按摩式中药奄包法在颈型颈椎病中的应用研究

发布时间：2018-11-14 13:33

【摘要】：目的:本研究对传统中药奄包的操作方法进行改良,将按摩手法运用于传统中药奄包中,即按摩式中药奄包法,探讨其改善颈型颈椎病患者颈部疼痛、功能障碍、焦虑症状、抑郁症状及生活质量方面的效果。从而促进中药奄包的临床效应学研究及中医护理的发展,为临床的推广奠定实践基础。方法:本研究选取2016年7~12月在四川省某三甲综合医院中医骨科就诊并符合纳入标准的患者62例为研究对象,采用随机数字表法分为试验组和对照组各31例。两组患者均按医嘱给予颈复康颗粒(每袋4g)口服,1次1袋,1日3次,分早、中、晚3次服用,7天为一个疗程,共2个疗程。在此基础上,对照组实施传统中药奄包法,试验组实施按摩式中药奄包法,两组均每日1次,每次25分钟,7天为1个疗程,共2个疗程。采用简明Mc Gill疼痛评分表(SF-MPQ)和颈椎功能障碍指数问卷表(NDI)在干预前后对患者颈部疼痛、功能障碍进行评价;采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、SF-36健康调查表(SF-36)在干预前后对患者焦虑、抑郁情绪和生活质量进行评价。结果:共60例患者完成全部资料收集,其中对照组30例(脱落1例),试验组30例(剔除1例)。结果显示:1.疼痛评价结果:干预后,试验组在Mc Gill中PRI(疼痛分级指数)、VAS(视觉模拟定级)、PPI(现有疼痛强度)得分均低于对照组,差异具有统计学意义(P0.05)。提示按摩式中药奄包法对颈型颈椎病疼痛的改善效果优于传统中药奄包法。2.功能障碍评价结果:干预后,试验组颈椎功能指数(NDI)得分低于对照组,差异具有统计学意义(P0.05),提示按摩式中药奄包法对颈型颈椎病功能障碍的改善效果优于传统中药奄包法。3.焦虑、抑郁症状评价结果:干预后,试验组在焦虑自评量表(SAS)得分和抑郁自评量表(SDS)得分均低于对照组,差异具有统计学意义(P0.05),提示按摩式中药奄包法对颈型颈椎病患者焦虑、抑郁症状的改善效果优于传统中药奄包法。4.生活质量评价结果:干预后,试验组生活质量评价量表总分及(SF-36)8个维度得分均高于对照组,差异具有统计学意义(P0.05),提示按摩式中药奄包法能有效提高颈型颈椎病患者的生活质量,且效果优于传统中药奄包法。结论:按摩式中药奄包法可减轻颈型颈椎病患者颈部疼痛症状和功能障碍,缓解患者焦虑、抑郁症状,促进颈型颈椎病患者生活质量的提高,其效果均优于传统中药奄包法。中药奄包作为中药外治法中常用的中医护理操作技术,将按摩手法运用于中药奄包操作,可提高颈型颈椎病的治疗效果,值得在临床实践中进一步应用和推广。
[Abstract]:Objective: to improve the operation method of traditional Chinese medicine election bag, and apply massage manipulation to traditional Chinese medicine election package, that is, massage traditional Chinese medicine election package method, to explore the improvement of cervical pain, dysfunction and anxiety in patients with cervical spondylosis. Effects of depression and quality of life. So as to promote the clinical effect of traditional Chinese medicine election bag and the development of traditional Chinese medicine nursing, lay a practical foundation for clinical promotion. Methods: from July to December 2016, 62 patients in the orthopedic department of traditional Chinese medicine (TCM) in a Sanjia General Hospital in Sichuan Province were selected as the study objects. The patients were randomly divided into two groups: the experimental group (n = 31) and the control group (n = 31). The patients in both groups were given Jingfukang granules (4 g / bag) orally, 1 bag, 3 times a day, 3 times early, 3 times late, 7 days as a course of treatment, 2 courses of treatment. On this basis, the traditional Chinese medicine election package was applied in the control group and the traditional Chinese medicine election package method was applied in the experimental group. The two groups received 25 minutes a day, 7 days as a course of treatment, and two courses of treatment. Simple Mc Gill pain scale (SF-MPQ) and cervical dysfunction index questionnaire (NDI) were used to evaluate cervical pain and dysfunction before and after intervention. The anxiety, depression and quality of life (QOL) of the patients were evaluated by (SDS), SF-36 Health questionnaire (SF-36) before and after intervention with the self rating anxiety scale (SAS),). Results: a total of 60 patients completed the data collection, including 30 cases in the control group (1 case off) and 30 cases in the experimental group (1 case removed). The results showed that: 1. Pain evaluation results: after intervention, the PRI (pain grading index), VAS (visual analogue), PPI (existing pain intensity) scores in the trial group were lower than those in the control group (P0.05). It is suggested that the effect of massage Chinese medicine on cervical spondylosis pain is better than that of traditional Chinese medicine. 2. Evaluation results of dysfunction: after intervention, the (NDI) score of cervical spine function index in the experimental group was lower than that in the control group, the difference was statistically significant (P0.05). It is suggested that the effect of massage method on cervical spondylosis is better than that of traditional Chinese medicine. Evaluation results of anxiety and depression symptoms: after intervention, the scores of (SAS) and (SDS) in the test group were lower than those in the control group, the difference was statistically significant (P0.05). It is suggested that the effect of massage traditional Chinese medicine on anxiety and depression of patients with cervical spondylosis is better than that of traditional Chinese medicine. 4. Quality of life evaluation results: after intervention, the total score and (SF-36) of the eight dimensions of the quality of life evaluation scale in the trial group were higher than those in the control group, the difference was statistically significant (P0.05). It is suggested that the traditional Chinese medicine can effectively improve the quality of life of patients with cervical spondylosis, and the effect is better than that of traditional Chinese medicine. Conclusion: traditional Chinese medicine can relieve cervical pain and dysfunction, relieve anxiety and depression, and promote the improvement of quality of life of patients with cervical spondylosis, and its effect is better than that of traditional Chinese medicine. The traditional Chinese medicine election bag is the traditional Chinese medicine nursing operation technique which is commonly used in the external treatment of traditional Chinese medicine. Applying massage technique to the traditional Chinese medicine election bag operation can improve the treatment effect of cervical spondylopathy. It is worthy of further application and popularization in clinical practice.
【学位授予单位】：遵义医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R248

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