Research on the application of meridian-based fire moxibustion technique for cold-damp obstruction syndrome in perioperative nursing of lumbar disc herniation
基于寒湿痹阻证的循经通痹火熨术在腰椎间盘突出症围术期护理中的应用研究

摘要

腰椎间盘突出症（LDH）属于脊柱科常见病，其临床表现往往伴随寒湿痹阻证，围术期护理在推动患者康复进程当中起着重要作用，本研究针对循经通痹火熨术在寒湿痹阻型LDH围术期护理中的应用效果展开探讨，选取80例符合纳入标准的患者随机分成观察组（火熨术联合常规护理干预）和对照组（单纯传统护理干预），对比两组患者的疼痛视觉模拟评分（VAS）、腰椎功能障碍指数（ODI）以及中医证候积分，同时统计并发症出现情况，结果显示：观察组术后第7天和第14天的VAS、ODI评分以及中医证候积分均明显低于对照组，而且并发症发生率也表现出明显的下降趋势，相关研究表明，循经通痹火熨术可以有效地减轻疼痛症状，改善腰椎功能状况，减小围术期并发症风险，为中医特色疗法在脊柱外科围术期护理中的推广应用赋予了科学支撑。

Abstract

Lumbosacral disc herniation (LDH) is a common condition in spinal medicine, often accompanied by the syndrome of cold-damp obstruction. Perioperative nursing plays a critical role in facilitating patient recovery. This study investigates the application effect of meridian-activating and dispelling obstruction moxibustion during perioperative care for patients with LDH characterized by cold-damp obstruction. A total of 80 eligible patients were randomly divided into an observation group (moxibustion combined with conventional nursing intervention) and a control group (conventional nursing intervention only). The pain visual analog scale (VAS), Oswestry Disability Index (ODI), and traditional Chinese medicine symptom scores were compared between both groups, while also tracking complications that arose.
Results indicated that on postoperative days 7 and 14, VAS scores, ODI scores, and TCM symptom scores in the observation group were significantly lower than those in the control group; moreover, there was also a notable decrease trend in complication rates within this cohort. Relevant studies suggest that meridian-activating moxibustion effectively alleviates pain symptoms improves lumbar function status minimizes perioperative complication risks thereby providing scientific support for promoting Traditional Chinese Medicine therapies within spine surgery's perioperative care framework.