吴美华

摘 要 目的：探讨中药熏蒸联合牵引治疗腰椎间盘突出症的疗效和护理要点。方法：收集2015年1—12月理疗科收治的腰椎间盘突出症患者128例，随机分为观察组和对照组各64例。观察组采用中药熏蒸联合牵引治疗，对照组采用单纯牵引治疗。两组均以10 d为1个疗程，并给予相应的中医特色护理措施。治疗3个疗程后，观察两组患者视觉疼痛模拟评分（VAS）和腰椎功能评分（JOA）。结果：治疗后，两组VAS评分与治疗前相比均显著下降（P<0.01），且观察组下降幅度较对照组更为明显（P<0.01）。两组JOA评分均较治疗前显著上升（P<0.01），且观察组上升幅度较对照组更为明显（P<0.01）。结论：中药熏蒸联合牵引治疗腰椎间盘突出症是经济有效、安全便捷、患者乐于接受的治疗方法，通过针对性的中医特色护理措施，能更好地发挥中医保守治疗疗效。

关键词 腰椎间盘突出症 中药熏蒸 牵引 中医护理

中图分类号：R681.5+3 文献标志码：A 文章编号：1006-1533（2016）22-0032-03

Observation of effect of traditional Chinese medicine fumigation combined with traction in the treatment of patients with lumbar disc herniation and the nursing care

WU Meihua（Xinchang Community Health Service Center of Pudong New District， Shanghai 201314， China）

ABSTRACT Objective： To explore the clinical effect of traditional Chinese medicine fumigation combined with traction in the treatment of lumbar disc herniation and nursing points. Methods： From Jan to Dec 2015 128 cases of lumbar disc herniation treated in the physiotherapy department were collected and randomly divided into an observation group and a control group with 64 cases each. The observation group was given traditional Chinese medicine fumigation combined with traction treatment， and the control group was given simple traction treatment. The two groups were treated for 10 days for 1 course of treatment and given the corresponding nursing measures with characteristics of traditional Chinese medicine. Visual analogue scale（VAS） and lumbar function score（JOA） of the two groups were observed after 3 courses of treatment. Results： The VAS scores of the two groups were significantly decreased compared with those before treatment（P<0.01）， and the observation group decreased significantly compared with the control group（P<0.01）. The JOA scores increased significantly compared with those before treatment（P<0.01）， and the observation group increased significantly compared with the control group. Conclusion： Traditional Chinese medicine fumigation combined with traction in the treatment of lumbar disc herniation is an economic， effective， safe and convenient treatment method that the patients are willing to accept， and through the targeted nursing measures of traditional Chinese medicine， it can play a good efficacy in the traditional Chinese medicine conservative treatment.

KEY WORDS lumbar disc herniation； traditional Chinese medicine fumigation； traction； traditional Chinese medicine nursing

腰椎间盘突出症是腰椎间盘在退行性改变基础上，在急性损伤或慢性劳损作用下，纤维环破裂以至髓核向后突出，刺激和压迫神经根及其血管，引起血运障碍、水肿、炎症以及致痛化学物质释放，导致腰痛及下肢放射性疼痛及感觉障碍等症状的一种疾病[1]。该病属于骨伤科临床常见病、多发病，是导致腰腿痛的主要疾病之一。本病大多慢性发病，病程较长，严重影响患者的劳动能力和生活质量[2]。目前，临床治疗腰椎间盘突出症的方法主要有手术与非手术两种，在基础治疗中非手术治疗先于手术治疗[3]。中药熏蒸疗法是非手术治疗腰椎间盘突出症的方法之一，疗效确切[4]。上海市浦东新区新场社区卫生服务中心理疗科采用中药熏蒸联合牵引法治疗腰椎间盘突出症患者，并实施相应的中医特色护理措施，取得较好疗效，现报道如下。

1 对象与方法