摘要
目的 探讨血瘀型腰痛患者康复中实施核心力量训练与中药湿热敷的临床效果。方法 选取2018年9月~2020年2月杭州市中医院收治的腰痛(血瘀型)患者90例,采用随机数字表法将患者分为对照组和观察组,每组各45例。对照组患者采用推拿和体操训练治疗;观察组于对照组基础上实施核心力量训练和中药湿热敷治疗。两组患者均连续干预1个月,1个月后评价两组患者腰椎功能和腰部疼痛程度,并比较两组干预效果。结果 观察组干预1个月后ODI评分、VAS评分较对照组低,而JOA评分明显高于对照组,且两组干预1个月后各项指标评分较干预前差异有统计学意义(P<0.05);观察组的治疗总有效率(97.78%)明显高于对照组(82.22%),差异有统计学意义(P<0.05)。结论 核心力量训练联合中药湿热敷用于临床血瘀型腰痛患者护理康复的效果显著,减轻其疼痛感,对促进患者积极开展训练具有积极作用,在改善腰椎功能方面具有重要作用。
Objective To explore the clinical effect of core strength training and traditional Chinese medicine wet-hot compress in the rehabilitation of patients with blood stasis type low back pain. Methods A total of 90 patients with low back pain(blood stasis type) from September 2018 to February 2020 were selected and included in the study. The patients were randomly divided into the control group and the observation group. The patients in the control group were treated with massage and gymnastics training. The observation group was treated with core strength training and traditional Chinese medicine wet-hot compress based on the control group. Both groups were continuously intervened for one month. After one month, the lumbar function and lumbar pain of the two groups were evaluated, and the intervention effects of the two groups were compared. Results After one month of intervention, the ODI score and VAS score of the observation group were significantly lower than those of the control group, while the JOA score of the observation group was significantly higher than that of the control group. The index scores of the two groups after one month of intervention were significantly different from those before the intervention(P<0.05). The total effective rate of 97.78% in the observation group was significantly better than 82.22% in the control group, and the difference was statistically significant(P<0.05). Conclusion Core strength training combined with traditional Chinese medicine wet-hot compress has a significant effect in nursing and rehabilitation of patients with blood stasis type low back pain. It can reduce their pain, and promote the active training of patients, thereby improving the patient’s lumbar function and improving the treatment effect.
作者
宋烨飞
黄丽晴
SONG Yefei;HUANG Liqing(Department of Acupuncture and Moxibustion Rehabilitation,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 31000,China)
出处
《中国现代医生》
2022年第17期140-142,146,共4页
China Modern Doctor
基金
浙江省中医药科技计划项目(2019ZB085)。
关键词
核心稳定性训练
中药湿热敷
血瘀型
腰痛
腰椎功能
Core stability exercise
Traditional Chinese medicine wet and hot compress
Blood stasis type
Low back pain
Lumbar function
