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1、探討中藥三煎內(nèi)服外洗治療頸腰腿痛的療效與護理【摘要】目的探討中藥三煎內(nèi)服外洗治療頸腰腿痛的療效與護理效果。方法200例?i腰腿痛的患者,隨機分為觀察組和對照組,各100例。對照組患者給予中藥頭煎二煎內(nèi)服治療;觀察組患者給予中藥頭煎二煎內(nèi)服后,三煎用藥渣藥液熱敷外洗局部治療與護理。比較兩組治療護理前后的頸腰腿痛視覺模擬評分法(VAS)評分、腫瘤壞死因子α(TNF-α)、白細胞介素-1β(IL-1β)、白細胞介素-6(IL-6)水平以及臨床療效。結(jié)果治療前,兩組患者頸腰腿痛VAS評分比較差異無統(tǒng)計學意義(P>0.05);治療后,兩組患者頸腰腿痛VAS評分均較治療前明顯下降,
2、且觀察組明顯低于對照組,差異具有統(tǒng)計學意義(P<0.05)。治療后,兩組患者TNF-α、IL-1β、IL-6水平均低于治療前,且觀察組低于對照組,差異具有統(tǒng)計學意義(P<0.05)。觀察組治療總有效率為96.00%,明顯高于對照組的78.00%,差異具有統(tǒng)計學意義(P<0.05)。結(jié)論中藥頭煎二煎內(nèi)服后,三煎用藥渣藥液熱敷外洗局部治療頸腰腿痛,配合有效的護理措施,療效顯著而不增加患者的費用,值得臨床廣泛應用與推廣。中國6/vie 【關鍵詞】中藥三煎內(nèi)服外洗;頸腰腿痛;療效;護理 DOI:10.14163/j.ki.11-5547/r.2017.04.070 【Ab
3、stract】ObjectiveToinvestigatecurativeeffectandnursingeffectbytriple-boiledtraditionalChinesemedicinefororaladministrationandexternallotioninthetreatmentofcervicodyniaandlumbodyniaandskelalgia.MethodsAtotalof200patientsbodyniaandskelalgialydividedintoobservationgroupandcontrolgroup,inistr
4、ationoffirst-boiledandsecond-boiledtraditionalChinesemedicinefortreatment.Theobservationgroupreceivedhotpressandexternallotionbythird-boiledresiduesfortreatmentandnursingafteroraladministrationoffirst-boiledandsecond-boiledtraditionalChinesemedicine.parisonadeonvisualanaloguescale(VAS)sc
5、oresofcervicodyniaandlumbodyniaandskelalgia,tumornecrosisfactor-α(TNF-α),interleukin-1β(IL-1β),interleukin-6(IL-6)andclinicaleffectsbetentandnursing.ResultsBeforetreatment,therebodyniaandskelalgiabetent,bothgroupshadobviouslylobodyniaandskelalgia,andtheobservationgrouphadmuchloent,bothgr
6、oupshadloent,andtheobservationgrouphadloentas96.00%than78.00%inthecontrolgroup,andtheirdifferencehadstatisticalsignificance(P<0.05).ConclusionImplementofhotpressandexternallotionbythird-boiledresiduesfortreatmentandnursingafteroraladministrationoffirst-boiledandsecond-boiledtraditionalCh
7、inesemedicine,inbinationeasures,providesexcellentcurativeeffectalongaintainedcost.Thismethodisotionandapplication.