ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-04-052 中医学研究 2026, 2(04): 205-208

中药热奄包联合腰椎间盘突出射频治疗对患者疼痛及活动度影响

遂宁市中医院

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摘要

目的 评价中药热奄包辅助腰椎射频术治疗腰椎间盘突出症(LDH)的临床价值,重点分析其对患者疼痛缓解与腰椎功能恢复的影响。方法 选取2023年6月至2024年12月遂宁市中医院收治的60例LDH患者依据随机数表法分为观察组(n=30)和对照组(n=30)。两组患者均行腰椎射频术治疗,对照组术后给予基础治疗结合常规护理,观察组在对照组基础上增加中药热奄包干预。两组患者均治疗干预1周后评价两组的疼痛缓解效果、腰椎活动功能改善情况、临床治疗总有效率及患者的主观满意程度。结果 治疗后,观察组视觉模拟评分法(VAS)低于对照组,差异具有统计学意义(P<0.05);治疗后,观察组日本骨科协会(JOA)腰椎量表评分高于对照组,差异具有统计学意义(P<0.05);治疗后,观察组总有效率高于对照组,差异具有统计学意义(P<0.05);治疗后,观察组满意度高于对照组,差异具有统计学意义(P<0.05)。结论 中药热奄包联合腰椎射频术治疗LDH的效果显著,可减轻患者的疼痛感,提高患者的腰椎活动度,患者治疗满意度良好,可在临床上推广应用。

Abstract

Objective To evaluate the clinical value of Traditional Chinese Medicine hot compress bag assisted lumbar radiofrequency surgery in the treatment of lumbar disc herniation(LDH), focusing on its effect on pain relief and lumbar function recovery. Methods A total of 60 LDH patients admitted to Suining Hospital of Traditional Chinese Medicine from June 2023 to December 2024 were selected and divided into observation group(n=30) and control group(n=30) according to the random number table method. Both groups were treated with lumbar radiofrequency surgery. The control group was given basic treatment combined with routine nursing after surgery, and the observation group was given Traditional Chinese Medicine hot compress bag intervention on the basis of the control group. After 1 week of treatment, the pain relief effect, the improvement of lumbar spine activity function, the total effective rate of clinical treatment and the subjective satisfaction of patients were evaluated in the two groups. Results After treatment, the visual analogue scale(VAS) of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). After treatment, the Japanese Orthopaedic Association(JOA) lumbar scale score of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). After treatment, the total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). After treatment, the satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion The combined use of Traditional Chinese Medicine hot compresses and lumbar radiofrequency surgery for the treatment of LDH has a remarkable effect. It can alleviate patients' pain and improve their lumbar mobility. The patients' treatment satisfaction is good and it can be widely applied in clinical practice.

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[1]潘雨.中药热奄包联合腰椎间盘突出射频治疗对患者疼痛及活动度影响[J].疾病预防与控制,2026,2(04):205-208.