首页|壮医药熨结合壮医综合护理干预治疗骶髂关节炎的临床观察

壮医药熨结合壮医综合护理干预治疗骶髂关节炎的临床观察

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目的 应用壮医药熨结合壮医综合护理干预治疗骶髂关节炎(SA)患者,观察其临床疗效.方法 选择SA患者64例为研究对象,采用随机数字表法分成观察组和对照组:观察组接受壮医药熨结合壮医综合护理干预治疗,对照组患者常规口服艾瑞昔布片治疗.比较两组治疗前后视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分的变化.结果 本研究共纳入64例受试者,其中失访8例,自动退出6例,最终完成随访50例,其中观察组26例,对照组24例.两组的治疗方案对SA均有良好疗效,两组治疗前后VAS评分、ODI评分、SAS评分、SDS评分比较均有显著差异(P<0、05),说明两种治疗方案对SA均有效;观察组患者治疗2周、3个月后VAS评分、ODI评分、SAS评分、SDS评分明显优于对照组,差异具有显著性(P<0.05).结论 壮医药熨结合壮医综合护理干预治疗SA,整体效果显著,能够有效控制腰骶部疼痛,提高腰骶椎活动度及功能,纠正患者焦虑抑郁情况,明显提高生活质量.
Clinical Observation of Zhuang Medicine Ironing Combined with Zhuang Medicine Comprehensive Nursing Intervention in the Treatment of Sacroiliac Arthritis
Objective:To apply Zhuang medicine ironing combined with Zhuang medicine comprehensive nurs-ing intervention to treat Sacroiliac Arthritis(SA)patients,and to observe its clinical efficacy.Methods:A total of 64 cases of SA patients diagnosed in outpatient clinic were selected as the study subjects,and were divided into observation group and control group by using randomized numerical table method.The observation group was treat-ed with Zhuang medicine ironing combined with Zhuang medicine comprehensive nursing intervention,and the con-trol group was treated with conventional oral erythroxib tablets.The changes of visual analog scale(VAS)score,Os-westry dysfunction index(ODI),self-assessment scale of anxiety(SAS)score,and self-assessment scale of depres-sion(SDS)score before and after treatment in the two groups were compared.Results:A total of 64 subjects were enrolled in this study,among which 8 cases were lost,6 cases withdrew automatically.Finally,50 cases completed the follow-up,including 26 cases in the observation group and 24 cases in the control group.The treatment regi-mens of the two groups had good efficacy on SA.Comparison of VAS scores,ODI scores,SAS scores,SDS scores before and after the treatment of the two groups showed that the difference was statistically significant,indicating that there was a statistically significant difference between the two treatment regimens in terms of clinical efficacy on SA(P<0.05);VAS scores,ODI scores,SAS scores,SDS scores of the observation group were significantly bet-ter than those of the control group after 2 weeks and 3 months of treatment,and the difference was significant(P<0.05).Conclusion:The overall effect of Zhuang medicine ironing combined with Zhuang comprehensive nursing intervention for SA is remarkable,which can effectively control lumbosacral pain,improve lumbosacral spine mobil-ity and function,correct patients'anxiety and depression,and significantly improve the quality of life.

Sacroiliac arthritisZhuang medicine ironingComprehensive nursing of Zhuang MedicineClinical study

邓媛媛、唐广军、韦晓春、陈海莲、李春华、罗桂凡、张文捷

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广西国际壮医医院,广西南宁 530023

骶髂关节炎 壮医药熨 壮医综合护理 临床研究

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(9)