CAJ | 학술논문

目的探讨手法联合中药热敷治疗对腰-硬联合麻醉患者疼痛和临床疗效的影响.方法选择2008年4月至2009年5月收治的行腰-硬联合麻醉、全子宫切除术的妇科患者94例,分为治疗组(63例)和对照组(31例).对照组给予常规腰部放松疗法,治疗组在对照组的基础上给予手法联合中药热敷治疗.3天为1个疗程,1个疗程后进行疗效评定.结果经疼痛视觉模拟评分法(VAS)评价,治疗组治疗后评分平均为(2.47±1.42)分.对照组平均为(4.35±1.63)分,两组比较,差异有统计学意义(P值<0.01).治疗组总有效率为90.48%;对照组总有效率为77.42%.Ridit检验提示,总有效率比较,治疗组优于对照组(u=3.42,P值<0.01).结论手法联合中药热敷治疗腰-硬联合麻醉后腰痛,能明显改善腰痛症状,提高临床疗效.
목적 탐토수법연합중약열부치료대요-경연합마취환자동통화림상료효적영향.방법 선택2008년4월지2009년5월수치적행요-경연합마취、전자궁절제술적부과환자94례,분위치료조(63례)화대조조(31례).대조조급여상규요부방송요법,치료조재대조조적기출상급여수법연합중약열부치료.3천위1개료정,1개료정후진행료효평정.결과 경동통시각모의평분법(VAS)평개,치료조치료후평분평균위(2.47±1.42)분.대조조평균위(4.35±1.63)분,량조비교,차이유통계학의의(P치<0.01).치료조총유효솔위90.48%;대조조총유효솔위77.42%.Ridit검험제시,총유효솔비교,치료조우우대조조(u=3.42,P치<0.01).결론 수법연합중약열부치료요-경연합마취후요통,능명현개선요통증상,제고림상료효.
Objective To investigate the effects of manipulative combined with herbal fomentation on lumbar pain after combined spinal-epidural anesthesia. Methods 94 cases with combined spinal-epidural anesthesia and total laparoscopic hysterectomy from our hospital were enrolled from April 2008 to May 2009.They were divided into control group and treatment group according to patient's will.Patients of the control group received routine relaxation treatment; Patients of the treatment group received manipulative combined with herbal fomentation.Three days as a course.Curative effects were assessed one courses later. Pain was evaluated by visual analogue scale before and after the treatment.Results It was ( 2.47±.42 ) after treatment in the control group, and ( 4.35±1.63 ) in the treatment group.The decrease was more significant in the treatment group than the control group( P<0.0l ).The total effective rate was 90.48% in the control group; and 77.42%in the treatment group ( P< 0.01 ).Conclusions Manipulative combined herbal fomentation can remarkably relieve lumbar pain and improve clinical curative effect in the patients with combined spinal-epidural anesthesia.