摘要
目的 探讨慢性疼痛患者在雷火灸联合刮痧治疗期间,配合不同护理干预所取得的干预效果。方法以本院2023年1月至2024年1月期间收治的共60例慢性疼痛患者为例,将住院号纳入随机数表法,各自取组为对照组与观察组,每组均衡30例。两组统一采取雷火灸联合刮痧治疗,期间对照组辅以常规护理实施干预,观察组另结合综合护理实施干预,评估对比两组各自干预后对其疼痛感受及生活质量的评分影响。结果 干预前,两组VAS评分值差异未见统计学意义(P>0.05);干预后,观察组评分明显更低于对照组(P<0.05)。患者均在入组干预前测得生活质量4方面评分值较低(P>0.05);经干预后,观察组在4个维度的评分提升幅度均显著优于对照组(P<0.05)。结论 雷火灸联合刮痧治疗慢性疼痛期间,配合综合护理干预更能有效减轻患者的疼痛感受,并使之生活质量得以全面提升,具有较为理想的护理价值。
关键词: 雷火灸;刮痧;慢性疼痛;综合护理;生活质量
Abstract
Objective To explore the intervention effects achieved by combining different nursing interventions with fire cupping and moxibustion for patients with chronic pain during treatment. Methods Taking 60 cases of chronic pain patients admitted to our hospital from January 2023 to January 2024 as examples, hospital numbers were included in a random number table, and each group was divided into a control group and an observation group, with 30 cases in each group. Both groups received unified fire cupping and moxibustion treatment, with the control group supplemented by routine nursing interventions and the observation group additionally combined with comprehensive nursing interventions. The impact of these interventions on pain perception and quality of life was evaluated and compared between the two groups. Results Before intervention, there was no statistically significant difference in VAS scores between the two groups (P>0.05); after intervention, the scores in the observation group were significantly lower than those in the control group (P<0.05). All patients had lower scores in four aspects of quality of life before intervention (P>0.05); after intervention, the improvement in scores across all four dimensions was significantly better in the observation group than in the control group (P<0.05). Conclusion During the treatment of chronic pain using fire cupping and moxibustion combined with comprehensive nursing interventions, such an approach can more effectively alleviate patients' pain and significantly enhance their quality of life, demonstrating considerable nursing value.
Key words: Fire moxibustion; Guasha; Chronic pain; Comprehensive nursing; Quality of life
参考文献 References
[1] 郑诗恬.雷火灸联合推拿对慢性腰腿痛患者腰屈曲活动度及疼痛程度的影响[J].湖南中医杂志,2025,41(03):11-14.
[2] 程静娴,张建楠,张婷,等.铜砭刮痧联合情志干预对带状疱疹后神经痛患者疼痛程度的影响[J].河北中医,2025, 47(03):484-487+491.
[3] 黄旭辉,吴永睿,龚锐.雷火灸结合耳穴压豆对腰椎间盘突出症患者腰椎功能、腰部疼痛的影响[J].临床护理杂志,2025,24(01):55-58.
[4] 倪月娟,吴谐,韩松,等.温灸刮痧法治疗腰椎间盘突出症脊柱内镜术后残留下肢疼痛的临床研究[J].中华养生保健,2024,42(23):20-23.
[5] 马库斯.慢性疼痛临床诊疗指南[M].倪家骧,孙海燕,薛富善,译.北京:人民卫生出版社,2007:215-219.
[6] 蔡群,郭勤,刘盈君,等.龙胆泻肝汤结合雷火灸治疗慢性前列腺炎/慢性骨盆疼痛综合征的随机对照研究[J].中华中医药学刊,2025,43(02):33-36.
[7] 尹振军,陈尔坚,苏文斌.雷火灸治疗膝骨关节炎对膝关节功能恢复、疼痛程度水平的影响[J].中外医疗,2024, 43(13): 64-68.
[8] 高玉洁,王佳怡,葛浩天,等.刮痧改善腰椎间盘突出疼痛症状的系统评价及GRADE证据质量评价[J].世界科学技术-中医药现代化,2024,26(02):419-428.
[9] 陈少荣.虎符铜砭刮痧配合子午流注时辰护理治疗腰椎间盘突出症腰腿疼痛的疗效分析[J].中国医药指南, 2024,22(06):139-141+145.