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

摘要：

目的　探究中药封包联合5E康复护理模式［鼓励（Encouragement）、教育（Education）、锻炼（Exercise）、工作（Employment）和评估（Evaluation）］在寒湿痹阻型腰椎间盘突出症（LDH）患者中的应用价值。方法　回顾性分析2021年1月至2023年12月开封市人民医院寒湿痹阻型LDH患者68例，采取传统康复护理的33例患者作为传统组，采取中药封包联合5E康复护理模式的35例患者作为联合组。联合组男19例，女16例；年龄（59.43±2.28）岁；病程（3.02±0.27）年；急性期21例，缓解期14例。传统组男17例，女16例；年龄（59.48±2.32）岁；病程（2.97±0.25）年；急性期23例，缓解期10例。两组患者均持续护理干预2个月。对比两组干预前后视觉模拟评分法（VAS）评分、腰椎功能［Oswestry功能障碍指数ODI）、日本骨科协会评估表（JOA）］、直腿抬高度数、生活质量［世界卫生组织生活质量评估简表（WHOQOL-BREF）、Roland-Morris功能障碍调查表（RMDQ）］。采用独立样本t检验进行统计学分析。结果　与传统组［（4.38±0.34）、（2.77±0.18）分］相比，干预1、2个月后联合组VAS评分［（3.96±0.28）、（1.25±0.09）分］较低（t=5.574、44.428，均P<0.05）。与传统组［（28.32±1.46）、（15.87±1.14）分］相比，干预后联合组ODI评分［（13.61±1.07）分］较低，JOA评分［（24.04±1.85）分］较高（t=47.583、21.766，均P<0.05）。与传统组［（69.98±4.92）°］相比，干预后联合组直腿抬高度数［（77.05±5.14）°］较高（t=5.788，P<0.05）。与传统组［（18.74±1.02）、（71.82±4.94）分］相比，干预后联合组RMDQ、WHOQOL-BREF评分［（20.97±1.37）、（80.83±5.59）分］较高（t=7.577、7.026，均P<0.05）。结论　中药封包联合5E康复护理模式在寒湿痹阻型LDH患者中可快速缓解疼痛，改善机体腰椎功能和生活质量，提高直腿抬高度数。

关键词:

腰椎间盘突出症, 中药封包, 5E康复护理模式