循证思想指导下应用中医特色护理对腰椎间盘突出并发压迫单侧下肢神经的临床效果

舒琼燕 吴丹 傅晓婷 陈艳

[摘要] 目的 分析循证思想指导下应用中医特色护理在腰椎间盘突出并发压迫单侧下肢神经护理中的应用效果。方法 选定本院2019年5—10月收治的58例LDH并发压迫单侧下肢神经患者，随机数字表法分组，每组各29例，对照组给予传统护理，试验组给予循证思想指导下中医特色护理，对比两组VAS评分、JOA评分、生活质量评分、复发率。 结果 两组护理前VAS评分、JOA评分比较，差异无统计学意义（P>0.05）;试验组护理2周后VAS评分明显低于对照组，JOA評分明显高于对照组;组内比较，护理2周后VAS评分明显低于护理前，JOA评分明显高于护理前，差异有统计学意义（P<0.05）;两组护理前生活质量评分比较，差异无统计学意义（P>0.05）;试验组护理2周后明显高于对照组，差异有统计学意义（P<0.05）;试验组复发率明显低于对照组，差异有统计学意义（χ2=5.220，P=0.022）。 结论 循证思想指导下中医特色护理可有效改善腰椎间盘突出并发压迫单侧下肢神经患者腰椎功能，缓解疼痛感，提高生活质量，降低复发率，值得借鉴。

[关键词] 循证思想;中医特色护理;腰间盘突出;下肢神经;腰椎功能;生活质量

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2021）31-0157-04

[Abstract] Objective To analyze the application effect of the application of TCM characteristic nursing under the guidance of evidence-based thinking in the nursing of lumbar intervertebral disc herniation complicated by compression of unilateral lower limb nerve. Methods A total of 58 patients with LDH and unilateral lower extremity nerve compression admitted in our hospital from May to October 2019 were selected and grouped by random number table， with 29 cases in each group. The control group was given traditional nursing care. The experiment group was given characteristic nursing care of traditional Chinese medicine under the guidance of evidence-based thinking. The VAS score， JOA score， quality of life score， and recurrence rate between the two groups were compared. Results Before nursing， there was no significant difference in the VAS score and JOA score between the two groups（P>0.05）. The VAS score of the experimental group was significantly lower than that of the control group after two weeks of nursing， and the JOA score was significantly higher than that of the control group. Comparing within the group， the VAS score after two weeks of nursing was significantly lower than before nursing， and the JOA score was significantly higher than before nursing， showing that the difference was statistically significant（P<0.05）. There was on significant difference in the quality of life score before nursing between the two groups（P>0.05）. The quality of life score in the experimental group after two weeks of nursing was significantly higher than that of the control group， and the difference was statistically significant （P<0.05）. The recurrence rate of the experimental group was significantly lower than that of the control group， showing that the difference was statistically significant（χ2=5.220， P=0.022）. Conclusion The TCM characteristic nursing under the guidance of evidence-based thinking can effectively improve the lumbar function of patients with lumbar disc herniation complicated by unilateral lower extremity nerve compression， relieve pain， improve the quality of life， and reduce the recurrence rate. It is worth learning.

[Key words] Evidence-based thinking; TCM characteristic nursing; Lumbar disc herniation; Lower extremity nerve; Lumbar spine function; Quality of life

腰椎间盘突出症（Lumbar disc heniation，LDH）是一种临床常见病，是由年龄、外伤、慢性劳损等导致椎间盘变性、髓核突出、纤维环破裂，对下肢神经造成刺激、压迫而引发的一系列临床症候，对患者生活、工作等均造成了严重不良影响[1-2]。近年来，在我国人们生活方式、环境不断变化之下，LDH发生率明显增高，且发病人群有低龄化、年轻化趋势[3]。……