循证护理对颈椎病急性期血瘀气滞型的疗效观察

熊桂华　孙慧丽

[摘要] 目的 探讨循证护理对颈椎病急性期（血瘀气滞型）的疗效。 方法 颈椎病急性期（血瘀气滞型）患者60例，采用随机数字表法分为两组，常规护理患者30例为对照组，循证护理患者30例为观察组，比较两组患者治疗前后的颈部肌肉功能和颈椎活动度状况。 结果 治疗后，观察组患者疼痛评分、表面肌电参数（屈曲伸直比）、并发症发生率均明显低于对照组，而表面肌电参数（中位频率斜率）、颈椎活动度（前屈活动度、后伸活动度、左侧屈活动度、右侧屈活动度、左侧旋转度、右侧旋转度）明显高于对照组（P<0.05）。 结论 循证护理可显著提高颈椎病急性期（血瘀气滞型）的治疗效果，明显改善颈部肌肉功能和颈椎活动度。

[关键词] 循证护理；颈椎病；血瘀气滞型；疗效

[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2015）24-114-03

[Abstract] Objective To investigate curative effect of evidence based nursing on cervical vertebra disease in acute stage （qi stagnation and blood stasis type）. Methods 60 patients with cervical vertebra disease in acute stage （qi stagnation and blood stasis type） were randomly divided into two groups.30 patients treated routine nursing as control group. 30 patients treated evidence based nursing as observation group. Neck muscle function and cervical activity status were compared between two groups before and after treatment. Results After treatment， pain score ；surface EMG parameter （flexion extension ratio）； complication rate in observation group were significantly lower than control group， while surface EMG parameter（median frequency slope）； cervical activity （flexion activity； extension activity； left flexor activity； right flexor activity； left rotation； right rotation） were significantly higher than control group （P<0.05）. Conclusion Evidence based nursing can significantly improve treatment effect of cervical vertebra disease in acute stage （qi stagnation and blood stasis type）， which can significantly improve neck muscle function and activity of cervical vertebra.

[Key words] Evidence based nursing； Cervical vertebra disease； Qi stagnation and blood stasis type； Curative effect

颈椎病是临床常见病症，高发于中老年人，随着人们生活节奏的加快，生活方式也发生率显著改变，各种人群由于工作的原因使得颈椎病的发生率显著增加，明显影响着公众身体健康[1-2]。有效的护理干预在颈椎病的治疗过程中发挥着重要作用[3-4]。为了探讨循证护理对颈椎病急性期（血瘀气滞型）的疗效，此次研究选取颈椎病急性期（血瘀气滞型）患者60例，采用随机数字表法分为两组，实施不同的护理方案进行对比分析，现报道如下。

1 资料与方法

1.1 一般资料

本院2014年9月～2015年9月颈椎病急性期（血瘀气滞型）患者60例，均符合《中药新药临床指导原则》的临床诊断标准[5]。（1）主症：因颈部外伤或损伤而发病，颈项僵痛，动则加剧，痛点固定不移；（2）次症：常伴肢体麻木，舌质淡红，或紫暗有瘀斑，脉弦或涩。……