the pain and lumbar function of the patients before and after 7 days of nursing were compared. The quality of life was compared before and after 1 month of nursing, respectively. Results The total effective rate of clinical nursing in the observation group was significantly higher than that in the control group (P<0.05); before nursing, there was no significant difference between the two groups in the scores of the Japanese Orthopedic Association's Evaluation and Treatment (JOA), Osweatry Dysfunction Index (ODI), and Visual Analogue Pain Scale (VAS). After nursing, the JOA scores of the two groups increased, and the observation group was higher than the control group, while the ODI index and VAS scores decreased, while the observation group was lower than the control group (P<0.05); The quality of life related scores of patients in both groups increased after nursing, and the observation group was higher than the control group (P<0.05). Conclusion Compared with conventional massage, Fuyang cupping with cupping instead of hand warming massage along the meridian can improve the clinical nursing effect of patients with lumbar disc herniation, reduce the degree of pain, further improve lumbar function, and improve the quality of life of patients.

Key words: Fuyang cupping, warm massage along meridians, massage, lumbar disc herniation, lumbar function

中图分类号:

R284.2

鄢慧, 吴宏想, 李玉梅, 覃琳毅, 蓝柳香. 扶阳罐以罐代手循经温推与推拿对腰椎间盘突出症的护理效果及腰椎功能影响[J]. 中华养生保健, 2023, 41(22): 112-115.

YAN Hui, WU Hong-xiang, LI Yu-mei, QIN Lin-yi, LAN Liu-xiang. Nursing Effect of Fuyang Cupping with Cupping Instead of Hand Warming and Massage Along Meridians on Lumbar Disc Herniation and Lumbar Function[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(22): 112-115.

参考文献

[1] 李水霞,刘博,王红,等.腰椎间盘突出症三年流行病学特征及围手术期护理[J].现代实用医学,2021,33(10):1348-1349.
[2] GADJRADJ P S, HARHANGI B S, AMELINK J, et al.Percutaneous Transforaminal Endoscopic Discectomy Versus Open Microdiscectomy for Lumbar Disc Herniation: A Systematic Review and Meta-analysis[J]. Spine (Phila Pa 1976),2021,46(8):538-549.
[3] 刘婷,付娟,张莎.通络益肾方联合针灸治疗腰椎间盘突出症对清除氧自由基能力分析[J].中华中医药学刊,2021,39(9):66-69.
[4] 倪璐,蒋涛,张闻东.针灸推拿联合络藤合剂治疗腰椎间盘突出症急性期的临床观察[J].中国中医急症,2021,30(11):1990-1992.
[5] 黄金星,兰燕,谭天林,等.推拿手法治疗腰椎间盘突出症椎间孔镜术后残余疼痛临床研究[J].四川中医,2022,40(5):196-199.
[6] 张海花,黄静,谭柳梅.生姜油配合扶阳罐循经温推改善风寒湿型肩周炎的疗效分析[J].中国医药科学,2021,11(21):20-23.
[7] 蒋鸣福. 腰椎间盘突出症防治指南[M].人民卫生出版社,2000:5-7.
[8] 吕晨,邹建玲,沈淑华,等.视觉模拟量表和语言评价量表用于术后疼痛评估的比较[J].全科医学临床与教育,2004,2(4):214-219.
[9] 陈千吉,陈红,张英,等.基于中国腰痛患者Oswestry功能障碍指数测量性能证据的COSMIN系统评价[J].中国康复医学杂志,2022,37(1):79-83.
[10] 伍少玲,马超,伍时玲,等.颈椎功能障碍指数量表的效度与信度研究[J].中国康复医学杂志,2008,23(7):625-628.
[11] 张磊,邵晨,王波,等.中文版SF-36量表用于中国老年军人生活质量调查的信度与效度评价[J].中华老年医学杂志,2004,23(2):112-114.
[12] 中华医学会骨科学分会脊柱外科学组,中华医学会骨科学分会骨科康复学组.腰椎间盘突出症诊疗指南[J].中华骨科杂志,2020,40(8):477-487.
[12] 李绍康,樊袁笑,曹晓雯,等.针刺联合固肾逐瘀方治疗肝肾亏虚型腰椎间盘突出症疗效观察[J].针刺研究,2022,47(10):907-913.
[13] DJURIC N, LAFEBER G C M, VLEGGEERT-LANKAMP C L A. The contradictory effect of macrophage-related cytokine expression in lumbar disc herniations: a systematic review[J]. Eur Spine J,2020,29(7):1649-1659.
[14] GUAN Y, WANG S, WANG J, et al.Gene polymorphisms and expression levels of interleukin-6 and interleukin-10 in lumbar disc disease: a meta-analysis and immunohistochemical study[J]. J Orthop Surg Res,2020,15(1):54.
[15] 黄海婷. 扶阳罐温通法治疗急性腰扭伤的临床观察[J].中国民间疗法,2021,29(24):52-55.
[16] 黄静,谭柳梅,周笋,等.紫归通络油结合扶阳罐循经温推治疗脑卒中后肩痛的疗效观察[J].护理与康复,2022,21(10):64-66.
[17] 郑皓云,祝永刚,柳根哲,等.中医微调手法推拿对腰椎间盘突出症患者腰部核心稳定肌群功能的影响[J].湖南中医药大学学报,2022,42(7):1180-1184.
[18] 张海花,黄静,谭柳梅.生姜油配合扶阳罐循经温推改善风寒湿型肩周炎的疗效分析[J].中国医药科学,2021,11(21):20-23.