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
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。
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.
引用本文
按标准格式复制,或导出到文献管理软件参考文献
共 13 条- [1]Eng PARD.Editorial for“Deep Learning Model for Grading and Localization of Lumbar Disc Herniation on Magnetic Resonance Imaging”[J].Journal of Magnetic Resonance Imaging,2025,61(1):2881-2886.
- [2]汪芸芸,王成芳.通络开痹片联合循经取穴推拿对腰椎间盘突出病人腰椎功能和疼痛程度影响[J].蚌埠医学院学报,2023,48(7):950-953.
- [3]符碧峰,霍路遥,冯天笑,等.从经筋理论探讨腰椎间盘突出症的病因病机[J].天津中医药大学学报,2022,41(6):812-816.
- [4]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.
- [5]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,2021,29(1):2782-2786.
- [6]王玉,郑玉霞.中药热奄包联合穴位贴敷对腰椎间盘突出症患者疼痛程度及腰椎功能的影响[J].反射疗法与康复医学,2022,(18):41-44.
- [7]胡伶清,段林建.中药热奄包联合神灯照射对腰椎间盘突出症患者疼痛及腰椎功能的影响[J].临床护理杂志,2025,24(1):61-63.
- [8]潘玮,程淑鑫,林云铃,等.常规护理联合中药热奄包循经治疗气滞血瘀型腰椎间盘突出症50例[J].福建中医药,2024,55(1):71-72.
- [9]陈竹,何丽娟,彭中华.杵针联合中药热奄包的康复护理干预对血瘀型腰椎间盘突出症患者腰椎功能及生活质量的影响[J].四川中医,2024,42(11):212-215.
- [10]刘琼,张碧群,李群弟.火龙罐联合中药热奄包在腰椎间盘突出症患者中医护理中的应用效果[J].反射疗法与康复医学,2023,4(23):47-50.
- [11]曾朝辉,文成,周全,等.地龙散联合中药热奄包治疗血瘀型腰椎间盘突出症的疗效及其对血清炎症因子水平的影响[J].中医药导报,2025,31(2):71-74.
- [12]张龙涛.腰椎间盘突出症经皮椎间孔镜微创术后应用清湿利腰汤配合中药热奄包临床观察[J].实用中医药杂志,2024,40(8):1466-1468.
- [13]王照平,何嘉,杨亚军,等.化瘀理筋针刺法联合中药热奄包对腰椎间盘突出症的治疗效果[J].中华全科医学,2024,22(5):733-737.
| 文章编号 | 2026-04-052(期号内编号) |
|---|---|
| 栏目 | 中医学研究 |
| 作者 | 潘雨 |
| 作者单位 | 遂宁市中医院 |
| 基金项目 | 遂宁市中医药管理局中医药科研专项资助(SN2023B05) |
| 中图分类号 | R248.2 |
| 卷期页码 | 2026, 2(04): 205-208 |
| 发布时间 | 2026-07-15 |
| 出版时间 | 2026-07-15 |
| 引用信息 | [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. |
| 全文地址 | 在知网查看该文(kns.cnki.net) |
| 数据抓取时间 | 2026-09-22T12:16:17 |