关键词:

腰椎间盘突出症, 中药封包, 5E康复护理模式

Abstract:

Objective　To explore the application value of traditional Chinese medicine sealing package combined with 5E (Encouragement-Education-Exercise-Employment-Evaluation) rehabilitation nursing model in patients with lumbar disc herniation (LDH) of cold-damp paralytic obstruction type. Methods　Sixty-eight LDH patients of cold-damp paralytic obstruction type in Kaifeng People's Hospital from January 2021 to December 2023 were retrospectively analyzed: 33 patients took traditional rehabilitation nursing as a traditional group, and 35 patients took traditional Chinese medicine sealing package combined with 5E rehabilitation nursing model as a combined group. There were 19 males and 16 females in the combined group, aged (59.43±2.28) years, with a course of disease of (3.02±0.27) years, 21 cases in acute stage and 14 cases in remission stage. In the traditional group, there were 17 males and 16 females, aged (59.48±2.32) years, with a course of disease of (2.97±0.25) years, 23 cases in acute stage and 10 cases in remission stage. Both groups received continuous nursing intervention for 2 months. The Visual Analogue Scale (VAS) score, lumbar function [Oswestry Disability Index (ODI) and Japanese Orthopaedic Association Assessment Scale (JOA)], degree of straight leg raising, and quality of life [World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF) and Roland-Morris Disability Questionnaire (RMDQ)] were compared between the two groups before and after intervention. Independent sample t test was used for statistical analysis. Results　Compared with those in the traditional group [(4.38±0.34) and (2.77±0.18) points], the VAS scores [(3.96±0.28) and (1.25±0.09) points] in the combined group after 1 and 2 months of intervention were lower (t=5.574 and 44.428, both P<0.05). Compared with those in the traditional group [(28.32±1.46) and (15.87±1.14) points], the ODI score [(13.61±1.07) points] in the combined group after intervention was lower, and the JOA score [(24.04±1.85) points] was higher (t=47.583 and 21.766, both P<0.05). Compared with that in the traditional group [(69.98±4.92)°], the degree of straight leg raising [(77.05±5.14)°] in the combined group after intervention was higher (t=5.788, P<0.05). Compared with those in the traditional group [(18.74±1.02) and (71.82±4.94) points], the RMDQ and WHOQOL-BREF scores [(20.97±1.37) and (80.83±5.59) points] in the combined group after intervention were higher (t=7.577 and 7.026, both P<0.05). Conclusion　Traditional Chinese medicine sealing package combined with 5E rehabilitation nursing model in patients with cold-damp paralytic obstruction type LDH can rapidly relieve the pain, and improve the body's lumbar spine function, quality of life, and degree of straight leg raising.

Key words:

 , Lumbar disc herniation, Traditional Chinese medicine sealing package, 5E rehabilitation nursing model