The effect of external application of traditional Chinese medicine combined with relaxing tendons and strengthening spinal function exercise nursing on physical function and joint range of motion in patients with ankylosing spondylitis
中药外敷联合舒筋强脊功能锻炼护理对强直性脊柱炎患者躯体功能和关节活动度的影响

摘要

目的 观察分析对强直性脊柱炎患者实施中药外敷联合舒筋强脊功能锻炼护理的临床效果和应用价值。方法 采用回顾性研究方法，选择院内就诊的60例强直性脊柱炎患者（样本纳入例数：60例；样本纳入时间：2023年5月至2024年5月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，中药外敷联合舒筋强脊功能锻炼护理。收集分析护理效果。结果 两组护理前无显著差异（P＞0.05）；护理后与对照组（常规护理）相比，实验组（中药外敷联合舒筋强脊功能锻炼护理）躯体功能评分、焦虑评分、抑郁评分、疼痛程度评分更低，生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能/总体健康）更高，腰椎侧屈度、腰椎后仰度、枕墙距、胸廓活动度更高，指地距更低，差异具有统计学意义（P<0.05）。结论 中药外敷联合舒筋强脊功能锻炼护理可以有效促进强直性脊柱炎患者躯体功能恢复，缓解疼痛程度，减少负性情绪，改善关节活动度，促进生活质量提高，促进预后改善，有较高应用价值。

Abstract

Objective Observation and analysis of the clinical effect and application value of Chinese herbal medicine external application combined with muscle relaxation and spinal function exercise nursing for patients with ankylosing spondylitis.
Methods A retrospective study was conducted to select 60 patients with ankylosing spondylitis who received treatment in the hospital (sample included: 60 cases; sample included time: May 2023 to May 2024). The patients were randomly divided into control and experimental groups based on ball touching, and the number of observed cases was highly consistent. Implement routine nursing separately, combined with external application of traditional Chinese medicine and spinal function exercise nursing. Collect and analyze nursing outcomes.
Results There was no significant difference between the two groups before nursing (P>0.05); Compared with the control group (conventional nursing), the experimental group (Chinese medicine external application combined with spinal function exercise nursing) had lower physical function scores, anxiety scores, depression scores, and pain level scores, higher quality of life scores (role function/emotional function/cognitive function/social function/physical function/overall health), higher lumbar lateral curvature, lumbar posterior tilt, occipital wall distance, and chest range of motion, and lower finger to ground distance, with statistically significant differences (P<0.05).
Conclusion   The combination of traditional Chinese medicine external application and spinal function exercise nursing can effectively promote the recovery of physical function, relieve pain, reduce negative emotions, improve joint mobility, enhance quality of life, and improve prognosis in patients with ankylosing spondylitis. It has high application value.