中药热奄包在骨质疏松性椎体压缩性骨折患者疼痛护理中的疗效观察

doi:10.3760/cma.j.cn441417-20240407-01032

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (1): 150-153.DOI: 10.3760/cma.j.cn441417-20240407-01032

中药热奄包在骨质疏松性椎体压缩性骨折患者疼痛护理中的疗效观察

万宇频¹ 万磊² 罗秀云³ 艾益明¹ 闻金生¹

¹江西中医药大学第二附属医院骨伤科，南昌 330012；²南昌县中医院院办，南昌　330200；³江西中医药大学第二附属医院感控科，南昌 330012

收稿日期:2024-04-07 出版日期:2025-01-01 发布日期:2025-01-14
通讯作者: 万宇频，Email：Wwyp97018@163.com
基金资助:
江西省中医药管理局科技计划（2023B1121）

Observation of the therapeutic effect of traditional Chinese medicine hot compress package in pain management for patients with osteoporotic vertebral compression fractures

Wan Yupin¹, Wan Lei², Luo Xiuyun³, Ai Yiming¹, Wen Jinsheng¹

¹Orthopedics Department, The Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330012, China; ²Hospital Office, Nanchang County Traditional Chinese Medicine Hospital, Nanchang 330200, China; ³Department of Infection Control, The Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330012, China

Received:2024-04-07 Online:2025-01-01 Published:2025-01-14
Contact: Wan Yupin, Email: Wwyp97018@163.com
Supported by:
Science and Technology Plan of Jiangxi Provincial Administration of Traditional Chinese Medicine (2023B1121)

摘要/Abstract

摘要：

目的　探究中药热奄包在骨质疏松性椎体压缩性骨折（OVCF）患者疼痛护理中的疗效。方法　采用前瞻性研究，选取2023年1月至2024年1月江西中医药大学第二附属医院收治的80例OVCF患者，按随机数字表法分为两组，各40例。对照组年龄50～78（60.55±5.68）岁；女18例，男22例；骨折原因：车祸25例，高空坠落15例；行常规疼痛护理。观察组年龄51～79（60.57±5.71）岁；女17例，男23例；骨折原因：车祸23例，高空坠落17例；在对照组基础上行中药热奄包干预。两组均干预1周。比较两组干预效果、疼痛程度［视觉模拟评分法（VAS）］、并发症发生率、生活质量［健康调查量表36（SF-36）］。采用t检验、χ²检验进行统计分析。结果　干预1周后，观察组总有效率高于对照组［95.00%（38/40）比77.50%（31/40）］，并发症总发生率低于对照组［5.00%（2/40）比20.00%（8/40）］，差异均有统计学意义（χ²=5.165、4.114，均P<0.05）；观察组VAS评分低于对照组［（2.28±0.22）分比（3.60±0.35）分］，SF-36总分高于对照组［（73.49±7.35）分比（62.50±6.26）分］，差异均有统计学意义（t=20.195、7.199，均P<0.05）。结论　OVCF患者疼痛护理中应用中药热奄包，可提高护理效果，减轻患者疼痛感，降低并发症发生率，提高患者生活质量。

关键词:

骨质疏松性椎体压缩性骨折, 中药热奄包, 疼痛护理, 并发症

Abstract:

Objective　To explore the therapeutic effect of traditional Chinese medicine hot compress package on pain management in patients with osteoporotic vertebral compression fractures (OVCF). Methods　A prospective study was conducted, selecting 80 patients with OVCF admitted to the Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2023 to January 2024, and dividing them into two groups using the random number table method, with 40 patients in each group. The age of the control group was 50-78 (60.55±5.68) years old; there were 18 females and 22 males; the causes of fractures included 25 cases of car accident and 15 cases of falling from high altitude. The age of the observation group was 51-79 (60.57±5.71) years old; there were 17 females and 23 males; the causes of fractures included 23 cases of car accident and 17 cases of falling from high altitude. The control group received routine pain care, and the observation group received intervention with traditional Chinese medicine hot compress package on this basis for one week. The intervention effect, pain level [Visual Analogue Scale (VAS)], incidence of complications, and quality of life [Short Form of Health Survey (SF-36)] were compared between the two groups. t test and χ² test were used for statistical analysis. Results　After 1 week of nursing, the total effective rate of the observation group was higher than that of the control group [95.00% (38/40) vs. 77.50% (31/40)], and the total incidence of complications was lower than that of the control group [5.00% (2/40) vs. 20.00% (8/40)], with statistically significant differences (χ²=5.165 and 4.114, both P<0.05). The VAS score of the observation group was lower than that of the control group [(2.28±0.22) points vs. (3.60±0.35) points], and the total SF-36 score was higher than that of the control group [(73.49±7.35) points vs. (62.50±6.26) points], with statistically significant differences (t=20.195 and 7.199, both P<0.05). Conclusion　The application of traditional Chinese medicine hot compress package in pain care for OVCF patients can improve the nursing effectiveness, alleviate the patients' pain, reduce the incidence of complications, and improve their quality of life.

Key words:

Osteoporotic vertebral compression fractures, Traditional Chinese medicine hot compress package, Pain care, Complications

万宇频万磊罗秀云艾益明闻金生.

中药热奄包在骨质疏松性椎体压缩性骨折患者疼痛护理中的疗效观察 [J]. 国际医药卫生导报, 2025, 31(1): 150-153.

Wan Yupin, Wan Lei, Luo Xiuyun, Ai Yiming, Wen Jinsheng.

Observation of the therapeutic effect of traditional Chinese medicine hot compress package in pain management for patients with osteoporotic vertebral compression fractures [J]. International Medicine and Health Guidance News, 2025, 31(1): 150-153.

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中药热奄包在骨质疏松性椎体压缩性骨折患者疼痛护理中的疗效观察

Observation of the therapeutic effect of traditional Chinese medicine hot compress package in pain management for patients with osteoporotic vertebral compression fractures

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