中频脉冲穴位电刺激结合康复护理 对颈肩腰腿痛患者的影响
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王春梅,女,主管护师,主要研究方向是颈椎病,腰椎间盘突出症,肩周炎,膝关节炎保守治疗 (推拿,中药热奄包,中频脉冲电,牵引等)的护理。

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R 47

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河南省中医药科学研究专项课题(20-21ZY2280)


Effect of Medium Frequency Pulse Acupoint Electrical Stimulation Combined with Rehabilitation Nursing on Patients with Neck, Shoulder, Waist and Leg Pain
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    摘要:

    摘 要目的:探究中频脉冲穴位电刺激结合康复护理对颈肩腰腿痛患者颈椎功能及疼痛的影响。 方法:选取郑州市 颈肩腰腿痛医院 2021 年 1 月至 2022 年 5 月收治的 114 例颈肩腰腿痛患者,采用随机数字表法分为对照组和观察组,各 57 例。 对照组给予常规治疗及护理,观察组在对照组基础上加用中频脉冲穴位电刺激治疗结合康复护理,观察两组患者治疗有效率, 干预前后视觉模拟评分法(VAS)评分、血清疼痛因子水平、颈肩腰腿功能及日常生活能力。 结果:两组患者干预前 VAS 评分、疼痛发作频率、疼痛发作持续时间、血清疼痛因子水平、颈肩腰腿功能评分、Oswestry 功能障碍指数(ODI)比较, 差异无统计学意义(P > 0.05);干预后观察组患者治疗总有效率、颈椎病临床评价量表(CASCS)评分、Constant–Murley 肩关节功能评分、日本骨科协会评估治疗分数(JOA)评分、Lysholm 膝关节功能评分显著高于对照组,VAS 评分、疼痛发 作频率、疼痛发作持续时间,P 物质(SP)、去甲肾上腺素(NE)和 5– 羟色胺(5–HT)水平、ODI 评分低于对照组,差 异具有统计学意义(P < 0.05)。 结论:中频脉冲穴位电刺激结合康复护理能有效降低颈肩腰腿痛患者血清疼痛因子水平, 缓解患者疼痛症状,提高患者颈肩腰腿功能及日常生活能力。

    Abstract:

    AbstractObjective To explore the effects of medium frequency pulse acupoint electrical stimulation combined with rehabilitation nursing on cervical function and pain in patients with neck, shoulder, waist and leg pain. Methods 114 patients with neck, shoulder, waist and leg pain admitted to Zhengzhou Neck, Shoulder, Waist and Leg Pain Hospital from January 2021 to May 2022 were selected and divided into a control group and an observation group by random number table method, with 57 cases in each group. The control group was given routine treatment and nursing, and the observation group was given medium frequency pulse acupoint electrical stimulation combined with rehabilitation nursing on the basis of the control group. The treatment effectiveness, visual analogue scale (VAS) score, serum pain factor level, neck, shoulder, waist and leg function and daily living ability of the two groups were observed. Results There was no significant difference in VAS score, pain attack frequency, pain attack duration, serum pain factor level, neck, shoulder, waist and leg function score and Oswestry dability index (ODI) between the two groups before intervention (P > 0.05). After intervention, the total treatment response rate, clinical assessment scale for cervical spondylosis (CASCS) score, Constant-Murley shoulder joint function score, Japanese Orthopaedic Association scores (JOA) and Lysholm knee joint function score in the observation group were significantly higher than those in the control group, VAS score, pain attack frequency, pain attack duration, substance P (SP), norepinephrine (NE) and 5-hydroxytryptamin (5-HT) levels and ODI score were lower than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Medium frequency pulse acupoint electrical stimulation combined with rehabilitation nursing can effectively reduce the level of serum pain factors in patients with neck, shoulder, waist and leg pain, relieve pain symptoms, improve the function of neck, shoulder, waist and leg and the ability of daily life.

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  • 收稿日期:2024-03-19
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  • 在线发布日期: 2024-09-12
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